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Early and late (ten years) experience with circular stapler hemorrhoidectomy
L M Pernice1, B Bartalucci, L Bencini
1Dipartimento di Area Critica Medico Chirurgica, Sezione Chirurgia, Policlinico di Careggi, University of Florence, Florence, Italy.
Diseases of the Colon and Rectum
|June 8, 2001
Summary
Circular stapler hemorrhoidectomy is a feasible and safe treatment for hemorrhoids, offering minimal complications and pain. Long-term follow-up shows no symptomatic recurrences, making it a promising surgical option.
Area of Science:
- Colorectal Surgery
- Surgical Technology
Background:
- Hemorrhoids affect a significant portion of the population, impacting quality of life.
- Traditional surgical treatments for hemorrhoids can be associated with considerable postoperative pain and complications.
Purpose of the Study:
- To evaluate the preliminary clinical experience with circular stapler hemorrhoidectomy.
- To assess early results, complications, and long-term outcomes of this procedure.
Main Methods:
- A retrospective study included 56 consecutive patients with second-, third-, and fourth-degree hemorrhoids.
- Data collected included operative details, early postoperative outcomes, and follow-up at 1, 2, and 4 weeks.
- Long-term follow-up was conducted via phone, with a mean of 33 months.
Main Results:
- All attempted operations were successful, with procedure times under 15 minutes.
- Major complications such as bleeding or anastomotic disruption did not occur.
- Postoperative pain and analgesic requirements were minimal, with a low incidence of transient complications like urinary retention and edema. No symptomatic recurrences were observed during long-term follow-up.
Conclusions:
- Circular stapler hemorrhoidectomy is a feasible and safe treatment for hemorrhoids.
- The procedure is associated with minimal complications and postoperative pain.
- Mechanical hemorrhoidectomy represents a promising surgical option for eligible patients.