Stapled hemorrhoidopexy: day surgery or one day surgery?

Area of Science:

• Gastroenterology and Surgical Procedures

Background:

• Hemorrhoidal disease is a common anorectal disorder requiring surgical intervention in 10-20% of cases.
• Stapled hemorrhoidopexy is increasingly adopted for its safety and reduced pain compared to traditional methods.
• Hemorrhage remains a significant early complication, particularly in day surgery settings.

Purpose of the Study:

• To present a protocol for early and safe discharge following stapled hemorrhoidopexy.
• To evaluate the safety and efficacy of same-day discharge after this procedure.

Main Methods:

• Implementation of a specific post-operative care protocol for patients undergoing stapled hemorrhoidopexy.
• Focus on day surgery proctology, where hemorrhoid procedures constitute 24% of all surgical cases (32% of day surgery).

Main Results:

• Successful early discharge of patients 6 hours after stapled hemorrhoidopexy.
• Demonstration of a safe and effective protocol for same-day discharge in a day surgery setting.

Conclusions:

• The developed protocol facilitates early and safe discharge for patients undergoing stapled hemorrhoidopexy.
• This approach is suitable for day surgery, managing a common condition with a significant complication risk.