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International Journal of Colorectal Disease
Published in: International Journal of Colorectal Disease 7/2006

01-10-2006 | Original Article

Stapled vs open hemorrhoidectomy: long-term outcome of a randomized controlled trial

Authors: Marcello Picchio, Domenico Palimento, Ugo Attanasio, Andrea Renda

Published in: International Journal of Colorectal Disease | Issue 7/2006

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Abstract

Background and aims

Stapled hemorrhoidectomy is a relatively new procedure, and studies on long-term outcomes are few. We present the results of a 5-year follow-up on patients recruited to a randomized controlled trial comparing stapled and Milligan–Morgan hemorrhoidectomy.

Patients and methods

We performed telephone interviews and office visits between May and July 2005 on patients who had taken part in a randomized controlled trial from May 1999 to December 2000.

Results

Occasional pain and bleeding were referred by the patients with no difference between the two groups. The patients were also equally satisfied with both procedures. No recurrent hemorrhoidal prolapse or stenosis was detected at anorectal exploration and rigid sigmoidoscopy.

Conclusion

Both stapled and Milligan–Morgan techniques guarantee satisfactory long-term results. Larger studies are needed to assess the durability of stapled hemorrhoidectomy.
Literature
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Palimento D, Picchio M, Attanasio U, Lombardi A, Bambini C, Renda A (2003) Stapled and open hemorrhoidectomy: randomized controlled trial of early results. World J Surg 27:203–207PubMed
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Smyth E, Baker RP, Wilken BJ, Hartley JE, White TJ, Monson JRT (2003) Stapled versus excision haemorrhoidectomy: long-term follow-up of a randomised controlled trial. Lancet 361:1437–1438CrossRefPubMed
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Metadata
Title
Stapled vs open hemorrhoidectomy: long-term outcome of a randomized controlled trial
Authors
Marcello Picchio
Domenico Palimento
Ugo Attanasio
Andrea Renda
Publication date
01-10-2006
Publisher
Springer-Verlag
Published in
International Journal of Colorectal Disease / Issue 7/2006
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI
https://doi.org/10.1007/s00384-005-0078-1

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