Circular Stapled Hemorrhoidopexy Experience of a Single Center with 200 Cases
Abstract
ABSTRACTBackground: hemorrhoidectomy is a common surgical procedure which is usually associated with postoperative pain. Circular stapled hemorrhoidopexy (CSH) is with less pain than the conventional hemorrhoidectomy and can be used in the management of second, third and fourth degree hemorrhoidal disease.
Objective: To show the effectiveness of circular stapler hemorrhoidectomy as an effective method of treatment of piles.
Methods: The medical records of 200 patients who had under gone circular stapled hemorrhoidopexy for symptomatic hemorrhoidal disease from July 2007 to September 2010 were evaluated in New Medical Center Specialty Hospital in Dubai data regarding complications, residual symptoms and recurrence were reviewed, the follow up was for 18 months.
Results: The study included 200 patients (150 men, 50 women) between 22 and 74 years old (median age 39 years). Concomitant lateral sphincterotomy, skin tags, excision, and thrombus removal were done in 44 (24.0%), 36 (18%), and 8 (4%) patients, respectively. The operating time was around 30 minutes. The median hospital stay was 40 hours (11-72) hours. Complications during the first 24 hours were fecal urgency (25%), urinary retention (8%), and rectal bleeding (1%), Pruritus ani (21%), thrombosed external hemorrhoids (4%), meanwhile the staple line stenosis (2%), rectal bleeding (2%), anal fissure (1%), and persistent skin tags (3%) were the symptoms seen during the long term follow up. The follow up was for 18 months. The recurrence rate was 1%.
Conclusion: Circular stapled hemorrhoidopexy can be safely performed with low recurrence and complication rates while offering a relatively painless postoperative period for the patient.
Keywords: Circular stapled hemorrhoidopexy (CSH), Treatment, Hemorrhoid.
Copyright (c) 2011 Iraqi Medical Journal
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