Related Experiment Video
Updated: Jul 16, 2026
09:40
An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
Stapled hemorrhoidopexy height as outcome indicator.
R Williams1, L Kondylis, D Geisler
1Saint Vincent Health Center, 232 West 25th Street, Erie, PA 16544, USA. willar4@ccf.org
American Journal of Surgery
|February 27, 2007
Summary
Stapled hemorrhoidopexy outcomes depend on staple line height (SLH) and specimen histology. Optimal SLH is 20-40 mm above the dentate line, avoiding squamous epithelium for better results.
Area of Science:
- Colorectal Surgery
- Surgical Outcomes Research
Background:
- Postoperative expectations following stapled hemorrhoidopexy require further clarification.
- The influence of staple line height (SLH) and specimen histology on outcomes is not fully understood.
Purpose of the Study:
- To evaluate the impact of staple line height (SLH) above the dentate line and specimen histology on patient outcomes after stapled hemorrhoidopexy.
Main Methods:
- Prospective database analysis of 105 patients.
- Data collected included demographics, SLH, histology, narcotic use, return to work, and symptom resolution/recurrence.
Main Results:
- Patients with squamous epithelium in specimens reported longer narcotic use (P = .038).
- SLH >20 mm correlated with shorter narcotic use (P = .021) and better resolution of pain/bleeding (P = .036).
- SLH >40 mm was associated with less symptom resolution (P = .032) and higher recurrence rates (P = .001).
Conclusions:
- Stapled hemorrhoidopexy SLH and histology significantly affect postoperative outcomes.
- An optimal SLH is between 20 mm and 40 mm above the dentate line.
- Avoiding squamous epithelium in specimens is recommended to improve outcomes.
