Abstract
Over the past decade several innovations in surgical technology have tried to address the painful anodermal wounds and protracted recovery associated with conventional excisional hemorrhoidecto-my. Of these, only the stapled hemorrhoidopexy has achieved recognition as a viable alternative. However, the introduction of stapled hemorrhoidopexy into routine clinical practice was not without controversy. In this chapter, we describe the rationale underlying the technique and discuss the historical background to its eventual acceptance. In addition, we present the evolution of a novel technique, stapled transanal rectal resection (STARR) for the treatment of obstructed defecation syndrome (ODS). This was inspired by the success of stapled hemorrhoidopexy together with the observation that symptoms of rectal outlet obstruction could be improved by resection of the redundant distal rectum. The concept of internal rectal prolapse as the primary etiology underlying ODS is presented.
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References
Abcarian H, Alexander-Williams J, Christiansen J, Johanson JF, Killingback M, Nelson RL, et al.. Benign anorectal disease: definition, characterization and analysis of treatment. Am J Gastroenterol 1994; 89: S182–S193
Johanson JF, Sonnenberg A. The prevalence of hemorrhoids and chronic constipation. An epidemiologic study. Gastroenterology 1990; 98: 380–386
Gazet JC, Redding W, Rickett JWS. The prevalence of haemorrhoids. Proc R Soc Med 1970; 63: 78
Stapled haemorrhoidopexy for the treatment of haemorrhoids. NICE technology appraisal guidance 128. Available at www.http://nice.org.uk/TA128
Johanson JF, Sonneberg A. Temporal changes in the occurrence of haemorrhoids in the United States and England. Dis Colon Rectum 1991; 34: 585
Loder PB, Kamm MA, Nicholls RJ. Haemorrhoids: pathology, pathophysiology and aetiology. Br J Surg 1994; 81: 946
Bleday R, Pena JP, Rothenberger DA, Goldberg SM, Buls JG. Symptomatic hemorrhoids: current incidence and complications of operative surgery. Dis Colon Rectum 1992; 35: 477–481
Whitehead W. Three hundred cases of haemorrhoids cured by excision. Br Med J 1887; 1: 449
Milligan ETC, Morgan CN, Jones LE, Officer R. Surgical anatomy of the anal canal and operative treatment of hemorrhoids. Lancet 1937; 2: 1119–1124
Parks AG. The surgical treatment of haemorrhoids. Br J Surg 1956; 43: 337–351
Fergusson JA, Heaton JR. Closed haemorrhoidectomy. Dis Colon Rectum 1959; 2: 176–179
Sharif HI, Lee L, Alexander-Williams J. Diathermy haemorrhoidectomy. Int J Colorectal Dis 1991; 6: 217
Smith LE. Hemorrhoids: a review of current techniques and management. Gastroenterol Clinics North Am 1987; 16: 79
Armstrong DN, Amboze WL, Schertzer ME, et al. Harmonic scalpel vs. electrocautery hemorrhoidectomy: a prospective evaluation. Dis Colon Rectum 2001; 44: 558
Tan JJK, Seow-Choen F. Prospective, randomized trial comparing diathermy and harmonic scalpel hemorrhoidectomy. Dis Colon Rectum 2001; 44: 677
Gupta PJ. Radiofrequency ablation and plication of haemorrhoids. Tech Coloproctol 2003; 7: 45
Milito G, Gargiani M, Cortese F. Randomised trial comparing ligasure haemorrhoidectomy with the diathermy dissection operation. Tech Coloproctol 2002; 6: 171
Ho YH, Seow-Choen F, Tan M, Leong AF. Randomized controlled trial of open and closed haemorrhoidectomy. Br J Surg 1997; 84: 1729–1730
Hoesch SB, Knoefel WT, Pichlmeier U, Schulze V, Busch C, Gawad KA. Surgical treatment of piles: randomized study of Parks vs Milligan—Morgan hemorrhoidectomy. Dis Colon Rectum 1998; 41: 159–164
Roe AM, Bartolo DC, Vellacott KD, Locke-Edmunds J, Mortensen NJ. Submucosal vs ligation excision haemorrhoidectomy: a comparison of anal sensation, and sphincter manometry and post-operative pain and function. Br J Surg 1987; 74: 948–951
McRae HM, McLeod RS. Comparison of hemorrhoidal treatments: a metanalysis. Dis Colon Rectum 1995; 38: 687
Cheetham MJ, Philips RK. Evidence-based practice in hemorrhoidectomy. Colorectal Dis 2001; 3: 126
Gencosmanoglu R, Sad O, Koc D, et al. Haemorrhoidectomy: open or closed technique? A prospective randomized clinical trial. Dis Colon Rectum 2002; 45: 70
Andrews BT, Layer GT, Jackson BT, et al. Randomized trial comparing diathermy haemorrhoidectomy with the scissors dissection Milligan—Morgan operation. Dis Colon Rectum 1993; 36: 580
Ibrahim S, Tsang C, Lee YI, et al.. Prospective, randomized trial comparing pain and complications between diathermy and scissors for closed haemorrhoidectomy. Dis Colon Rectum 1998; 41: 1418
Chia YW, Darzi A, Speakman CT, et al.. CO2 laser haemorrhoidectomy: does it alter anorectal function or decrease pain compared to conventional haemorrhoidectomy. Int J Colorectal Dis 1995; 10: 22
Morinaga K, Hasuda K, Ikeda T. A novel therapy for internal haemorrhoids: ligation of the haemorrhoidal artery with a newly devised instrument (Moricorn) in conjunction with a Doppler flowmeter. Am J Gastroenterol 1995; 90: 610
Bleijemberg G, Kuipers HC. Treatment of the spastic pelvic floor syndrome with biofeedback. Dis Colon Rectum 1987; 30: 108
Emmanuel AV, Kamm. Response to behavioural treatment, biofeedback, in constipated patients in association with improved gut transit and autonomic innervation. Gut 2001; 49: 214
Jorge JM, Habr-Gama A, Wexner S. Biofeedback therapy in the colon and rectal practice. Appl Psychophysiol Biofeedback 2003; 28: 47
Chang HS, Myung SJ, Yang SK, Kim TH, Yoon IJ, Kwon OR, Hong WS, Kim JH, Min YI. Effect of electrical stimulation in constipated patients with impaired rectal sensation. Int J Colorectal Dis 2003; 18: 433
Block IR. Transrectal repair of rectocele using obliterative suture. Dis Colon Rectum 1986; 29: 707
Sarles JC, Anaud A, Seleznief I, Olivier S. Endorectal repair of rectocele. Int J Colorectal Dis 1989; 4: 167
Khubchandani IT, Clancy IP, Rosen L, Richter RD, Stasik IJ. Endorectal repair of rectocele revisited. Br J Surg 1997; 84: 89
D'Hoore, Cadoni R, Penninckx F. Long-term outcome of laparoscopic ventral rectopexy for total rectal prolapse. Br J Surg 2004; 91: 1500–1505
D'Hoore, Penninckx F. Laparoscopic ventral recto(colpo)pexy for rectal prolapse: surgical technique and outcome for 109 patients. Surg Endosc 2006 Oct 9; 20: 1919–1923
Williams NS, Giordano P, Dvorkin LS, Huang A, Hetzer FH, Scott SM. External Pelvic Rectal Suspension (The Express Procedure) for full-thickness rectal prolapse: evolution of a new technique. Dis Colon Rectum 2005; 48: 307–316
Thomson WH. The nature of haemorrhoids. Br J Surg 1975; 62: 542–52
Haas PA, Fox TA Jr, Haas GP. The pathogenesis of hemorrhoids. Dis Colon Rectum 1984; 27: 442–450
Brondel H, Gondran M. Facteurs prédisposants liés à l'érédité et à la profession dans la maladie hémorrhoidaire. Archives Francaises des Maladies de l'Appareil Digestive 1976; 65: 541–550
Jacobs DM, Burbrick MP, Onstad GR, Hitchcock CR. The relationship of hemorrhoids to portal hypertension. Dis Colon Rectum 1980; 23: 567–569
Keane RM, Britton DC. Massive bleeding from rectal varices following repeated injection sclerotherapy of oesophageal varices. Br J Surg 1986; 73: 120
Hosking SW, Smart HL, Johnson AG, Triger DR. Anorectal varices, haemorrhoids, and portal hypertension. Lancet 1989; 1: 349–52
Stelzner F Hemorrhoids and other diseases of the corpus cavernosum recti and the anal canal. Deutsch Med Wochenschr 1963; 88: 177–182
Mentha J, Neiger A, Mangold R. Entzündugen des Anus und Hämorrhoiden. Praxis 1961; 50: 751–757
Read MG, Read NW, Haynes WG, Donnelly TC, Johnson AG. A prospective study of the effect of haemorrhoidetomy on sphincter function and faecal continence. Br J Surg 1982; 69: 396–398
Denis J. Étude numérique de quelque facteurs éthiopathogéniques des troubles hémorrhoidaires de l'adulte. Archives Francaises des Maladies de l'Appareil Digestive 1976; 65: 529–536
Haas PA, Haas GP, Schmaltz S, Fox TA Jr. The prevalence of haemorrhoids. Dis Colon Rectum 1983; 26: 435–439
Soullard J, Richir C, Madesclaire G. Signification des altérations vasculaires de la muqueuse anale en pathologie hémorrhoidaire. Presse Med 1959; 67: 179–181
Hénry MM, Swàsh M. Physiology of faecal continence and defecation. Coloproctology and the pelvic floor. London: Butterworths, 1985; 42–61
Capomagi A, Mannetta V, Balestrieri A. Circular hemorrhoidectomy using a stapler: the gold standard' for the treatment of hemorrhoids? Preliminary data regarding 206 consecutive patients. It J Coloproct 1999; 2: 39–43
Altomare DF, Rinaldi M, Chiumarulo C, Palasciano N. Treatment of external anal mucosal prolapse with circular stapler: an easy and effective new surgical technique. Dis Colon Rectum 1999; 42: 1102–1105
Beattie GC, Lam JPH, Loudon MA. A prospective evaluation of the introduction of circumferential stapled anoplasty in the management of hemorrhoids and mucosal prolapse. Colorectal Dis 2000; 2: 137–142
Beattie GC, Loudon MA. Follow-up confirms sustained benefit of circumferential stapled anoplasty in the management of prolapsing hemorrhoids. Br J Surg 2001; 88: 850–852
Rowsell M, Bello M, Hemingway DM. Circumferential mucosectomy (stapled haemorrhoidectomy) versus conventional haemorrhoidectomy: randomized controlled trial. Lancet 2000; 355: 779–781
Mehigan BJ, Monson JRT, Hartley JE. Stapling procedure for haemorrhoids versus Milligan—Morgan haemorrhoidectomy: randomized controlled trial. Lancet 2000; 355: 782–785
Cheetham MJ, Mortensen NJ, Nystrom P-O, Kamm MA, Phillips RKS. Persistent pain and faecal urgency after stapled haemorrhoidectomy. Lancet 2000; 356: 730–733
Beattie GC, Loudon MA. Pain after stapled haemorrhoidectomy. Lancet 2000; 356: 2189
Kam MH, Mathur P, Peng XH, et al.. Correlation of histology with anorectal function following stapled hemorrhoidectomy. Dis Colon Rectum 2005; 48: 1437–1441
Molloy RG, Kingsmore D. Life threatening pelvic sepsis after stapled haemorrhoidectomy. Lancet 2000; 355: 810 (letter)
Maw A, Kong-Weng E, Seow-Choen F. Retroperitoneal sepsis complicating stapled hemorrhoidectomy. Dis Colon Rectum 2002; 45: 826–828
Herold A, Kirsch JJ. Pain after stapled haemorrhoidectomy. Lancet 2000; 356: 2187
Wong L-Y, Jiang J-K, Shih-Ching C, Lin J-K. Rectal perforation: a life-threatening complication of stapled hemorrhoidectomy. Dis Colon Rectum 2003; 46: 116–117
Ripetti V, Caricato M, Arullani A. Rectal perforation, retropneumoperitoneum, and pneumomediastinum after stapling procedure for prolapsed hemorrhoids. Dis Colon Rectum 2002; 45: 268–270
Cheetham MJ, Cohen CRG, Kamm MA, Phillips RKS. A randomized controlled trial of diathermy hemorrhoidectomy vs. stapled hemorrhoidectomy in an intended day-care setting with longer-term follow up. Dis Colon Rectum 2003; 46: 491–497
Seow-Choen F Stapled haemorrhoidectomy: pain or gain. Br J Surg 2001; 88: 1–3
Lehur PA. Focus-stapled hemorrhoidopexy. Presentation. Osp Ital Chir 2003; 9: 325
Tjandra JJ, Chan MKY. Systematic review on the procedure for prolapse and hemorrhoids (stapled hemorrhoidopexy). Dis Colon Rectum 2007; 50: 878–892
Dodi G, Pietroletti R, Milito G, Binda G, Pescatori M. Bleeding, incontinence, pain and constipation after STARR transanal double stapling rectotomy for obstructed defecation. Tech Coloproctol 2003; 7: 148–153
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Lenisa, L.L., Landolfi, V. (2009). Historical Background: Treatments for Hemorrhoids and ODS Prior to Transanal Stapling Techniques. In: Jayne, D., Stuto, A. (eds) Transanal Stapling Techniques for Anorectal Prolapse. Springer, London. https://doi.org/10.1007/978-1-84800-905-9_2
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DOI: https://doi.org/10.1007/978-1-84800-905-9_2
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