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Stapled haemorrhoidectomy in Chinese patients: a prospective randomised control study
P Y Y Lau1, W C S Meng, A W C Yip
1Department of Surgery, Kwong Wah Hospital, 25 Waterloo Road, Kowloon, Hong Kong. patrickyylau@yahoo.com
Hong Kong Medical Journal = Xianggang Yi Xue Za Zhi
|December 14, 2004
Summary
Stapled haemorrhoidectomy offers similar pain relief to open diathermy haemorrhoidectomy but is less effective for prolapse symptoms. Long-term manometric changes require further study.
Area of Science:
- Colorectal Surgery
- Gastroenterology
Background:
- Hemorrhoidectomy is a common surgical procedure.
- Comparing different hemorrhoidectomy techniques is crucial for optimizing patient outcomes.
Purpose of the Study:
- To compare stapled hemorrhoidectomy (SH) with open diathermy hemorrhoidectomy (ODH).
- To evaluate postoperative pain, symptom control, and manometric alterations in Chinese patients.
Main Methods:
- Prospective randomized controlled trial.
- 24 patients with second- or third-degree hemorrhoids underwent SH or ODH.
- Outcomes assessed via questionnaires, anorectal manometry, and transrectal ultrasound.
Main Results:
- Both SH and ODH showed similar postoperative pain and analgesic requirements.
- ODH provided significantly better control of prolapse symptoms compared to SH.
- Anorectal manometry revealed a significant decrease in maximum resting and squeeze pressures after SH.
Conclusions:
- SH is effective for hemorrhoid treatment, except for skin tag prolapse.
- ODH demonstrates superior prolapse symptom control.
- Long-term manometric changes post-hemorrhoidectomy warrant further investigation.