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Stapled haemorrhoidopexy: 6 years’ experience of a referral centre
Author(s) -
Sultan S.,
Rabahi N.,
Etienney I.,
Atienza P.
Publication year - 2010
Publication title -
colorectal disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.029
H-Index - 89
eISSN - 1463-1318
pISSN - 1462-8910
DOI - 10.1111/j.1463-1318.2009.01893.x
Subject(s) - medicine , referral , general surgery , tertiary referral centre , surgery , family medicine
Aim To prospectively evaluate the long‐term results and assess patient satisfaction after stapled haemorrhoidopexy (HS). Method A total of 150 patients (121 male patients) with symptomatic grade II ( n = 50) or III ( n = 100) haemorrhoids underwent stapled HS. Patients were followed up during consultations at regular intervals, allowing prospective data collection. A final telephone follow up was also undertaken. Results Follow up data were obtained for 130 of 150 patients (86.6%). After a median follow up of 39 months (range, 12‐72), 90% of the patients were fully satisfied and 92% were free of haemorrhoidal symptoms. There were no intraoperative complications. Postoperative bleeding that required operation was observed in five patients (3.3%). Most late postoperative complications were benign and easily resolved: unexplained pain for over a month ( n = 1), external haemorrhoidal thrombosis ( n = 2), anal fissure ( n = 6) one with hypertrophic papilla, anal fistula ( n = 1), rectal stenosis ( n = 1), anal incontinence for ( n = 1). Eight patients needed rubber band ligation to treat persistent or recurrent symptomatic prolapse. Four patients (2.6%) were reoperated on during the follow up period but none for haemorrhoidal pathology. Conclusion Stapled HS procedure is effective and has low morbidity, high patient satisfaction and provided good long‐term control of haemorrhoidal symptoms in the treatment of second and third‐degree haemorrhoids.