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Published in:

01-11-2008 | 2008 plenary presentation

Reinterventions for Specific Technique-Related Complications of Stapled Haemorrhoidopexy (SH): A Critical Appraisal

Authors: Pierpaolo Sileri, Vito Maria Stolfi, Luana Franceschilli, Federico Perrone, Lodovico Patrizi, Achille Lucio Gaspari

Published in: Journal of Gastrointestinal Surgery | Issue 11/2008

Abstract

Introduction

Stapled haemorrhoidopexy (SH) is an attractive alternative to conventional haemorrhoidectomy (CH) because of reduced pain and earlier return to normal activities. However, complication rates are as high as 31%. Although some complications are similar to CH, most are specifically technique-related. In this prospective audit, we report our experience with the management of some of these complications.

Methods

Data on patients undergoing SH at our unit or referred to us are prospectively entered in a database. The onset or duration of specific SH-related complications as well as reinterventions for failed or complicated SH was recorded.

Results

From 1/03 to 10/07, 110 patients underwent SH, while 17 patients were referred after complicated/failed SH. Overall early and late complication rates after SH were 12.7% and 27.2%, respectively. Overall reintervention rate was 9.1%. Among the referred SH-group, one patient underwent Hartmann’s procedure because of rectal perforation. The remaining 16 patients experienced at least one of the following: recurrence, urgency, frequency, severe persistent anal pain, colicky abdominal pain, anal fissure and stenosis. Four patients underwent CH with regular postoperative recovery. Two patients underwent exploration under anaesthesia because of persisting pain. One patient underwent anoplasty.

Conclusions

SH presents unusual and challenging complications. Abuses should be minimized and longer-term studies are needed to further clarify its role.

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Title: Reinterventions for Specific Technique-Related Complications of Stapled Haemorrhoidopexy (SH): A Critical Appraisal
Authors: Pierpaolo Sileri
Vito Maria Stolfi
Luana Franceschilli
Federico Perrone
Lodovico Patrizi
Achille Lucio Gaspari
Publication date: 01-11-2008
Publisher: Springer-Verlag
Published in: Journal of Gastrointestinal Surgery / Issue 11/2008
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-008-0670-0

At a glance: The STEP trials

Springer Medicine

Reinterventions for Specific Technique-Related Complications of Stapled Haemorrhoidopexy (SH): A Critical Appraisal

Abstract

Introduction

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusions

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