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Techniques in Coloproctology

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01-10-2015 | Original Article

Long-term outcomes after circular stapled hemorrhoidopexy versus Ferguson hemorrhoidectomy

Authors: E. Aytac, E. Gorgun, H. H. Erem, M. A. Abbas, T. L. Hull, F. H. Remzi

Published in: Techniques in Coloproctology | Issue 10/2015

Abstract

Background

We aimed to compare long-term outcomes and quality of life in patients undergoing circular stapled hemorrhoidopexy to those who had Ferguson hemorrhoidectomy.

Methods

Patients who underwent Ferguson hemorrhoidectomy and circular stapled hemorrhoidopexy between 2000 and 2010 were reviewed. Long-term follow-up was assessed with questionnaires.

Results

Two hundred seventeen patients completed the questionnaires. Mean follow-up was longer in the Ferguson hemorrhoidectomy subgroups (7.7 ± 3.4 vs. 6.3 ± 2.9 years, p = 0.003). Long-term need for additional surgical or medical treatment was similar in the Ferguson hemorrhoidectomy and circular stapled hemorrhoidopexy groups (3 vs. 5 %, p = 0.47 and 3 % in both groups, p > 0.99, respectively). Eighty-one percentage of Ferguson hemorrhoidectomy and 83 % of circular stapled hemorrhoidopexy patients stated that they would undergo hemorrhoid surgery again if needed (p = 0.86). The symptoms were greatly improved in the majority of patients (p = 0.06), and there was no difference between the groups as regards long-term anorectal pain (p = 0.16). The Cleveland global quality of life, fecal incontinence severity index, and fecal incontinence quality of life scores were similar (p > 0.05).

Conclusions

This is one of the longest follow-up studies comparing the outcomes after circular stapled hemorrhoidopexy and Ferguson hemorrhoidectomy. Patient satisfaction, resolution of symptoms, quality of life, and functional outcome appear similar after circular stapled hemorrhoidopexy and Ferguson hemorrhoidectomy in long term.

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Title: Long-term outcomes after circular stapled hemorrhoidopexy versus Ferguson hemorrhoidectomy
Authors: E. Aytac
E. Gorgun
H. H. Erem
M. A. Abbas
T. L. Hull
F. H. Remzi
Publication date: 01-10-2015
Publisher: Springer Milan
Published in: Techniques in Coloproctology / Issue 10/2015
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI: https://doi.org/10.1007/s10151-015-1366-6

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Long-term outcomes after circular stapled hemorrhoidopexy versus Ferguson hemorrhoidectomy

Abstract

Background

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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