Article ; Online: A patient tailored approach to the surgical treatment of hemorrhoids leads to equal satisfaction following hemorrhoidectomy, stapled hemorrhoidopexy or a combination of both.
Langenbeck's archives of surgery
2023 Volume 408, Issue 1, Page(s) 233
Abstract: Purpose: Up to 20% of patients suffering from symptomatic hemorrhoids will require surgery. Excisional hemorrhoidectomy (EH) and stapled hemorrhoidopexy (SH) are both standard and safe procedures. While SH has a short-term advantage of faster recovery ... ...
| Abstract | Purpose: Up to 20% of patients suffering from symptomatic hemorrhoids will require surgery. Excisional hemorrhoidectomy (EH) and stapled hemorrhoidopexy (SH) are both standard and safe procedures. While SH has a short-term advantage of faster recovery and lower postoperative pain, its long-term efficacy is debatable. This study aims to compare the outcomes of EH, SH, and a combined procedure of both. Methods: A retrospective study compared the outcomes of patients treated surgically for hemorrhoids over a 5-year period. Eligible patients were asked by phone to complete a questionnaire evaluating recurrent symptoms, fecal incontinence, satisfaction, and self-assessed improvement in quality of life (QOL). Results: This study included 362 patients, of whom 215 underwent SH, 99 underwent EH, and 48 underwent a combined procedure. No statistically significant differences were found between groups regarding complications, symptoms recurrence, or fecal incontinence. Combined procedure patients had significantly higher self-assessed improvement in QOL (P=0.04). Conclusion: In patients with symptomatic hemorrhoids, a tailored approach to symptomatic hemorrhoids is associated with high satisfaction rates and self-assessed improvement in QOL. |
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| MeSH term(s) | Humans ; Patient Satisfaction ; Hemorrhoidectomy ; Hemorrhoids/surgery ; Quality of Life ; Fecal Incontinence/etiology ; Retrospective Studies | |||||
| Language | English | |||||
| Publishing date | 2023-06-14 | |||||
| Publishing country | Germany | |||||
| Document type | Journal Article | |||||
| ZDB-ID | 1423681-3 | |||||
| ISSN | 1435-2451 ; 1435-2443 | |||||
| ISSN (online) | 1435-2451 | |||||
| ISSN | 1435-2443 | |||||
| DOI | 10.1007/s00423-023-02969-3 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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