Complications and results after stapled haemorrhoidopexy as a day surgical procedure

被引：30
作者：
B. Mlakar
P. Košorok
机构：
[1] Medical Centre IATROS, 1000 Ljubljana
来源：
Techniques in Coloproctology | 2003年 / 7卷 / 3期
关键词：
Complications; Day surgery; Results; Stapled haemorrhoidopexy;
D O I：
10.1007/s10151-003-0029-1
中图分类号：
学科分类号：
摘要：
Background: The aim of this report is to describe our experience with stapled haemorrhoidopexy as a day surgery procedure. Methods: From January 2000 to January 2003, a total of 214 patients with third- and fourth-degree haemorrhoids underwent stapled haemorrhoidopexy under spinal anaesthesia. We analysed early postoperative complications and long-term results. Patients were followed for 4-36 months (mean, 22 months). Only 3 patients (1%) were hospitalised. The long-term complications were analysed by means of a mailed questionnaire. Results: Minor bleeding at wiping after defecation was observed by 9% of patients and minor haemorrhoidal prolapse by 8% of patients. Pain after defecation was reported by 6% of patients and anal stenosis occurred in 2% of them. Faecal urgency was reported by 3% of patients with previously unknown incontinence problems. Conclusion: According to our experience, stapled haemorrhoidopexy can be safely performed as a day surgery procedure.
引用
收藏
页码：164 / 168
页数：4
相关论文
共 30 条
  • [1] Capomagi A., Mannetta V., Balestrieri A., Et al., Circular hemorrhoidectomy using a stapler: The 'gold standard' for the treatment of hemorrhoids? Preliminary data regarding 206 consecutive patients, Ital J Coloproctol, 2, pp. 39-43, (1999)
  • [2] Altomare D.F., Rinaldi M., Chiumarulo C., Palasciano N., Treatment of external anorectal mucosal prolapse with circular stapler: An easy and effective new surgical technique, Dis Colon Rectum, 42, pp. 1102-1105, (1999)
  • [3] Beattie G.C., Lam J.P.H., Loudon M.A., A prospective evaluation of the introduction of circumferential stapled anoplasty in the management of haemorrhoids and mucosal prolapse, Colorectal Dis, 2, pp. 137-142, (2000)
  • [4] Rowsell M., Bello M., Hemingway D.M., Circumferential mucosectomy (stapled haemorrhoidectomy) versus conventional haemorrhoidectomy: Randomised controlled trial, Lancet, 355, pp. 779-781, (2000)
  • [5] Mehigan B.J., Monson J.R., Hartley J.E., Stapling procedure for haemorrhoids versus Milligan-Morgan haemorrhoidectomy: Randomised controlled trial, Lancet, 355, pp. 782-785, (2000)
  • [6] Ho Y.H., Cheong W.K., Tsang C., Et al., Stapled hemorrhoidectomy - Cost and effectiveness. Randomized, controlled trial including incontinence scoring, anorectal manometry, endoanal ultrasound assessments at up to three months, Dis Colon Rectum, 43, pp. 1666-1675, (2000)
  • [7] Ganio E., Altomare D.F., Gabrielli F., Milito G., Canuti S., Prospective randomized multicentre trial comparing stapled with open haemorrhoidectomy, Br J Surg, 88, pp. 669-674, (2001)
  • [8] Ferrara A., Larach S.W., Cebrian J.P., Et al., Outpatient haemorrhoidectomy in a colorectal surgical unit, Tech Coloproctol, 3, pp. 75-78, (1999)
  • [9] Hoff S.D., Bailey H.R., Butts D.R., Et al., Ambulatory surgical hemorrhoidectomy: A solution to postoperative urinary retention?, Dis Colon Rectum, 37, pp. 1242-1244, (1994)
  • [10] Roche B., Marti M.C., Outpatient proctological surgery: An analysis of 3725 cases, Tech Coloproctol, 4, pp. 35-38, (2000)
123