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2011, Number 1

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Acta Med 2011; 9 (1)

Mucosectomy through circular stapling for hemorrhoidal disease: A seventy-one-case report

Ibarrola CJL, Sánchez MR, Rodríguez GM, Núñez BFJ, Eljure EM

Language: Spanish
References: 12
Page: 12-16
PDF size: 169.53 Kb.


ABSTRACT

Introduction: The hemorrhoidal disease has causes even debatable. Described four degrees of this pathology ranging from prolapsed, until present an irreducible prolapse. Approximately 20% of the patients require some kind of surgery, the most used are the conventional as Milligan-Morgan or Ferguson hemorrhoidectomy; but since 1993 Longo et al proposed cirunferencial surgery for hemorrhoidal packages with the use of circular stapler. Objective: Report of the complications of rectal mucosectomy for hemorrhoid disease. Material and methods: retrospective study from January 2005 to December 2009 including patients with hemorrhoidal disease without other rectal pathology who went treated by mucosectomy at the same hospital and operated by the same surgical team. Results: We assessed a total of 71 patients, most male, aged between 21-71. All patients received bowel preparation with hyperosmolar solution orally and prophylactic drug broad-spectrum antibiotic. Received via oral 1 day after the procedure. The observed complications were pain 8.5%, acute clamping ring urine at 5.6%, bleeding and recurrence in 2.8% each. Fifty five patients required 2 days hospital stay and the other 3 days. Conclusion: rectal mucosectomy is a safe method with appropriate recovery and low rate of recurrence and complications.


REFERENCES

  1. Hian M, Fong L, Sun K et al. Short-term results of DST EEA33 stapler and nev@ anoscope for stapled haemorrhoidectomy: a prospective study of 1,118 patients from a single centre. Tech Coloproctol 2009; 3: 273-277.

  2. Rowsell M, Bello M, Hemingway D. Circumferential mucosectomy (stapled haemorrhoidectomy) versus conventional haemorrhoidectomy: randomized controlled trial. Lancet 2000; 355: 779-781.

  3. Mlakar B, Kosorok P. Flavonoids to reduce bleeding and pain after stapler a randomized controlled trial. Wien Klin Wochenschr 2005: 117; 558-560.

  4. Riss S, Riss P, Shuster M et al. Long term results after stapled anopexy for symptomatic haemorrhoidal prolapse. Eur Surg 2008; 40; 30-33.

  5. Cheetham M, Mortensen N, Nystrom P et al. Persistent pain and faecal urgency after stapled haemorrhoidectomy. Lancet 2000; 356; 730-733.

  6. Ganio E, Altomare D, Gabrielli F et al. Prospective randomized multicentre trial comparing stapled with open haemorrhoidectomy. Br J Surg 2001; 88; 669-674.

  7. Khalil K, O´Bihere A, Sellu D. Randomized clinical trial of sutured versus stapled closed haemorrhoidectomy. Br J Surg 2000; 87: 1352-1355.

  8. Maw A, Eu K, Seow-Choen F. Retroperitoneal sepsis complicating stapled hemorrhoidectomy. Dis Colon Rectum 2002; 45: 826-828.

  9. Tjandra J, Miranda K, Chan M et al. Systematic review on the procedure for prolapse and hemorrhoids (stapled hemorrhoidexia). Dis Colon Rectum 2007; 50: 878-892.

  10. Picccini G. The Use of CEEA 34 in stapled hemorrhoidectomy: Suggested modifications in technique. World J Surg 2009; 33: 154-155.

  11. Chew M, Kam M, Ho K et al. The evaluation of CEEA 34 for stapled hemorrhoidectomy: results of a prospective clinical trial and patient satisfaction. Am J Surg 2009; 197: 695-701.

  12. Nunoo-Mensah J, Kaiser A. Stapled hemorrhoidectomy. Am J Surg 2005; 190: 127-130.




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