Long-term outcomes of stapled hemorrhoidopexy

Maciej Michalik; Maciej Pawlak; Maciej Bobowicz; Mieczysław Witzling

doi:10.5114/wiitm.2011.35784

!!!NEW!!! CLINICAL FORUM !!!NEW!!!
to make the quarterly livelier and more beneficial for doctors and scientists !!!

On June the 1st, 2021 VSJ launches a new discussion platform in the journal.

We invite all MIS surgeons to rapidly submit for publication:
- small forms describing unusual clinical situations related to their practice,
- short clinical comments relating to any publications in VSJ, including the clinical situations described above
- brief communications of original studies deserving fast publication
- your personal opinions as part of a larger discussion on the VSJ publication
- letters concerning the topics described above

Clinical Forum gives you a means of rapid presentation of your findings in the medical databases, scientific citations on the international forum, and also an Impact Factor!

For further details, see: Instructions for Authors

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

Current issue Archive Manuscripts accepted About the journal Supplements Editorial board Reviewers Abstracting and indexing Subscription Contact Instructions for authors Ethical standards and procedures

Editorial System

Submit your Manuscript

Editorial Policies

Sarajevo Declaration on Integrity and Visibility of Scholarly Publications

1/2014
vol. 9

Send email

Copy url:

abstract:

Original paper

Long-term outcomes of stapled hemorrhoidopexy

Maciej Michalik

,

Maciej Pawlak

,

Maciej Bobowicz

,

Mieczysław Witzling

Videosurgery Miniinv 2014; 9 (1): 18–23

DOI: https://doi.org/10.5114/wiitm.2011.35784

Online publish date: 2013/11/26

View full text Get citation

PlumX metrics:

Introduction: Hemorrhoidal disease is one of the commonest anorectal disorders worldwide. Stapled hemorrhoidopexy (SH) is a treatment modality associated with low postoperative pain and early mobilization.

Aim: To assess long-term outcomes after SH.

Material and methods: All 326 patients who underwent SH in 1999–2003 were invited by mail to participate. For each patient we analyzed their medical records, and conducted a questionnaire survey and a digital rectal examination.

Results: Only 91 patients attended the final examination and the mean ± SD follow-up time was 8.7 ±1.2 years. Recurrences were diagnosed in one third of the 91 subjects. There were correlations between recurrences and: the duration of disease (p = 0.047); female gender (p = 0.037); and childbirth (vaginal delivery) (p = 0.026). Sixty-seven patients (73.6%) were satisfied with the outcomes. In the group of dissatisfied patients symptoms such as pain (p = 0.0001), burning (p = 0.0002) and itching (p = 0.014) were most common. Long-term outcomes were good with 75% and 88% reductions in pain sensation and severe and moderate hemorrhoidal bleeding. Pruritus, burning and discomfort resolved in more than 50% of patients. Flatus incontinence, fecal incontinence, or soiling occurred in 21%, 11%, and 32% of patients.

Conclusions: Long-term results of stapled hemorrhoidopexy are satisfactory in most patients. The 36% recurrence rate correlates with the degree of hemorrhoidal prolapse before the operation, duration of the disease, female gender, and previous vaginal delivery.

keywords:

Long-term outcomes of stapled hemorrhoidopexy

Maciej Michalik , Maciej Pawlak , Maciej Bobowicz , Mieczysław Witzling

stapled hemorrhoidopexy, hemorrhoids, anorectal surgery

Maciej Michalik

,

Maciej Pawlak

,

Maciej Bobowicz

,

Mieczysław Witzling