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Stapled hemorrhoidopexy - Initial experience from a general surgery center.

S S Jaiswal¹, Darpan Gupta², Saket Davera³

¹Associate Professor, Dept of Surgery, AFMC, Pune-40, India.

Medical Journal, Armed Forces India

|March 7, 2014

Summary

This summary is machine-generated.

Stapled hemorrhoidopexy (SH) offers less pain and faster recovery than traditional surgery for hemorrhoids. However, potential serious complications mean it may not yet be the standard treatment.

Keywords:

Activities of daily living (ADL)Hemorrhoids Stapled hemorrhoidopexy

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Area of Science:

Colorectal Surgery
Minimally Invasive Procedures
Gastrointestinal Health

Background:

Stapled hemorrhoidopexy (SH) is an increasingly popular alternative to excisional hemorrhoidectomy.
This study presents initial experiences from a service hospital and reviews existing literature.

Purpose of the Study:

To evaluate the outcomes of stapled hemorrhoidopexy (SH) in a service hospital setting.
To assess postoperative pain, recovery time, and potential complications associated with SH.

Main Methods:

A total of 40 patients with grade II, III, and IV hemorrhoids underwent SH.
Outcomes measured included analgesic requirements, time to resume Activities of Daily Living (ADL), bleeding, prolapse, incontinence, urinary retention, need for repeat procedures, and anal stenosis.

Main Results:

Most patients experienced mild to moderate pain, with early resumption of ADL within 4 days.
One patient sustained a rectal perforation, and another required a second procedure for thrombosed external hemorrhoids.

Conclusions:

SH is linked to reduced postoperative pain and quicker return to daily activities.
Despite its apparent simplicity, SH carries risks of serious complications and is not yet considered the standard of care for internal hemorrhoids.