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Stapled haemorrhoidopexy compared to Milligan–Morgan and Ferguson haemorrhoidectomy: a systematic review

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International Journal of Colorectal Disease Aims and scope Submit manuscript

Abstract

Purpose

The aim of this study was to perform a systematic review and meta-analysis of the short- and long-term outcomes of stapled haemorrhoidopexy.

Methods

A literature search identified randomised controlled trials comparing stapled haemorrhoidopexy with Milligan–Morgan/Ferguson haemorrhoidectomy. Data were extracted independently for each study and differences analysed with fixed and random effects models.

Results

Thirty-four randomised trials and two systematic reviews were identified, and 29 trials included. Stapled haemorrhoidopexy was statistically superior for hospital stay (p < 0.001) and numerically superior for post-operative pain (peri-operative and mid-term), operation time and bleeding (post-operative and long-term). Recurrent prolapse and re-intervention for recurrence were more frequent following stapled haemorrhoidopexy. No difference was observed in the rates of complications.

Conclusions

Stapled haemorrhoidopexy reduces the length of hospital stay and may have an advantage in terms of decreased operating time, reduced post-operative pain and less bleeding but is associated with an increased rate of recurrent prolapse.

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Author information

Authors and Affiliations

  1. Academic Surgical Unit, St. James’s University Hospital, Level 7 Clinical Sciences Building, Leeds, LS9 7TF, UK

    K. Laughlan & D. G. Jayne

  2. European Surgical Institute, Ethicon Endo-Surgery (Europe) GmbH, Hummelsbutteler Steindamm 71, 22851, Norderstedt, Germany

    D. Jackson, F. Rupprecht & G. Ribaric

Authors
  1. K. Laughlan
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  2. D. G. Jayne
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  3. D. Jackson
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  4. F. Rupprecht
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  5. G. Ribaric
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Corresponding author

Correspondence to D. G. Jayne.

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Financial support

Statistical support was provided courtesy of Ethicon Endosurgery (Europe).

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The contents of this manuscript have not been previously communicated to a society or meeting.

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Laughlan, K., Jayne, D.G., Jackson, D. et al. Stapled haemorrhoidopexy compared to Milligan–Morgan and Ferguson haemorrhoidectomy: a systematic review. Int J Colorectal Dis 24, 335–344 (2009). https://doi.org/10.1007/s00384-008-0611-0

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  • DOI: https://doi.org/10.1007/s00384-008-0611-0

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