Stapled Haemorrhoidopexy for Prolapsed Haemorrhoids: Short- and Long-term Experience
Stapled Haemorrhoidopexy for Prolapsed Haemorrhoids: Short- and Long-term Experience
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In prolapsed haemorrhoids, there is a permanent outward displacement of the mucosa of the anal canal, often involving the rectal mucosa.On this background, Longo set up tonic shower cap a technique in 1998 to reduce haemorrhoidal prolapse, using a circular stapler.The aim of this study is to report our 7 years of experience on patients treated using this new surgical technique for haemorrhoids.Methods: Between October 1998 and June 2005, 496 patients were treated by stapled haemorrhoidopexy.
We analysed data from 300 of these patients in whom follow-up was longer than 12 months.Results: The duration of the procedure ranged from 12 to 45 minutes.In 184 patients (37%), haemostatic sawgrass virtuoso sg500 complete sublijet sublimation printer kit stitches of the suture line were necessary after firing the stapler.Pain score (visual analogue scale, 1-10) after 24 hours ranged from 2 to 4 and after 5 days from 1 to 3.
The average length of hospital stay was 2.3 days.Long-term results showed that only 9% of patients required further treatment after long follow-up, while 10.1% complained of some discomfort or residual symptoms in the perianal region.
Conclusion: Our short- and long-term results show that stapled haemorrhoidopexy for haemorrhoids is a safe procedure with less pain and lower complication rate compared to conventional haemorrhoidectomy.