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Transanal open hemorrhoidopexy.

F Pakravan¹, C Helmes, C Baeten

¹Coloproktologisches Zentrum Düsseldorf, Düsseldorf, Germany.

Diseases of the Colon and Rectum

|April 1, 2009

Summary

This summary is machine-generated.

Transanal open hemorrhoidopexy is an effective, cost-efficient surgical technique for treating hemorrhoids, preserving important anal tissues. This procedure offers a viable alternative to existing methods for hemorrhoid management.

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Area of Science:

Colorectal Surgery
Surgical Innovation
Hemorrhoid Treatment

Background:

Hemorrhoid treatment remains challenging despite recent advancements.
Tissue-sparing techniques like hemorrhoidopexy and Doppler-guided ligation preserve anal function.
Existing methods have high costs, necessitating cost-effective alternatives.

Purpose of the Study:

To evaluate the efficacy and cost-effectiveness of transanal open hemorrhoidopexy.
To assess a novel, tissue-preserving hemorrhoid treatment approach.

Main Methods:

Thirty-eight patients with third-degree hemorrhoids underwent open transanal hemorrhoidopexy.
The procedure involved stitching anal mucosa to the rectal wall after mucosa flap removal.
Patients received a fiber-rich diet postoperatively.

Main Results:

84% of patients were asymptomatic at one week; 89% at one month.
Minor complications included pain (16%), bleeding (3%), segmental prolapse (5%), and pruritus (5%).
No patient required re-intervention.

Conclusions:

Transanal open hemorrhoidopexy is an effective surgical technique for hemorrhoids.
The procedure is performed under direct vision and is cost-effective.
It offers a valuable tissue-sparing alternative for hemorrhoid treatment.