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Related Experiment Video

Updated: Jul 26, 2026

Acupoint Needle-Embedding Combined with Ironing Therapy for Postoperative Pain After Anal Surgery

Acupoint Needle-Embedding Combined with Ironing Therapy for Postoperative Pain After Anal Surgery

Published on: June 23, 2023

Persistent pain and faecal urgency after stapled haemorrhoidectomy.

M J Cheetham¹, N J Mortensen, P O Nystrom

¹Department of Surgery, St Mark's Hospital, Harrow, Middlesex, UK.

Lancet (London, England)

|November 21, 2000

Summary

Stapled haemorrhoidectomy may lead to persistent pain and faecal urgency in 31% of patients. Muscle incorporation in the surgical doughnut may be a contributing factor, warranting further investigation into long-term outcomes.

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Area of Science:

Colorectal Surgery
Surgical Outcomes
Patient Recovery

Background:

Haemorrhoidectomy is a common treatment for haemorrhoids, often performed as day surgery.
While effective, traditional methods may involve a significant recovery period.
Stapled haemorrhoidectomy offers potential for reduced postoperative pain and shorter time off work.

Purpose of the Study:

To evaluate the long-term efficacy and functional outcomes of stapled haemorrhoidectomy.
To compare stapled haemorrhoidectomy with diathermy haemorrhoidectomy in a day-case setting.

Main Methods:

A pilot study followed by a randomized controlled trial involving 22 patients undergoing stapled haemorrhoidectomy.
Comparison with diathermy haemorrhoidectomy in a day-case setting.
Postoperative follow-up, including endoanal ultrasonography and anorectal physiology for symptomatic patients.

Main Results:

31% of patients experienced persistent postoperative pain and faecal urgency for up to 15 months.
Muscle incorporation into the surgical doughnut was significantly associated with these symptoms (p=0.012).
No other significant differences in operative variables were identified.

Conclusions:

Stapled haemorrhoidectomy is associated with a high rate of persistent severe pain and faecal urgency.
Muscle incorporation in the surgical doughnut may play a role in these adverse outcomes.
Auditing long-term results across different centers is crucial to determine the frequency of this complication.