6th World Congress of Endoscopic Surgery. Treatment of hemorrhoidal disease by reduction of mucosa and hemorrhoidal prolapse with circular suturing device: a new procedure. MEllabban G.Stapled Hemorrhoidectomy versus traditional hemorrhoidectomy for the treatment of hemorrhoids.
Limited hemorrhoidectomy: results and long-term follow up. The ASCRS textbook of colon and rectal surgery. Lord's method: 17-year, follow-up of a prospective, randomized trial. Practice parameters for the treatment of hemorrhoids. American Society of Colon and Rectal Surgeons. Principles and practice of surgery for the colon, rectum, and anus. Results: Our study showed stapled hemorrhoidopexy, significantly reduced the time taken for the operative procedure (p <0.001), post operative pain (p <0.01), hospital stay along with early return to work and a better patient satisfaction.Ĭonclusions: Stapled hemorrhoidopexy is an effective alternative to open Miligan-Morgan procedure in treating 3rd and 4th degree hemorrhoids, in terms of lesser time taken for the operative procedure, post operative pain, use of analgesics, hospital stay and early return to work, better post operative patient’s satisfaction and reduced procedure related complication.Ĭorman ML. Methods: A prospective study conducted on 114 patients at Department of General Surgery, Kalinga institute of Medical Sciences, Bhubaneswar, Odisha from May 2014 to December 2016. However, since 1998, the adoption of Stapled Hemorrhoidopexy has proved over time to be a better alternative in terms of lesser postoperative complication and an overall patient satisfaction. It is clear from the body of literature that stapled hemorrhoidopexy is a viable option for patients with symptomatic hemorrhoidal prolapse.Background: Hemorrhoids being a common anorectal problem with its well known morbidity and complications is treated since long by conservative measures, injection sclerotherapy or rubber banding for 1st and 2nd degree and by open Miligan Morgan hemorrhoidectomy or closed Fergusson hemorrhoidectomy for 3rd and 4th degree. While reports of serious complications exist, large randomized trials confirm the safety of both techniques. While the former two favor the stapled hemorrhoidopexy group, the latter is less commonly seen when the hemorrhoids are excised. The most consistent differences in outcomes relate to pain scores postoperatively, return to activity/work, and recurrence of symptoms. These include efficacy, safety, continence, anal manometry, return to activity or work, and others. While the most scrutinized endpoint of these trials has been postoperative pain, a variety of other variables have also been considered. Since its inception, the technique has been carefully studied and to date there are at least 25 randomized controlled trials comparing this stapled hemorrhoidopexy with more traditional excisional techniques. This remained true until Longo described a technique using a circular stapler to remove a cuff of redundant rectal mucosa, thereby correcting the prolapse without removing the hemorrhoids. All but a few are based on the premise of excising the hemorrhoidal columns. Many surgical options for the treatment of hemorrhoids have been described.
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