The role of hemorrhoidopexy in the management of 3rd degree hemorrhoids.
Summary of "The role of hemorrhoidopexy in the management of 3rd degree hemorrhoids."
INTRODUCTION:
Hemorrhoidopathy is a very common benign surgical pathology. Hemorrhoids are divided into 4 stages, depending on symptoms and degree of prolapse. Hemorrhoidopexy is a technique developed for the treatment of 3rd degree hemorrhoids, but its application has been extended to the treatment of 4th degree hemorrhoids as well. Nevertheless, recent studies identify weaknesses of the PPH in the treatment of 4th degree hemorrhoids.
PATIENTS:
One hundred and twenty-six consecutive patients with 3rd degree hemorrhoids underwent stapled hemorrhoidopexy. All procedures were performed under general anesthesia with the patient in lithotomy position. A phosphate enema was given to the patient 2 h before the procedure, and cephalosporine and metronidazole were administered at anesthesia induction. Most patients were discharged the day after the operation. All patients were reassessed at 1, 6 weeks, 6 and 12 months after the procedure.
RESULTS:
The mean operating time was 16.3 min. Of all patients, 5.8% complained of mild rectal pain for a post-operative period of 5-12 days, 5.8% developed post-operative urinary retention, managed with catheterization, 13.3% experienced fecal urgency while 5.8% experienced gas incontinence, which subsided 2-8 weeks from surgery. The mean hospital stay was 1.2 days. Most patients returned to daily activities within 2-5 days. Ninety-five percent of patients returned for their follow-up visits. Recurrence of the disease occurred in 8 patients (6.6%). It was managed conservatively in 2 patients, 3 underwent redo hemorrhoidopexy and 3 underwent classic hemorrhoidectomy.
CONCLUSION:
According to our results, stapled hemorrhoidopexy seems to be a safe, pain-free and, in the long-term, effective technique for the treatment of 3rd degree hemorrhoids.
Affiliation
4th Surgical Department, Aristotle University of Thessaloniki, Antheon 1, Panorama, 55236, Thessaloniki, Greece, mpramateftakis@hotmail.com.
Journal Details
This article was published in the following journal.
Name: Techniques in coloproctology
ISSN: 1128-045X
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20686808
- DOI: http://dx.doi.org/10.1007/s10151-010-0605-0
Medical and Biotech [MESH] Definitions
Hemorrhoids
Swollen veins in the lower part of the RECTUM or ANUS. Hemorrhoids can be inside the anus (internal), under the skin around the anus (external), or protruding from inside to outside of the anus. People with hemorrhoids may or may not exhibit symptoms which include bleeding, itching, and pain.
Visual Fields
The total area or space visible in a person's peripheral vision with the eye looking straightforward. The average extent is about 65 degree upward, 75 degree downward, 60 degree inward, and 95 degree outward. Visual fields can be measured by PERIMETRY.
Materials Management, Hospital
The management of all procurement, distribution, and storage of equipment and supplies, as well as logistics management including laundry, processing of reusables, etc.
Management Quality Circles
Participation of employees with management as a labor-management team, in decisions pertaining to the operational activities of the organization or industry.
Practice Management
Business management of medical and dental practices that may include capital financing, utilization management, and arrangement of capitation agreements with other parties.
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