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[Hemorrhoidectomy using a circular stapler]
A Levanon1, A Biterman, A Behar
1Dept. of Surgery A, Carmel Medical Center, Haifa.
Insights
Hemorrhoid treatment using the CDH-33 surgical stapler showed promising results, with higher patient satisfaction and similar recovery times compared to traditional excision. Further research is ongoing to confirm these findings.
Area of Science:
- Colorectal Surgery
- Surgical Innovation
- Hemorrhoid Management
Background:
- Hemorrhoids are a common condition causing pain and rectal bleeding.
- Traditional local excision is a standard treatment, but can be time-consuming.
- Minimally invasive techniques are sought to improve patient outcomes and satisfaction.
Purpose of the Study:
- To compare the efficacy and patient satisfaction of traditional hemorrhoid excision with a novel stapler-assisted technique.
- To evaluate postoperative symptoms and recovery times between the two surgical methods.
Main Methods:
- A comparative study involving 40 patients undergoing traditional local excision (Group A) and 41 patients undergoing stapler-assisted hemorrhoidectomy using the CDH-33 surgical stapler (Group B).
- Data collected via medical records and patient questionnaires assessing pre- and post-operative symptoms.
- Patient satisfaction evaluated based on symptom reduction and return to daily activities.
Main Results:
- Both groups experienced similar recovery times averaging 2 months.
- Patient satisfaction tended to be greater in the stapler-assisted group (Group B).
- While not statistically significant, fewer patients in Group B reported postoperative tightness and discomfort compared to Group A.
Conclusions:
- Stapler-assisted hemorrhoidectomy using the CDH-33 surgical stapler appears to be a viable alternative to traditional excision, potentially offering improved patient satisfaction.
- The technique is less time-consuming and may lead to reduced postoperative discomfort.
- Larger studies are warranted to establish statistically significant differences between the two hemorrhoid treatment methods.
Abstract:
We compared traditional local excision of hemorrhoids in 40 patients (group A) with excision using the CDH-33 surgical stapler designed for bowel anastomosis, in 41 (group B). In this technique a purse-string suture is prepared 3 cm above the dentate line, and the stapler is inserted and used to form a mucosa-mucosal anastomosis. This technique is less time-consuming than the traditional technique. Data were collected from patients' medical files and from detailed questionnaires in which symptoms prior to and after operation were reported. Mean ages were 53.0 and 51.5 years and male/female ratios were 1.0:1.2 and 1.0:1.1 respectively, neither significant. The most common complaints in both groups were pain and rectal bleeding. All patients had a lower-GI investigation prior to operation to exclude other causes of rectal bleeding. Recovery averaged 2 months in both groups. Patient satisfaction was assessed by decrease or absence of symptoms on return to normal daily activities. Satisfaction tended to be greater in group B. More patients in group A complained of tightness and discomfort at the operative site, but this was not significant. We are extending our study to a larger number of patients to determine if there are statistically significant differences between the results of the 2 methods.