PPH for Hemorrhoids: Con

Sonia L. Ramamoorthy; Julio Garcia-Aguilar

doi:10.1055/s-2004-815617

Clinics in Colon and Rectal Surgery, Table of Contents

Clin Colon Rectal Surg 2003; 16(4): 255-258
DOI: 10.1055/s-2004-815617

PPH for Hemorrhoids: Con

Sonia L. Ramamoorthy, Julio Garcia-Aguilar

Section of Colon and Rectal Surgery, University of California, San Francisco, UCSF Medical Center, San Francisco, California

Abstract

ABSTRACT

Pain and prolonged postoperative recovery following excisional hemorrhoidectomy have motivated surgeons to search for alternative methods of treating patients with symptomatic hemorrhoidal disease. Stapled hemorrhoidectomy is a relatively new procedure to treat patients suffering from grade 2 to 4 hemorrhoids. It is reported to have less postoperative pain and shorter recovery time than traditional interventions. However, at present there is minimal evidence to support its use as first-line therapy, and long-term efficacy and safety data are lacking.

KEYWORDS

Stapled hemorrhoidectomy - procedure for prolapsing hemorrhoids - Longo technique

Full Text

References

REFERENCES

1 Sutherland L M, Burchard A K, Matsuda K. et al . A systematic review of stapled hemorrhoidectomy. Arch Surg . 2002; 137 1395-1406
2 Corman M L, Gravie J F, Hager T. et al . Stapled haemorrhoidopexy: a consensus position paper by an international working party-indications, contra-indications and technique. J Colorectal Dis . 2003; 5 304-310
3 Arnaud J-P, Pessaux P, Huten N. et al . Treatment of hemorrhoids with circular stapler, a new alternative to conventional methods: a prospective study of 140 patients. J Am Coll Surg . 2001; 193 161-165
4 Larach S, Cataldo T E, Beck D E. Nonoperative treatment of hemorrhoidal disease. In: Hicks TC, Beck DE, Opelka FG, Timmcke A, eds. Complications of Colon and Rectal Surgery Baltimore, MD: Williams & Wilkins Publishers 1997: 173-180
5 Moesgaard F, Nielsen M L, Hansen J B, Knudsen J T. High fiber reduces bleeding and pain in patients with hemorrhoids: a double-blind trial of Vi-siblin. Dis Colon Rectum . 1982; 25 454
6 Sardinha T C, Corman M L. Hemorrhoids. Surg Clin N Am . 2002; 82 1-11
7 Komborozos V A, Skrekas G J, Pissiotis C A. Rubber band ligation of symptomatic hemorrhoids: results of 500 cases. Dig Surg . 2000; 17 71-76
8 Savioz D, Roche B, Glauser T, Dobrinov A, Ludwig C, Marti M C. Rubber band ligation of hemorrhoids: relapse as a function of time. Int J Colorectal Dis . 1998; 13 154-156
9 MacRae H M, McLeod R S. Comparison of hemorrhoidal treatments: a meta-analysis. Can J Surg . 1997; 40 14-17
10 Peng B C, Jayne D G, Ho Y-H. Randomized trial of rubber band ligation versus stapled hemorrhoidectomy for prolapsed piles. Dis Colon Rectum . 2003; 46 291-297
11 Ganio E, Altomare D F, Gabrielli F, Milito G, Canuti S. Prospective randomized multicentre trial comparing stapled with open haemorrhoidectomy. Br J Surg . 2001; 88 669-674
12 Wilson M S, Pope V, Doran H E, Fearn S J, Brough W A. Objective comparison of stapled anopexy and open hemorrhoidectomy: a randomized, control trial. Dis Colon Rectum . 2002; 45 1437-1444
13 Singer M A, Cintron J R, Fleshman J W. et al . Early experience with stapled hemorrhoidectomy in the United States. Dis Colon Rectum . 2002; 45 360-367
14 Haysseen T K, Luchtefeld M A, Senagore A J. Limited hemorrhoidectomy: results and long-term follow-up. Dis Colon Rectum . 1999; 42 909-914
15 Cheetham M J, Mortensen N J, Nystrom P O, Kamm M A, Phillips R K. Persistent pain and faecal urgency after stapled hemorrhoidectomy. Lancet . 2000; 356 730-733
16 Molloy R G, Kingsmore D. Life-threatening sepsis after stapled hemorrhoidectomy. Lancet . 2000; 355 810
17 Wong L-Y, Jiang J-K, Chang S-C, Lin J K. Rectal perforation: a life threatening complication of stapled hemorrhoidectomy: case report. Dis Colon Rectum . 2003; 46 116-117
18 Maw A, Eu K-W, Seow-Choen F. et al . Retroperitoneal sepsis complicating stapled hemorrhoidectomy: report of a case and review of the literature. Dis Colon Rectum . 2002; 45 826-828
19 Racalbuto A, Alliotta I, Corsaro G. et al . Hemorrhoidal stapler prolapsectomy vs Milligan-Morgan hemorrhoidectomy: a long-term randomized trial. Available at www.springlink.com. Accessed November 7, 2003. Int J Colorectal Dis . 2003; 45
20 Bleday R, Pena J P, Rothenberger D A, Goldberg S M, Buls J G. Symptomatic hemorrhoids: current incidence and complications of operative therapy. Dis Colon Rectum . 1992; 35 477-481