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Stapled vs open hemorrhoidectomy: long-term outcome of a randomized controlled trial

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International Journal of Colorectal Disease Aims and scope Submit manuscript

Abstract

Background and aims

Stapled hemorrhoidectomy is a relatively new procedure, and studies on long-term outcomes are few. We present the results of a 5-year follow-up on patients recruited to a randomized controlled trial comparing stapled and Milligan–Morgan hemorrhoidectomy.

Patients and methods

We performed telephone interviews and office visits between May and July 2005 on patients who had taken part in a randomized controlled trial from May 1999 to December 2000.

Results

Occasional pain and bleeding were referred by the patients with no difference between the two groups. The patients were also equally satisfied with both procedures. No recurrent hemorrhoidal prolapse or stenosis was detected at anorectal exploration and rigid sigmoidoscopy.

Conclusion

Both stapled and Milligan–Morgan techniques guarantee satisfactory long-term results. Larger studies are needed to assess the durability of stapled hemorrhoidectomy.

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Correspondence to Marcello Picchio.

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Picchio, M., Palimento, D., Attanasio, U. et al. Stapled vs open hemorrhoidectomy: long-term outcome of a randomized controlled trial. Int J Colorectal Dis 21, 668–669 (2006). https://doi.org/10.1007/s00384-005-0078-1

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  • DOI: https://doi.org/10.1007/s00384-005-0078-1

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