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Is Stapled Hemorrhoidectomy a Safe Procedure for Third and Fourth Grade Hemorrhoids? An Experience at Civil Hospital Karachi

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Abstract

Hemorrhoids are amongst the most frequent anorectal conditions affecting approximately 4–36 % of the general population. The study was carried out to assess the clinical consequences of stapled hemorrhoidectomy comparing results with other published literature regarding postoperative pain, bleeding, incontinence, and other complications. A total of 120 patients were included in this study with symptomatic grade 3 or 4 prolapsed hemorrhoids, who underwent stapled hemorrhoidectomy from January 2006 to January 2012 at the Civil Hospital Karachi, Pakistan. In 92 patients (76.6 %), proctological examination showed grade 3 hemorrhoids. Fourth degree hemorrhoids were found in 28 cases (23.4 %). Hospitalization time ranged between 1 and 3 days (median time was 34 h). Seventy-eight patients were discharged on the first postoperative day, without severe pain, and the remaining 42 patients were discharge on the third day. Two cases of postoperative pain and thrombosis were found as postoperative complications. Stapled hemorrhoidectomy is a safe and quick procedure associated with less pain, better outcome, and early recovery with shorter hospital stay.

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References

  1. Cross T, Bartlett L, Mushaya C, Ashour M, Ho Y-H (2012) Glyceryl trinitrate ointment did not reduce pain after stapled hemorrhoidectomy: a randomized controlled trial. Int Surg 97:112–119

    Article  PubMed  PubMed Central  Google Scholar 

  2. Ammaturo C, Tufano A, Spiniello E, Sodano B, Iervolino EM, Brillantino A, Braccio B (2012) Stapled haemorrhoidopexy vs Milligan-Morgan haemorrhoidectomy for grade III haemorrhoids: a randomized clinical trial. G Chir 33(10):346–351

    CAS  PubMed  Google Scholar 

  3. Nahas SC, Borba MR, Brochado MCT, Marques CFS, Nahas CSR, Miotto-Neto B (2003) Stapled hemorrhoidectomy for the treatment of hemorrhoids. Arq Gastroenterol 40(1):35–9

    Article  PubMed  Google Scholar 

  4. Milligan E, Morgan C (1937) Surgical anatomy of the anal canal and operative treatment of hemorrhoids. Lancet 2:1119–1124

    Article  Google Scholar 

  5. Ferguson JA, Heaton JR (1959) Closed hemorrhoidectomy. Dis Colon Rectum 2(2):176–179

    Article  CAS  PubMed  Google Scholar 

  6. Longo A (1998) Treatment of haemorrhoids disease by reduction of mucosa and haemorrhoidal prolapse with a circular suturing device: a new procedure. In: Proceedings of the 6th World Congress of Endoscopic Surgery, Rome Italy.

  7. Khalil KH, O’Bichere A, Sellu D (2000) Randomized clinical trial of sutured versus stapled closed hemorrhoidectomy. Br J Surg 87:1352–1355

    Article  CAS  PubMed  Google Scholar 

  8. Mehigan BJ, Monson JRT, Hartley JE (2000) Stapling procedure for haemorrhoids versus Morgan-Milligan haemorrhoidectomy: randomized control trial. Lancet 355:782–785

    Article  CAS  PubMed  Google Scholar 

  9. Rowsell M, Hemingway DM (2000) Circumferential mucosectomy (stapled haemorrhoidectomy) versus conventional haemorrhoidectomy: randomized controlled trial. Lancet 355:799–881

    Article  Google Scholar 

  10. Basdanis G, Harlaftis N, Michalopoulos A, Papadopoulos V, Apostolidis S (2000) Surgical treatment of haemorrhoids with the use of the circular stapler and open haemorrhoidectomy: a comparative study. Tech Coloproctol 4:137–140

    Article  Google Scholar 

  11. Beattie G, Loudon M (2001) Circumferential stapled anoplasty in the management of haemorrhoids and mucosal prolapse. Colorectal Dis 2:170–175

    Article  Google Scholar 

  12. Lohsiriwat V (2012) Hemorrhoids: from basic pathophysiology to clinical management. World J Gastroenterol 18(17):2009–2017

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Laughlan K, Jayne DG, Jackson D, Rupprecht F, Ribaric G (2009) Stapled haemorrhoidopexy compared to Milligan-Morgan and Ferguson haemorrhoidectomy: a systematic review. Int J Colorectal Dis 24:335–344

    Article  CAS  PubMed  Google Scholar 

  14. Tjandra JJ, Chan MK (2007) Systematic review on the procedure for prolapse and hemorrhoids (stapled hemorrhoidopexy). Dis Colon Rectum 50:878–892

    Article  PubMed  Google Scholar 

  15. Shao WJ, Li GC, Zhang ZH et al (2008) Systematic review and metaanalysis of randomized controlled trials comparing stapled haemorrhoidopexy with conventional haemorrhoidectomy. Br J Surg 95:147–160

    Article  PubMed  Google Scholar 

  16. McCloud JM, Jameson JS, Scott AN (2006) Life-threatening sepsis following treatment for haemorrhoids: a systematic review. Colorectal Dis 8:748–755

    Article  CAS  PubMed  Google Scholar 

  17. Molloy RG, Kingsmore D (2000) Life threatening sepsis after stapled haemorrhoidectomy. Lancet 355:810

    Article  CAS  PubMed  Google Scholar 

  18. Shalaby R, Desoky A (2001) Randomized clinical trial of stapled versus Milligan-Morgan haemorrhoidectomy. Br J Surg 88:1049–1053

    Article  CAS  PubMed  Google Scholar 

  19. Ravo B, Amato A, Bianco V, Boccasanta P, Bottini C, Carriero A, Milito G, Dodi G, Mascagni D, Orsini S, Pietroletti R, Ripetti V, Tagariello GB (2002) Complications after stapled hemorrhoidectomy: can they be prevented? Tech Coloproctol 6(2):83–88

    Article  CAS  PubMed  Google Scholar 

  20. Touzin E, Hegge S, McKinley C (2006) Early experience of stapled hemorrhoidectomy in a community hospital setting. J Can Chir 49(5):316–20

    Google Scholar 

  21. Riaz AA, Singh A, Patel A, Ali A, Livingstone JI (2008) Stapled hemorrhoidectomy: a day case procedure for symptomatic haemorrhoids. BJMP 1(2):23–27

    Google Scholar 

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Authors and Affiliations

  1. Surgical Department 1, Civil Hospital Karachi, Karachi, Pakistan

    Adnan Aziz

  2. Civil Hospital Karachi, Dow University of Health Sciences, H. No. 145-46, Sector 9, Block-B, New Saeedabad, Baldia Town, Karachi, 75760, Pakistan

    Rafaqat Bota & Mushtaq Ahmed

Authors
  1. Rafaqat Bota
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  2. Mushtaq Ahmed
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  3. Adnan Aziz
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Correspondence to Rafaqat Bota.

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Bota, R., Ahmed, M. & Aziz, A. Is Stapled Hemorrhoidectomy a Safe Procedure for Third and Fourth Grade Hemorrhoids? An Experience at Civil Hospital Karachi. Indian J Surg 77 (Suppl 3), 1057–1060 (2015). https://doi.org/10.1007/s12262-014-1140-4

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  • DOI: https://doi.org/10.1007/s12262-014-1140-4

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