Partial stapled hemorrhoidopexy: a minimally invasive technique for hemorrhoids

Area of Science:

• Colorectal Surgery
• Gastroenterology
• Surgical Innovation

Background:

• Hemorrhoidal disease affects a significant portion of the population.
• Traditional hemorrhoid treatments can be associated with considerable pain and complications.
• Partial stapled hemorrhoidopexy (PSH) offers a minimally invasive alternative.

Purpose of the Study:

• To evaluate the safety and efficacy of partial stapled hemorrhoidopexy (PSH).
• To assess postoperative outcomes, including pain, urgency, and complications.
• To determine the recurrence rate of hemorrhoids after PSH.

Main Methods:

• A prospective study involving 44 patients undergoing PSH.
• Utilized single-, bi-, and tri-window anoscopes based on hemorrhoid severity.
• Collected and analyzed data on demographics, preoperative factors, and postoperative outcomes.

Main Results:

• PSH demonstrated minimal blood loss across different anoscope types.
• Postoperative pain scores were generally low, with significant reduction by day 3.
• No cases of anal incontinence or stenosis were reported; 1-year recurrence rate was 2.3%.

Conclusions:

• Partial stapled hemorrhoidopexy is a safe and effective surgical option for grade III-IV hemorrhoids.
• The procedure is associated with mild postoperative pain and minimal urgency.
• PSH shows a low complication rate and favorable long-term outcomes regarding recurrence.