Double stapled haemorrhoidopexy for haemorrhoidal prolapse: indications, feasibility and safety

Aim  Selected patients with haemorrhoidal prolapse undergoing double stapled anopexy with the procedure for prolapse and haemorrhoids (PPH03) were studied. Method  Between March 2007 and March 2010, 235 patients referred with haemorrhoids were included in the study. Patients with obstructed defaecat...

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Bibliographic Details
Published in:Colorectal disease 2012-07, Vol.14 (7), p.e386-e389
Main Authors: Stuto, A., Favero, A., Cerullo, G., Braini, A., Narisetty, P., Tosolini, G.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Anal Canal - surgery
Female
Gastrointestinal Hemorrhage - etiology
Hemorrhoids - surgery
Humans
Male
Middle Aged
Pain - etiology
Patient Satisfaction
PPH
Prolapse
Recurrence
Stapled hemorrhoidopexy
Surgical Stapling - adverse effects
Surgical Stapling - methods
Time Factors
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Summary:Aim  Selected patients with haemorrhoidal prolapse undergoing double stapled anopexy with the procedure for prolapse and haemorrhoids (PPH03) were studied. Method  Between March 2007 and March 2010, 235 patients referred with haemorrhoids were included in the study. Patients with obstructed defaecation were excluded. At surgery intraoperative evaluation for double stapled anopexy was carried out based on the criteria of prolapse occupying half or more of the anal circumference and redundant prolapsed tissue determined by the circular anal dilator. Patients fulfilling these criteria were submitted for double stapled anopexy with the PPH03 stapler. All clinical and operative data were recorded in a prospectively maintained database. Results  Among the 142 patients with haemorrhoidal prolapse having surgery 91 had a single and 51 a double stapled technique. The mean operative time was 34.8 min with no major or minor intraoperative complications. Recurrence at 48 months was 1.9% and the mean satisfaction score was 8.9. Conclusion  The double stapled PPH03 technique in selected cases was as safe and effective as a single stapling technique with a lower incidence of recurrence over a medium‐term follow‐up.
ISSN:1462-8910
1463-1318
DOI:10.1111/j.1463-1318.2012.02965.x