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CC BY-NC-ND 4.0 · Journal of Coloproctology 2021; 41(03): 281-285
DOI: 10.1055/s-0041-1730262
Original Article

Recurrent Hemorrhoids—Efficacy, Utility and Initial Experience with the Use of Stapled Hemorrhoidopexy in Recurrent Hemorrhoids

Ajaz Ahmed Wani 
1   Department of Surgical Gastroenterology, Shri Mata Vaishno Devi Narayana Super Specialty Hospital, Kakryal, Katra, Jammu And Kashmir, India
,
Suhail Khuroo 
1   Department of Surgical Gastroenterology, Shri Mata Vaishno Devi Narayana Super Specialty Hospital, Kakryal, Katra, Jammu And Kashmir, India
,
Vikas Kumar Heer 
2   Department of Surgical Oncology, Shri Mata Vaishno Devi Narayana Super Specialty Hospital, Kakryal, Katra, Jammu And Kashmir, India
,
Saurabh Kumar Jain 
3   Department of Surgical Gastroenterology, Action Cancer Hospital, New Delhi, India
,
Deepak Rajput 
4   Department of General Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
,
Shadab Maqsood 
5   Department of Radiology, Sher I Kashmir Institute of Medical Sciences, Srinagar, Jammu And Kashmir, India
,
Altaf Malik 
6   Department of General Surgery, Government Medical College, Doda, Jammu And Kashmir, India
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Abstract

Overview Hemorrhoidal disease (HD) is a common surgical disorder. The treatment modalities can be surgical or nonsurgical. Every surgical option has its own indications and limitations. Postsurgical symptomatic recurrence rates are low and vary between different techniques. The ideal way to deal with recurrent HD is not clear.

Material and Methods The present prospective case series enrolled a total of 87 patients (54 male/33 female). Thirteen out of 87 patients (15%) had history of previous intervention for HD. A modification of the standard technique was adopted for patients with recurrent HD. A mean follow-up of 22 months was achieved.

Results Stapled hemorrhoidectomy (SD) was performed in 13 patients who had history of previous surgical intervention for HD. There were no adverse events related to the technique. Patients with recurrent HD had severe pain scores with SH as compared to patients who underwent SH at the first time. There were no wound related complications.

Conclusion Stapled hemorrhoidectomy can be performed easily and offers good results in patients with recurrent HD.

Keywords

stapled hemorrhoidectomy - conventional hemorrhoidectomy - circular anal dilator repeat stapled hemorrhoidectomy


Publication History

Received: 14 September 2020

Accepted: 18 January 2021

Article published online:
03 June 2021

© 2021. Sociedade Brasileira de Coloproctologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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