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Stapled hemorrhoidopexy: the argument for usage.

Marc Singer1, Herand Abcarian

  • 1Department of Surgery, University of Illinois at Chicago, Chicago, IL 60612, USA.

Clinics in Colon and Rectal Surgery
|December 17, 2009
PubMed
Summary

Stapled hemorrhoidopexy offers comparable symptom control for internal hemorrhoids with significantly less postoperative pain than excisional techniques. This less painful alternative should be considered for patients not responding to initial medical therapies.

Keywords:
Hemorrhoidectomyhemorrhoidsstapled hemorrhoidopexy

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Area of Science:

  • Colorectal Surgery
  • Minimally Invasive Procedures

Background:

  • Symptomatic internal hemorrhoids affect many patients.
  • Traditional excisional hemorrhoidectomy can be associated with significant postoperative pain.
  • Stapled hemorrhoidopexy has emerged as an alternative treatment option.

Purpose of the Study:

  • To evaluate the efficacy and safety of stapled hemorrhoidopexy.
  • To compare stapled hemorrhoidopexy with traditional excisional techniques.
  • To define the role of stapled hemorrhoidopexy in managing symptomatic internal hemorrhoids.

Main Methods:

  • Review of published data and prospective trials.
  • Comparison of stapled hemorrhoidopexy with excisional hemorrhoidectomy.
  • Assessment of symptom control and postoperative pain.

Main Results:

  • Stapled hemorrhoidopexy provides similar symptom control to excisional techniques.
  • A significant reduction in postoperative pain is observed with stapled hemorrhoidopexy.
  • The cost of the stapling device is higher than sutures for excisional procedures.

Conclusions:

  • Stapled hemorrhoidopexy is a less painful alternative to excisional hemorrhoidectomy.
  • It should be offered to patients considered for excisional surgery after conservative management.
  • Further experience and trials will continue to refine its role in treatment.