Transanale offene Hämorrhoidopexie

Pakravan, F.; Helmes, Christian; Alldinger, Ingo

doi:10.1007/s00053-018-0283-3

Cited by 1 publication

(1 citation statement)

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“…One prospective study included 38 HD patients and reported that 84% of the patients was pain-free immediately after surgery and no patients required additional surgery after six months [15]. The second study is a German retrospective study assessing SH in 110 patients with a follow-up of over eight years [16]. In 72.7% of the patients, HD symptoms were significantly improved, or even vanished after treatment.…”

Section: Introductionmentioning

confidence: 99%

Picking Up the Threads: Long-Term Outcomes of the Sutured Haemorrhoidopexy: A Retrospective Single-Centre Cohort Study

Kuiper

Dam

Kimman

et al. 2023

JCM

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Background: This study aimed to assess the short- and long-term safety and efficacy of the sutured haemorrhoidopexy (SH) in patients with haemorrhoidal disease (HD). Methods: A retrospective study was performed, assessing the following treatment characteristics: number of sutures needed; operation time; perioperative complications; postoperative pain; hospital stay. The short- and long-term postoperative complications, HD recurrence and data on current HD symptoms were assessed according to the Core Outcome Set for HD. Results: Between January 2009 and December 2021, 149 patients with HD underwent a SH. One-hundred and forty-five patients were included, with a mean age of 61 years (±12.8), of which 70 were women (48.3%). Patients were predominantly diagnosed with grade III (37.2%) HD and the median follow-up was nine years (5–11). Perioperative complications occurred in four cases (2.8%). In two patients (1.4%), short-term postoperative complications were reported, and in seven patients (6.2%), long-term complications were reported. The cumulative efficacy in terms of freedom of recurrence was 88.3% (95% CI, 83.1–93.5) at six months, 80.0% (95% CI, 73.5–86.5) at one year, and 67.7% (95% CI, 59.7–75.7) at five years. Conclusions: Sutured haemorrhoidopexy is a safe treatment for patients with HD and can be proposed as a minimally invasive surgical treatment if basic and outpatient procedures fail.

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Section: Introductionmentioning

confidence: 99%