Article: Stapler-Hämorrhoidektomie versus plastisch-rekonstruktive Verfahren - OP-Verfahren im klinischen Vergleich -
2002 Volume 127, Issue 1, Page(s) 15–18
Abstract: Stapled Hemorrhoidectomy is when correctly indicated an easy feasible operative procedure for prolapsing internal hemorrhoids with or without a mucosal prolapse offering benefits to the patient. From July 1998 to October 2000 we treated 152 patients with ...
Title translation | Stapler hemorrhoidectomy versus conventional procedures - a clinical study. |
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Abstract | Stapled Hemorrhoidectomy is when correctly indicated an easy feasible operative procedure for prolapsing internal hemorrhoids with or without a mucosal prolapse offering benefits to the patient. From July 1998 to October 2000 we treated 152 patients with a mean age of 52 (24-91) years for hemorrhoids within this study. We compared 72 patients, treated with stapled hemorrhoidectomy according to Koblandin-Longo with 80 patients who underwent a "conventional" reconstructive operation (Parks or Fansler-Arnold). All resected material was histopathologically examined. With stapler hemorrhoidectomy we found on average shorter operation times (22 vs. 53 min, p < 0.01), shorter hospitalisation (3 vs. 6.1 d, p < 0.01), significantly less postoperative pain (VAS 0-10: 1.83 vs. 3.70, p < 0.01) and fewer cumulative requests for analgesia by the patients (0.92 vs. 3.11 single doses, p < 0.01). The complication rate was 4 % in the stapler group and 11 % in the conventional group. Stapled hemorrhoidectomy was carried out only in patients with 3 degrees hemorrhoids with or without mucosal prolapse. The conventional group consisted of patients with 3 degrees prolapsing or 4 degrees fixated external hemorrhoids. Although very promising results are actually described with stapler hemorrhoidectomy, the established conventional reconstructive operations should be continued until long-term results are published. |
MeSH term(s) | Adult ; Aged ; Aged, 80 and over ; Female ; Follow-Up Studies ; Hemorrhoids/surgery ; Humans ; Length of Stay ; Male ; Middle Aged ; Outcome and Process Assessment (Health Care) ; Pain, Postoperative/etiology ; Postoperative Complications/etiology ; Rectal Prolapse/surgery ; Surgical Staplers |
Language | German |
Publishing date | 2002-01 |
Publishing country | Germany |
Document type | Comparative Study ; English Abstract ; Journal Article |
ZDB-ID | 200935-3 |
ISSN | 1438-9592 ; 0044-409X |
ISSN (online) | 1438-9592 |
ISSN | 0044-409X |
DOI | 10.1055/s-2002-20226 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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