Day case stapled haemorrhoidopexy for prolapsing haemorrhoids

Area of Science:

• Colorectal Surgery
• Minimally Invasive Procedures
• Gastroenterology

Background:

• Excisional haemorrhoidectomy for prolapsing haemorrhoids often involves significant postoperative pain.
• This pain restricts the use of haemorrhoidectomy in day case settings and leads to extended patient recovery periods.
• Circular stapling devices offer an alternative surgical approach for haemorrhoid management.

Purpose of the Study:

• To evaluate the safety and efficacy of stapled haemorrhoidopexy as a day case procedure.
• To assess the outcomes and complication rates of stapled haemorrhoidopexy in a day case setting.

Main Methods:

• Patients with third or fourth-degree haemorrhoids were selected for stapled haemorrhoidopexy.
• Suitability for day case surgery was determined by conventional criteria.
• Patient-reported symptom severity and pain scores were assessed pre-operatively and at six-week follow-up.

Main Results:

• 168 stapled haemorrhoidopexies were performed over 70 months.
• 87.3% of selected patients (96/110) were successfully treated as day cases.
• Postoperative symptom scores significantly improved (6 pre-op vs. 0 post-op, P < 0.01), with 83.5% of patients asymptomatic at 6 weeks.

Conclusions:

• Stapled haemorrhoidopexy is a safe and effective day case procedure for selected patients with prolapsing haemorrhoids.
• The complication profile of stapled haemorrhoidopexy is comparable to traditional excisional haemorrhoidectomy.
• This technique facilitates day case management, reducing patient recovery time and activity restriction.