medigraphic.com
Asociación Mexicana de Gastroenterología

2006, Number 3

<< Back Next >>

Rev Gastroenterol Mex 2006; 71 (3)

Hemorrhoidopexy with a PPH 03 circular stapler. Initial experience

Varela GG, Castañeda OME

Language: Spanish
References: 38
Page: 288-295
PDF size: 103.30 Kb.


ABSTRACT

Background: There are different surgical procedures for the treatment of advanced haemorrhoidal disease, being described by Milligan and Morgan as well as closed haemorrhoidectomy published by Ferguson. Haemorrhoidopexy with circular stapler was used since 1998 and nowadays is a widely accepted procedure and more institutes confirm its efficiency and safety. Objectives: Initial one year experience is presented in patients selected for haemorrhoidopexy with stapler, evaluating post-operatory pain, early and delayed complications, day-in hospital stay and reintegration to daily activities. Material and methods: Patients operated with haemorrhoidopexy with circular Ethicon Endo Surgery Inc. PPH 03 33 mm (Cincinnati, OH) were included prospectively in the period between November 1st 2004 and October 30th 2005 in Mexico’s ABC Medical Center. Results: Thirtynine patients were included in this study, of which 17 (44%) presented a III degree haemorrhoidal disease and 22 (56%) with IV degree. Post-operatory bleeding was observed in 3 patients (8%); post-operatory pain was evaluated with Mankoski scale. After day five, every patient reintegrated to its daily activities, and none required re-intervention. Conclusion: Haemorrhoidopexy has shown to be a safe and effective procedure. If this technique was once questioned and controversial, today is recognized by the vast majority of colorectal surgeons.


REFERENCES

  1. Vieni S, Latteri F, Grassi N. Historical aspects of a frequent anal disease: hemorrhoids Chir Ital 2004; 56(5): 745-8.

  2. Adams F. 1849 The Genuine Works of Hippocrates.

  3. Johanson JF, Sonnenberg A. The prevalence of hemorrhoids and chronic constipation: an epidemiologic study. Gastroenterology 1990; 98: 380-6.

  4. Faccini M, Zuccon W, Caputo P, Gavezzoli D, Manelli A, Bonandrini L. Hemorrhoids: epidemiology and correlation with chronic constipation. Ann Ital Chir 2001; 72(3): 337-9.

  5. Charrúa GL. Enfermedad hemorroidaria. En. Murguía DD (ed.). Gastroenterología y hepatología práctica. México, D.F.: Ed. Intersistemas Editores; 1999, p. 153-7.

  6. Milligan ETC, Morgan CN. Surgical anatomy of the anal canal and operative treatment of haemorrhoids. Lancet 1937; 2: 1119-24.

  7. Ferguson JA, Mazier WP, Ganchrow MI, Friend WG. The closed technique of haemorrhoidectomy. Surgery 1971; 79: 480-4.

  8. Thomson WHF. The nature of hemorrhoids. Br J Surg 1975; 62: 542-52.

  9. Longo A. Treatment of hemorrhoids disease by reduction of mucosa and haemorrhoidal prolapse with circular suturing device: a new procedure. Proceedings of the 6th World Congress of Endoscopic Surgery, 1998. Rome: Mundozzi Editor; 1998, p. 777-84.

  10. Nunoo-Mensah JW. Stapled haemorrhoidectomy. Am J Surg 2005; 190(1): 127-30.

  11. Correa-Rovelo JM. Prospective study of factors affecting postoperative pain and symptom persistence after stapled rectal mucosectomy for hemorrhoids: a need for preservation of squamous epithelium. Dis Colon Rectum 2003; 46(7): 955-62.

  12. Ascanelli S, Gregorio C, Tonini G, Baccarini M, Azzena G. Long stapled haemorrhoidectomy versus Milligan-Morgan procedure: short-and long-term results of a randomised, controlled, prospective trial. Chir Ital 2005; 57(4): 439-47.

  13. Palimento D, Picchio M, Attanasio U, Lombardi A, Bambini C, Renda A. Stapled and open haemorrhoidectomy: randomized controlled trial of early results. World J Surg 2003; 27(2): 203-7.

  14. Ho YH, Cheong WK, Tsang C, Ho J, Eu KW, Tang CL, Seow-Choen F. Stapled haemorrhoidectomy-cost and effectiveness. Randomized, controlled trial including incontinence scoring, anorectal manometry, and endoanal ultrasound assessments at up to three months. Dis Colon Rectum 2000; 43(12): 1666-75.

  15. Bikhchandani J, Agarwal PN, Kant R, Malik VK. Randomized controlled trial to compare the early and mid-term results of stapled versus open haemorrhoidectomy. Am J Surg 2005; 189(1): 56-60.

  16. Loder PB, Kamm MA, Nicholls RJ, et al. Haemorrhoids: pathology, pathophysiology and aetiology. Br J Surg 1994; 81: 946-54.

  17. Holzheimer RG. Haemorrhoidectomy: indications and risk. Eur J Med Res 2004; 9: 18-36.

  18. Sardinha TC. Hemorrhoids. Surg Clin North Am 2002; 82(6): 1153-67.

  19. Haas PA, Fox TA Jr, Haas GP. The pathogenesis of hemorrhoids. Dis Colon Rectum 1984; 27: 442-50.

  20. Bernstein WC. What are hemorrhoids and what is their relationship to the portal venous system? Dis Colon Rectum 1983; 26(12): 829-34.

  21. Hulme-Moir M. Hemorrhoids. Gastroenterol Clin North Am 2001; 30(1): 183-97.

  22. Arnaud JP. Treatment of hemorrhoids with circular stapler, a new alternative to conventional methods: a prospective study of 140 patients. J Am Coll Surg 2001; 193(2): 161-5.

  23. Finco C, Sarzo G, Savastano S, Degregori S, Merigliano S. Stapled haemorrhoidopexy in fourth degree haemorrhoidal prolapse: is it worthwhile? Colorectal Dis 2006; 8(2): 130-4.

  24. Hetzer FH, Demartines N, Handschin AE, Clavien PA. Stapled vs. excision haemorrhoidectomy: long-term results of a prospective randomized trial. Arch Surg 2002; 137(3): 337-40.

  25. Schmidt MP. Stapler haemorrhoidectomy versus conventional procedures a clinical study. Zentralbl Chir 2002; 127(1): 15-8.

  26. Delikoukos S, Zacharoulis D, Hatzitheofilou C. Stapled haemorrhoidectomy under local anaesthesia: tips and tricks. Dis Colon Rectum 2005; 48(11): 2153-5.

  27. Esser S, Khubchandani I, Rakhmanine M. Stapled haemorrhoidectomy with local anaesthesia can be performed safely and cost-efficiently. Dis Colon Rectum 2004; 47(7): 1164-9.

  28. Gudaityte J, Marchertiene I, Pavalkis D. Anaesthesia for ambulatory anorectal surgery. Medicina (Kaunas) 2004; 40(2): 101-11.

  29. Ravo B, Amato A, Bianco V, Boccasanta P, Bottini C, Carriero A, Milito G, Dodi G, Mascagni D, Orsini S, Pietroletti R, Ripetti V, Tagariello GB. Complications after stapled haemorrhoidectomy: can they be prevented? Tech Coloproctol 2002; 6(2): 83-8.

  30. Cheetham MJ, Mortensen NJ, Nystrom PO, Kamm MA, Phillips RK. Persistent pain and faecal urgency after stapled haemorrhoidectomy. Lancet 2000; 356: 730-3.

  31. Orrom W, Hayashi A, Rusnak C, Kelly J. Initial experience with stapled anoplasty in the operative management of prolapsing hemorrhoids and mucosal rectal prolapse. Am J Surg 2002; 183(5): 519-24.

  32. Oughriss M, Yver R, Faucheron JL. Complications of stapled haemorrhoidectomy: a French multicentric study. Gastroenterol Clin Biol 2005; 29(4): 429-33.

  33. Ganio E, Altomare DF, Gabrielli F, Milito G, Canuti S. Prospective randomized multicentric trial comparing stapled with open haemorrhoidectomy. Br J Surg 2001; 88(5): 669-74.

  34. Corman ML, Gravie JF, Hager T, Loudon MA, Mascagni D, Nystrom PO, Seow-Choen F, Abcarian H, Marcello P, Weiss E, Longo A. Related. Stapled haemorrhoidopexy: a consensus position paper by an international working party-indications, contra-indications and technique. Colorectal Dis 2003; 5(4): 304-10.

  35. Jongen J, Bock JU, Peleikis HG, Eberstein A, Pfister K. Complications and reoperations in stapled anopexy: learning by doing. Int J Colorectal Dis 2006; 21(2): 166-71.

  36. Ripetti V, Caricato M, Arullani A. Rectal perforation, retropneumoperitoneum, and pneumomediastinum after stapling procedure for prolapsed hemorrhoids report of a case and subsequent considerations. Dis Colon Rectum 2002; 45: 268-70.

  37. Pessaux P, Lermite E, Tuech JJ. Pelvic sepsis after stapled haemorrhoidectomy. J Am Coll Surg 2004; 199: 824-5.

  38. Brusciano L, Ayabaca SM, Pescatori M, Accarpio GM, Dodi G, Cavallari F, Ravo B, Annibali R. Reinterventions after complicated or failed stapled haemorrhoidopexy. Dis Colon Rectum 2004; 47(11): 1846-51.




2020     |     www.medigraphic.com