Modified stapled hemorrhoidopexy for lower postoperative stenosis: A five-year experience.

Area of Science:

• Colorectal Surgery
• Gastroenterology
• Surgical Innovation

Background:

• Stapled hemorrhoidopexy (SH) is a common treatment for internal hemorrhoid prolapse.
• Postoperative anal stenosis is a significant complication of SH.
• Modified SH procedures aim to improve outcomes and reduce complications.

Purpose of the Study:

• To compare the outcomes of modified SH with standard SH.
• To evaluate the incidence of anal stenosis after modified SH.
• To assess the safety and efficacy of a modified SH technique for advanced hemorrhoids.

Main Methods:

• Retrospective, single-center observational study.
• Included patients with grade III or IV hemorrhoids undergoing SH between 2015-2020.
• Recorded operation time, blood loss, hospital stay, and complication rates.

Main Results:

• 187 patients underwent modified SH, 313 underwent standard SH.
• Modified SH group had a lower incidence of anal stenosis (2.7% vs. 6.7%).
• Modified SH showed a significant relationship with reduced anal stenosis rates in regression analysis.

Conclusions:

• The modified SH technique is a safe surgical option for advanced hemorrhoids.
• Modified SH may lead to a lower rate of postoperative anal stenosis compared to standard SH.
• Further research could explore specific staple removal positions.