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Evolution of the transfixed stitches technique hemorrhoidectomy
1Department of General Surgery and Organ Transplantation, Paride Stefanini Institute, University of Rome La Sapienza, Rome, Italy. fagaj@tin.it
Minerva Chirurgica
|April 15, 2009
Summary
The transfixed stitches technique (TPT) for hemorrhoidectomy significantly reduces pain and complications. This surgical approach for hemorrhoids offers a lower relapse rate and faster return to work.
Area of Science:
- Colorectal Surgery
- Surgical Innovation
- Hemorrhoidal Disease Management
Background:
- Surgical treatment for hemorrhoids has evolved with various techniques available.
- The PATE 2006 classification provides a framework for surgical indications.
- The transfixed stitches technique (TPT) represents an advancement in hemorrhoidectomy.
Purpose of the Study:
- To evaluate the efficacy of the transfixed stitches technique (TPT) for hemorrhoidectomy.
- To assess outcomes based on the PATE 2006 classification.
- To compare TPT with previous surgical options for hemorrhoids.
Main Methods:
- Fifty patients (30 male, 20 female) with grade III-IV hemorrhoids underwent hemorrhoidectomy using TPT.
- TPT involves using two Monofil suture threads per nodule.
- Patient follow-up extended to six months post-intervention.
Main Results:
- Significant reduction in PATE 2006 scores post-TPT (23.7 to 7.2, P<0.01).
- Reduced pain scores at 24 and 96 hours (3 to 1.4, P=0.05).
- Low complication rates (early stage 4.8, late stage 2.2), minimal NSAID use (26%), and a 2% relapse rate.
Conclusions:
- TPT offers superior results compared to prior surgical methods for hemorrhoids.
- The technique effectively lowers disease relapse and postoperative infectious events.
- TPT facilitates a quicker return to working activities.
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