Nisar PJ, Acheson AG, Neal KR et al (2004) Stapled haemorrhoidopexy compared with conventional haemorrhoidectomy: systematic review of randomized, controlled trials. Our initial results suggest that stapled hemorrhoidectomy is an effective treatment for symptomatic second and third degree hemorrhoids but with significant complication rates on follow-up in patients compared with traditional hemorrhoidectomy.
At follow-up, 4 weeks and 4 months recurrence of symptoms and fecal urgency was present in 6/50 (12%) patients in the stapled group and 2/50 (4%) in the OH group ( p < 0.05). Resumption of routine work was significantly faster in the stapled group (8.08 days versus 16.2 days, p = 0.001). Mean (range) VAS scores in the stapled group were significantly lower (VAS score after 7 days: 2.2 versus 3.3, p < 0.05). Operation time for stapled hemorrhoidectomy was shorter (mean 35.8 mins minutes versus 50.2 mins minutes, p < 0.05). A 6-month clinical follow-up was obtained in all patients. Recovery evaluation included return to pain-free defecation and normal activities. Post-operative pain was assessed by means of a visual analog scale (VAS).
Patients with grade II and III hemorrhoids were randomly allocated to undergo either stapled (50 patients) or open (50 patients) hemorrhoidectomy. The aim of the study was to compare the early results in 100 patients randomly allocated to undergo either stapled or open hemorrhoidectomy.
#STAPLED HEMORRHOIDECTOMY TRIAL#
A randomized trial was conducted from March 2014 to March 2016 at M.Y.H.
#STAPLED HEMORRHOIDECTOMY SKIN#
Relevant papers, e.g., randomized controlled trials, review, and meta-analysis from different parts of the world have shown stapled hemorrhoidopexy is less painful and it is associated with quicker recovery, but SH is associated with higher rates of skin tags, hemorrhoid recurrence, and prolapse recurrence than conventional hemorrhoidectomy. A Medline, PubMed, and Cochrane data base search was performed. Open hemorrhoidectomy (OH) is the gold standard surgical technique while stapled hemorrhoidopexy (SH) is a newly developed method for the surgical management of hemorrhoids. Hemorrhoids are one of the most common anorectal disorders.
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