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[Mucoprolassectomy with circular stapler: early results with a new device]
F Gaj1, J Andreuccetti, G Sportelli
1Dipartimento di Chirurgia Generale e Trapianti d'Organo, Istituto Paride Stefanini, Universita' Sapienza di Roma, Unita' di Chirurgia Generale, Villa Tiberia, Casa di Cura Privata Convenzionata, Roma, Italia. fagaj@tin.it
La Clinica Terapeutica
|May 5, 2012
Summary
This study evaluated a new stapled transanal mucosectomy device for hemorrhoids and rectal prolapse. The device demonstrated ease of use and standardization, with good patient outcomes and minimal complications.
Area of Science:
- Colorectal Surgery
- Surgical Devices
- Gastroenterology
Context:
- Stapled transanal mucosectomy is a common procedure for hemorrhoids and rectal prolapse.
- Existing techniques lack clear superiority in randomized controlled trials.
- A novel stapling device offers a potential improvement in surgical approach.
Purpose:
- To evaluate the efficacy and safety of a new 33-mm stapled hemorrhoid and prolapse stapler set.
- To assess surgical outcomes in patients undergoing stapled transanal mucosectomy with the new device.
- To determine the device's utility in patients with challenging pelvic anatomy.
Summary:
- Sixty-five patients with hemorrhoids (Grade III/IV) and rectal prolapse underwent stapled transanal mucosectomy using the EEA™ 33-mm Hemorrhoid and Prolapse Stapler Set.
- Mean resected tissue width was 4.2 cm, mean weight 11 g, and mean surgical time 22 minutes.
- Excellent or good outcomes were reported in 97% of patients, with low rates of bleeding (7.7%) and no major complications. One case of anal stenosis was successfully treated. A single asymptomatic recurrence of rectal prolapse was noted at 6 months.
Impact:
- The new stapling device simplifies and standardizes stapled transanal mucosectomy.
- It facilitates surgery in patients with narrow pelvis or limited interischial distance.
- This technology may improve surgical efficiency and patient outcomes in treating hemorrhoids and rectal prolapse.
