Long-term outcomes after circular stapled hemorrhoidopexy versus Ferguson hemorrhoidectomy

Area of Science:

• Colorectal Surgery
• Surgical Outcomes Research

Background:

• Hemorrhoid treatment involves surgical options like circular stapled hemorrhoidopexy and Ferguson hemorrhoidectomy.
• Long-term comparative data on patient outcomes and quality of life is crucial for surgical decision-making.

Purpose of the Study:

• To compare long-term outcomes and quality of life between circular stapled hemorrhoidopexy and Ferguson hemorrhoidectomy.
• To evaluate patient satisfaction and functional results following these hemorrhoid surgical procedures.

Main Methods:

• A retrospective review of patients who underwent Ferguson hemorrhoidectomy or circular stapled hemorrhoidopexy between 2000 and 2010.
• Long-term follow-up was conducted using questionnaires to assess outcomes and quality of life.

Main Results:

• Two hundred seventeen patients completed follow-up questionnaires.
• No significant differences were observed in the long-term need for retreatment, patient willingness to undergo surgery again, symptom improvement, anorectal pain, or quality of life scores between the two groups.
• Mean follow-up was longer for Ferguson hemorrhoidectomy (7.7 years) compared to circular stapled hemorrhoidopexy (6.3 years).

Conclusions:

• Circular stapled hemorrhoidopexy and Ferguson hemorrhoidectomy demonstrate similar long-term patient satisfaction, symptom resolution, quality of life, and functional outcomes.
• This study provides one of the longest follow-up comparisons for these two hemorrhoid surgical techniques.