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Day surgery for mucosal-hemorrhoidal prolapse using a circular stapler and modified regional anesthesia
F Gabrielli1, M Chiarelli, U Cioffi
1Department of General and Thoracic Surgery, University of Milan, Istituto di Ricovero e Cura a Carattere Scientifico, Ospedale Maggiore Policlinico, Milan, Italy.
Diseases of the Colon and Rectum
|June 8, 2001
Summary
Stapled hemorrhoidectomy with regional anesthesia allows for same-day discharge in selected hemorrhoidal disease patients, demonstrating feasibility and efficacy with minimal pain.
Area of Science:
- Colorectal surgery
- Surgical innovation
- Anesthesia techniques
Background:
- Hemorrhoidal disease is a common condition.
- Prolapse reduction using a circular stapler was introduced in 1993.
- This technique offers potential for reduced postoperative pain.
Purpose of the Study:
- To evaluate the stapled hemorrhoidectomy technique with regional anesthesia.
- To assess the advantages and feasibility of this approach.
- To focus on the efficacy of same-day discharge for hemorrhoidal disease treatment.
Main Methods:
- 70 consecutive patients with mucosal hemorrhoidal prolapse underwent the procedure.
- Circular stapler device was used with regional anesthesia (modified Marti's block).
- Patient demographics included 41 males and 29 females, mean age 43.4 years; 67 had third-degree hemorrhoids.
Main Results:
- 62 patients were discharged within three hours post-operation, pain-free.
- Eight patients required overnight stay due to early complications.
- Complications included bleeding (2), urinary retention (3), and severe pain (3).
Conclusions:
- Day surgery for hemorrhoidal disease is feasible using stapled hemorrhoidectomy.
- Regional anesthesia is a key component for successful same-day discharge.
- This approach is effective in selected cases for treating hemorrhoidal prolapse.