Stapled haemorrhoidopexy: is it time to move on?

Stapled haemorrhoidectomy was proposed as an 'ideal' solution for symptomatic haemorrhoids, with minimal postoperative pain, no perianal wound requiring postoperative wound care and a relatively short operative time. Some randomised controlled trials and reviews confirmed these findings, c...

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Bibliographic Details
Published in:Annals of the Royal College of Surgeons of England 2015-10, Vol.97 (7), p.490-493
Main Author: Aly, E H
Format: Article
Language:English
Subjects:
Fistula
Hemorrhoids - surgery
Humans
Pain
Postoperative Complications - etiology
Postoperative Complications - prevention & control
Review
Sepsis
Surgeons
Surgery
Surgical Stapling - methods
Systematic review
Treatment Outcome
Varicose veins
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Summary:Stapled haemorrhoidectomy was proposed as an 'ideal' solution for symptomatic haemorrhoids, with minimal postoperative pain, no perianal wound requiring postoperative wound care and a relatively short operative time. Some randomised controlled trials and reviews confirmed these findings, claiming that stapled haemorrhoidopexy is the most effective and safe procedure for haemorrhoids. However, there are increasing number of publications highlighting that the technique is associated with serious and life threatening complications. Maybe it is now the time to accept that stapled haemorrhoidopexy has done its role in directing our attention to the fact that modern surgical treatment of haemorrhoids should avoid excision of anorectal skin but should instead aim at treatment intervention above the dentate line.
ISSN:0035-8843
1478-7083
DOI:10.1308/003588415X14181254789123