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Complications and reoperations in stapled anopexy: learning by doing
Johannes Jongen1, Jens-Uwe Bock, Hans-Günter Peleikis
1Department of Surgical Proctology and Proctological Office, Park-Klinik, Goethestrasse 11, 24116, Kiel, Germany. jjongen@proktologie-kiel.de
International Journal of Colorectal Disease
|June 14, 2005
Summary
Stapled anopexy for hemorrhoids is safe and effective, with low complication rates and reoperation needs. Long-term data show it
Area of Science:
- Gastroenterology
- Colorectal Surgery
Background:
- Stapled anopexy has been a common procedure for hemorrhoids since 1998.
- Limited long-term data exist regarding its safety and efficacy.
Purpose of the Study:
- To analyze long-term outcomes of stapled anopexy.
- To assess early and late complications and reoperation rates.
Main Methods:
- Analysis of prospectively accrued data from 654 patients undergoing stapled anopexy between 1998 and 2003.
- Assessment of complications and reoperation rates.
Main Results:
- The overall reoperation rate was 7.6%.
- Early complications included urinary retention (6.4%) and hemorrhage (4.0%).
- Late complications included anastomotic dehiscence (3.2%) and fecal incontinence (1.5%).
Conclusions:
- Stapled anopexy is safe in experienced hands with appropriate patient selection.
- The procedure has low early complication rates comparable to excisional hemorrhoidectomy.
- A low reoperation rate of 3.4% for recurrence is observed with proper patient selection.