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Related Experiment Videos

Stapled hemorrhoidopexy: outcome assessment.

Scott D Goldstein1, Keith P Meslin, Thomas Mazza

  • 1Division of Colon and Rectal Surgery, Department of Surgery, Thomas Jefferson University, 1100 Walnut Street, Suite 702, Philadelphia, PA 19107, USA. scott.goldstein@jefferson.edu

The American Surgeon
|August 7, 2007
PubMed
Summary
This summary is machine-generated.

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Stapled hemorrhoidopexy for hemorrhoidal disease offers reduced postoperative pain and high patient satisfaction. Most patients experience symptom improvement and a quick return to normal activities, with many recommending the procedure.

Area of Science:

  • Colorectal Surgery
  • Minimally Invasive Procedures

Background:

  • Stapled hemorrhoidopexy, introduced in 1993, has gained popularity for treating hemorrhoidal disease.
  • The procedure is often favored due to reported reductions in postoperative pain.

Purpose of the Study:

  • To retrospectively review patient outcomes following stapled hemorrhoidopexy.
  • To assess the efficacy and patient experience for grade II or III hemorrhoidal prolapse.

Main Methods:

  • Retrospective review of 152 patients (grades II-III hemorrhoidal prolapse) from private and academic colorectal surgery practices.
  • Data collected over a 3-year period (private) and a 1-year period (academic).
  • Ambulatory treatment with monitored sedation and local anesthesia was common.

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Main Results:

  • 49 patients (32%) experienced postoperative complications, primarily bleeding (33 cases).
  • 71 patients (91%) reported significant symptom improvement or complete resolution.
  • 67.9% experienced less postoperative pain than expected; 73.1% returned to normal activity within 2 weeks.

Conclusions:

  • Stapled hemorrhoidopexy is associated with high rates of symptom improvement and patient satisfaction.
  • The procedure demonstrates a favorable safety profile with a majority of patients experiencing reduced pain and a swift recovery.
  • 89% of surveyed patients would recommend the procedure to others.