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Partial stapled hemorrhoidopexy: a minimally invasive technique for hemorrhoids

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Abstract

Purpose

This study was designed to assess the safety, efficacy, and postoperative outcomes of partial stapled hemorrhoidopexy (PSH).

Methods

A prospective study was conducted between February and March 2010. PSH was performed with single-window anoscopes for single isolated hemorrhoids, bi-window anoscopes for two isolated hemorrhoids, and tri-window anoscopes for three isolated hemorrhoids or circumferential hemorrhoids. The data pertaining to demographics, preoperative characteristics and postoperative outcomes were collected and analyzed.

Results

Forty-four eligible patients underwent PSH. Single-window anoscopes were used in 2 patients, and bi- and tri-window anoscopes in 6 and 36 patients. The blood loss in patients with single-window, bi-window, and tri-window anoscopes was 6.0 ml (range 5.0–7.0 ml), 5.0 ml (range 5.0–6.5 ml), and 5.0 ml (4.5–14.5 ml) (P = 0.332). The mean postoperative visual analog scale score for pain was 3 (range, 1–4), 2 (range 1–4), 3 (range 2–6), 1 (range 0–3), 1 (range 0–2) and 2 (range 2–4) at 12 h, days 1, 2, 3, and 7, and at first defecation. The rate of urgency was 9.1%. No patients developed anal incontinence or stenosis. The 1-year recurrence rate of prolapsing hemorrhoids was 2.3%.

Conclusions

Partial stapled hemorrhoidopexy appears to be a safe and effective technique for grade III–IV hemorrhoids. Encouragingly, PSH is associated with mild postoperative pain, few urgency episodes, and no stenosis or anal incontinence.

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Abbreviations

CSH:

Conventional stapled hemorrhoidopexy

PSH:

Partial stapled hemorrhoidopexy

SW:

Single-window

BW:

Bi-window

TW:

Tri-window

MMH:

Milligan-Morgan hemorrhoidectomy

CAD:

Circular anal dilator

VAS:

Visual analog scale

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Conflict of interest

Hong-Cheng Lin and co-authors have no conflict of interest.

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Authors and Affiliations

  1. Department of Colorectal Surgery, The Sixth Affiliated Hospital of Sun Yat-sen University (Gastrointestinal and Anal Hospital), Guangzhou, 510655, People’s Republic of China

    Hong-Cheng Lin, Dong-Lin Ren, Hui Peng, Shang-Kui Xie, Dan Su & Xiao-Xue Wang

  2. Department of Anesthesia, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, People’s Republic of China

    Qiu-Lan He

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  1. Hong-Cheng Lin
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  2. Qiu-Lan He
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  3. Dong-Lin Ren
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  5. Shang-Kui Xie
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  6. Dan Su
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Correspondence to Dong-Lin Ren.

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Lin, HC., He, QL., Ren, DL. et al. Partial stapled hemorrhoidopexy: a minimally invasive technique for hemorrhoids. Surg Today 42, 868–875 (2012). https://doi.org/10.1007/s00595-011-0085-5

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  • DOI: https://doi.org/10.1007/s00595-011-0085-5

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