Early and late complications of stapled haemorrhoidopexy: a 6-year experience from a single surgical clinic.

Abstract:

PURPOSE:Introduction of stapled hemorrhoidopexy (SH) brought a radical change in the treatment of haemorrhoidal disease. The aim of this study is to evaluate the results and the complications (early and late) from the use of this technique. METHODS:During the last 6 years (2005-2011), 123 patients underwent a SH in our ward. Our sample consists of 79 male and 44 female patients with an average age of 48.2 years (range 22-83 years). Of them, 83 had third-degree haemorrhoidal disease, 34 had fourth-degree and 6 had second-degree bleeding haemorrhoids. The follow-up period was 6-72 months. RESULTS:Pain was minimal or even not existent. Additional sutures or use of adrenaline 1:200.000 for haemostasis were required in 6 patients (4.8%). The bleeding has been diminished with the use of this new haemorrhoidectomy stapler PPH03. Urinary retention, which was observed in 3 patients (2.4%), was temporary and the use of catheter was not needed. As a late complication, 'faecal urgency' occurred in 8 patients (6.5%), and disappeared after some months. No recurrent haemorrhoidal disease occurred. No cases of chronic pain were reported. Average hospital stay was 1 day, except for 2 patients who remained for 2 days for bleeding observation. CONCLUSIONS:The correct application of SH reduces the possible complications. The advantages of the stapled procedure are reduced postoperative pain, the minimal hospital stay and early return to work.

journal_name

Tech Coloproctol

authors

Grigoropoulos P,Kalles V,Papapanagiotou I,Mekras A,Argyrou A,Papageorgiou K,Derian A

doi

10.1007/s10151-011-0739-8

subject

Has Abstract

pub_date

2011-10-01 00:00:00

pages

S79-81

eissn

1123-6337

issn

1128-045X

journal_volume

15 Suppl 1

pub_type

杂志文章
  • Excision and marsupialization versus sinus excision for the treatment of limited chronic pilonidal disease: a prospective, randomized trial.

    abstract::The treatment techniques for pilonidal disease are either associated with high recurrence rates or complex procedures. This prospective randomized study compared the outcome of excision and marsupialization technique with sinus excision technique. A total of 40 consecutive patients with limited, chronic pilonidal sinu...

    journal_title:Techniques in coloproctology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/s101510200037

    authors: Oncel M,Kurt N,Kement M,Colak E,Eser M,Uzun H

    更新日期:2002-12-01 00:00:00

  • Emergency operation in carcinomas of the left colon: value of Hartmann's procedure.

    abstract:BACKGROUND:Colonic resection according to the procedure by Hartmann is considered a fast and safe surgical intervention, which has been used for years, in particular, in emergency situations. METHODS:Using data of a prospective multicentre study on the operative treatment of colorectal carcinoma over the time period f...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s10151-004-0164-3

    authors: Meyer F,Marusch F,Koch A,Meyer L,Führer S,Köckerling F,Lippert H,Gastinger I,German Study Group \Colorectal Carcinoma (Primary Tumor)\.

    更新日期:2004-11-01 00:00:00

  • Transanal single-port laparoscopic total mesorectal excision in the treatment of rectal cancer.

    abstract::Our objective was to report of our first experience with transanal total mesorectal excision (TME) of rectal cancer using single-port equipment, a pure natural orifice transluminal endoscopic surgery (NOTES) procedure, and to discuss the advantages and disadvantages of the technique. A patient with rectal cancer was s...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-012-0882-x

    authors: Zhang H,Zhang YS,Jin XW,Li MZ,Fan JS,Yang ZH

    更新日期:2013-02-01 00:00:00

  • Anal dilatation versus left lateral sphincterotomy for chronic anal fissure: a prospective randomized study.

    abstract::BACKGROUND: Several surgical methods are accepted for the treatment of chronic anal fissure. The most popular are anal dilatation (AD) and left lateral sphincterotomy (LLS). The objective of the current study was to prospectively evaluate the results of these two procedures in terms of recurrence rate, complications a...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-007-0373-7

    authors: Ram E,Vishne T,Lerner I,Dreznik Z

    更新日期:2007-12-03 00:00:00

  • Long-term outcomes of biological mesh repair following extra levator abdominoperineal excision of the rectum: an observational study of 100 patients.

    abstract:BACKGROUND:Current evidence suggests that pelvic floor reconstruction following extralevator abdominoperineal excision of rectum (ELAPER) may reduce the risk of perineal herniation of intra-abdominal contents. Options for reconstruction include mesh and myocutaneous flaps, for which long-term follow-up data is lacking....

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-019-02056-0

    authors: Thomas PW,Blackwell JEM,Herrod PJJ,Peacock O,Singh R,Williams JP,Hurst NG,Speake WJ,Bhalla A,Lund JN

    更新日期:2019-08-01 00:00:00

  • Effectiveness of endosponge therapy for the management of presacral abscesses following rectal surgery.

    abstract:BACKGROUND:Anastomotic leak after rectal surgery is reported in 9% (range 3-28%) of patients. The aim of our study was to evaluate the effectiveness of endosponge therapy for anastomotic. Endpoints were the rate of restored continuity and the functional bowel outcome after anastomotic leakage. METHODS:This was a multi...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s10151-019-02007-9

    authors: Huisman JF,van Westreenen HL,van der Wouden EJ,Vasen HFA,de Graaf EJR,Doornebosch PG,Tang TJ,Schot I,Brohet RM,de Vos Tot Nederveen Cappel WH,Vermaas M

    更新日期:2019-06-01 00:00:00

  • Large bowel obstruction in women with pelvic malignancies. What is the primary?

    abstract:BACKGROUND:Large bowel obstruction is occasionally the mode of presentation of advanced colorectal or pelvic malignancies, and a prognostic of poor survival. The choices of treatment range from palliative tube decompression to curative or palliative surgery. METHODS:Twelve out of 500 women with various malignancies an...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-004-0127-8

    authors: Papapolychroniadis C,Kaimakis D,Giannoulis K,Berovalis P,Fotiadis P,Maidatsi P,Zaralidou A,Kokkonis G,Papakonstantinou P,Giala M,Harlaftis N

    更新日期:2004-11-01 00:00:00

  • Ligation of the intersphincteric fistula tract (LIFT) to treat anal fistula: early results from a prospective observational study.

    abstract:BACKGROUND:Ligation of the intersphincteric tract (LIFT), a novel sphincter-saving technique, has been recently described with promising results. Literature data are still scant. In this prospective observational study, we present our experience with this technique. METHODS:Between October 2010 and April 2011, 18 pati...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-011-0779-0

    authors: Sileri P,Franceschilli L,Angelucci GP,D'Ugo S,Milito G,Cadeddu F,Selvaggio I,Lazzaro S,Gaspari AL

    更新日期:2011-12-01 00:00:00

  • Malone appendicostomy: an unexpected complication.

    abstract::The Malone appendicostomy is a novel option for surgical management of faecal incontinence and chronic constipation, by permitting the administration of antegrade colonic enemas for colonic evacuation. We report the case of a 54-year-old female who had undergone abdomino perineal resection for low rectal cancer follow...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-010-0672-2

    authors: Abbes Orabi N,Paterson HM,Goncette L,Danse E,Saey JP,Kartheuser A

    更新日期:2011-03-01 00:00:00

  • Appendicular intussusception into a polyp.

    abstract::Intussusception of the appendix is a rare condition. We present the case of a 72-year-old woman with multiple polyps in the colon with an appendix completely intussuscepted into a polyp within the caecum. The clinical features, preoperative diagnosis, classification and treatment of this condition are discussed with r...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-004-0068-2

    authors: Mathew J,Aldean IM,Ghafar FA,Haboubi NY

    更新日期:2004-08-01 00:00:00

  • The management of rectal cancer with synchronous liver metastases: a modern surgical dilemma.

    abstract:INTRODUCTION:One in ten patients with rectal cancer presents with synchronous colorectal liver metastases. We present an up-to-date review of the different surgical strategies available for rectal cancer patients with synchronous colorectal liver metastases. METHOD:A literature review of MEDLINE, Cochrane and Google s...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章,评审

    doi:10.1007/s10151-012-0888-4

    authors: Slesser AA,Bhangu A,Brown G,Mudan S,Tekkis PP

    更新日期:2013-02-01 00:00:00

  • Serotonin receptors and their role in the pathophysiology and therapy of irritable bowel syndrome.

    abstract:BACKGROUND:Irritable bowel syndrome (IBS) is a functional disorder of the gastrointestinal tract characterized by abdominal discomfort, pain and changes in bowel habits, often associated with psychological/psychiatric disorders. It has been suggested that the development of IBS may be related to the body's response to ...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章,评审

    doi:10.1007/s10151-013-1106-8

    authors: Stasi C,Bellini M,Bassotti G,Blandizzi C,Milani S

    更新日期:2014-07-01 00:00:00

  • Identification of anastomotic leakage after colorectal surgery using microdialysis of the peritoneal cavity.

    abstract:BACKGROUND:Early detection of colorectal anastomotic leakage (AL) may lead to better outcome. AL may be preceded by change in local metabolism and local ischaemia. Microdialysis of the peritoneal cavity is able to measure these changes in real-time and is minimally invasive. The aim of this prospective cohort study was...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-013-1020-0

    authors: Daams F,Wu Z,Cakir H,Karsten TM,Lange JF

    更新日期:2014-01-01 00:00:00

  • Contemporary surgical practice in the management of anal fistula: results from an international survey.

    abstract:BACKGROUND:Management of anal fistula (AF) remains challenging with many controversies. The purpose of this study was to explore current surgical practice in the management of AF with a focus on technical variations among surgeons. METHODS:An online survey was conducted by inviting all surgeons and physicians on the m...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-019-02051-5

    authors: Ratto C,Grossi U,Litta F,Di Tanna GL,Parello A,De Simone V,Tozer P,DE Zimmerman D,Maeda Y

    更新日期:2019-08-01 00:00:00

  • Laparoscope-assisted anal sphincter-preserving operation preceded by transanal procedure.

    abstract:BACKGROUND:Transanal intersphincteric resection (ISR) was introduced and has been increasingly performed as an ultimate surgical treatment for extremely low rectal cancer. We considered that high quality and less invasive surgery could be achieved if ISR and laparoscopic surgery were combined. METHODS:Between December...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-006-0243-8

    authors: Uchikoshi F,Nishida T,Ueshima S,Nakahara M,Matsuda H

    更新日期:2006-03-01 00:00:00

  • Correlation between anorectocele with the anterior anal canal and anorectal junction anatomy using echodefecography.

    abstract:BACKGROUND:The aim of this prospective study was to evaluate the relationship between the pathogenesis of anorectocele and the anatomy of the anal canal and anorectal junction using echodefecography. METHODS:The study was conducted on a total of 100 women with obstructed defecation, mean age 46.6 years, who underwent ...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-012-0805-x

    authors: Regadas FS,Lima Barreto RG,Murad-Regadas SM,Veras Rodrigues L,Pereira Oliveira LM

    更新日期:2012-04-01 00:00:00

  • Patient quality of life and short-term surgical outcomes between robotic and laparoscopic anterior resection for adenocarcinoma of the rectum.

    abstract:PURPOSE:To compare patient quality of life (QoL) and short-term surgical outcomes between robotic anterior resection (r-AR) and laparoscopic (l-AR) approach. METHODS:Consecutive patients having undergone either robotic or laparoscopic AR for adenocarcinoma were studied. All operations were performed by two surgeons ex...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-017-1631-y

    authors: Kamali D,Omar K,Imam SZ,Jha A,Reddy A,Jha M

    更新日期:2017-05-01 00:00:00

  • Is-it possible to distinguish irritable bowel syndrome with constipation from functional constipation?

    abstract:BACKGROUND:The Rome III criteria classify patients complaining of constipation into two main groups: patients with functional constipation (FC) and patients with constipation predominant irritable bowel syndrome (IBS-C). The purpose of this study was to identify differences in the intensity of symptoms and total and se...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-016-1580-x

    authors: Bouchoucha M,Devroede G,Bon C,Bejou B,Mary F,Benamouzig R

    更新日期:2017-02-01 00:00:00

  • Total rectal lumen obliteration after stapled haemorrhoidopexy: a cautionary tale.

    abstract::We describe obliteration of the rectal lumen during stapled haemorrhoidopexy in a patient with marked mucosal prolapse. The complication was recognised immediately and continuity was restored by performing a limited Delorme's procedure. The possible cause of this complication is explored and serves as a reminder that ...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-007-0382-6

    authors: Brown S,Baraza W,Shorthouse A

    更新日期:2007-12-01 00:00:00

  • Emergency and elective surgery for small bowel Crohn's disease.

    abstract::Advancements in the medical treatment of Crohn's disease have reduced the need for surgery. The indications for surgery include the failure of medical management, especially the persistence or worsening of symptoms in spite of proper treatment and complications of the disease process. These complications include intes...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-011-0728-y

    authors: Kosmidis C,Anthimidis G

    更新日期:2011-10-01 00:00:00

  • Sacrococcygeal dimensions and curvature are associated with resection quality in rectal cancer excision.

    abstract:BACKGROUND:Technical factors affect oncologic outcomes in rectal cancer surgery. The anatomy of the bony pelvis can affect technical aspects of surgery, but is seldom considered preoperatively. We performed a morphometric analysis of the bony pelvis in patients having rectal cancer resection to assess its effect on sur...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-020-02273-y

    authors: Simpson G,Marks T,Blacker S,Smith D,Walsh C

    更新日期:2020-10-01 00:00:00

  • Mass screening for colorectal cancer: compliance in Almopea Region.

    abstract::Colorectal cancer (CRC) is the second leading cause of cancer-related morbidity and mortality in Europe and the United States. Planning for a CRC screening began in co-operation with local authorities (Pella Prefecture sponsored test kits). Our aims were to develop a screening programme for colorectal cancer using the...

    journal_title:Techniques in coloproctology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/s10151-004-0154-s

    authors: Chrissidis T,Saliangas K,Economou A,Nikoloudis N,Andreadis E,Prodromou K,Georgakis K

    更新日期:2004-11-01 00:00:00

  • Laparoscopic total mesorectal excision.

    abstract::This article describes the operative technique that my colleagues and I apply to total mesorectal excision in patients with rectal cancer. A body of data support improvement of short-term outcomes over open resection. Although long-term data remain scarce, several ongoing trials may clarify this deficiency. The approp...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-012-0932-4

    authors: Khanna A

    更新日期:2013-02-01 00:00:00

  • Preoperative staging of perforated diverticulitis by computed tomography scanning.

    abstract:BACKGROUND:Treatment of perforated diverticulitis depends on disease severity classified according to Hinchey's preoperative classification. This study assessed the accuracy of preoperative staging of perforated diverticulitis by computerized tomography (CT) scanning. METHODS:All patients who presented with perforated...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-012-0853-2

    authors: Gielens MP,Mulder IM,van der Harst E,Gosselink MP,Kraal KJ,Teng HT,Lange JF,Vermeulen J

    更新日期:2012-10-01 00:00:00

  • Small bowel adenocarcinoma in Crohn's disease: a rare but devastating complication.

    abstract:BACKGROUND:Small bowel adenocarcinoma (SBA) remains a rare entity but occurs at increased frequency in the setting of chronic Crohn's disease (CD). Our aim was to study the presentation, diagnosis and prognosis of SBA in patients undergoing surgery for CD at a single institution. METHODS:We reviewed the medical record...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-020-02269-8

    authors: Hussain T,Jeganathan NA,Karagkounis G,Stocchi L,Shawki S,Holubar SD,Gordon I,Hull T,Liska D

    更新日期:2020-10-01 00:00:00

  • Rectovaginal septal repair: case presentations and introduction of a modified reconstruction technique.

    abstract::Rectovaginal fistula are a relatively rare kind of anorectal fistulas. Spontaneous healing is rare and the rectal advancement flap repair is the most popular procedure with success rates ranging between 60% and 80%. We present a new technique for repairing damage in the rectovaginal septum that consists of placing a f...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-004-0088-y

    authors: Walfisch A,Zilberstein T,Walfisch S

    更新日期:2004-11-01 00:00:00

  • Laparoscopic anterior resection.

    abstract::Laparoscopic colectomy for cancer is increasingly practiced worldwide in the last 2 decades. However, due to procedural complexity, laparoscopic rectal cancer excision had not proceeded at a similar pace. This article deals with the technique of laparoscopic anterior resection. Resection of rectosigmoid or upper recta...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-009-0557-4

    authors: Cheung HY,Chung CC,Li MK

    更新日期:2010-03-01 00:00:00

  • Percutaneous nerve evaluation based on electrode placement under control of autonomic innervation.

    abstract:BACKGROUND:Foramen needle electrode placement for percutaneous nerve evaluation (PNE) is currently carried out while observing the somatic motor response. This study investigated electrode placement while observing the autonomic as well as the somatic response. METHODS:A consecutive series of ten patients (seven women...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-014-1160-x

    authors: Kneist W,Kauff DW,Schröder M,Koch KP,Lang H

    更新日期:2014-08-01 00:00:00

  • Ultrasonographic evaluation of anal endometriosis: report of four cases.

    abstract:BACKGROUND:The presence of endometriosis in the anal canal and perianal tissues is rare and difficult to suspect at clinical examination. We report our experience with preoperative ultrasound evaluation of four cases of anal endometriosis. METHODS:Four patients were evaluated by transperineal and high-resolution three...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-014-1176-2

    authors: Kołodziejczak M,Sudoł-Szopińska I,Santoro GA,Bielecki K,Wiączek A

    更新日期:2014-11-01 00:00:00

  • Local gentamicin reduces perineal wound infection after radiotherapy and abdominoperineal resection.

    abstract:BACKGROUND:Perineal wound complications are frequently observed after abdominoperineal resection (APR) for rectal cancer, especially in preoperatively irradiated patients. This is the first study to investigate whether local application of gentamicin-impregnated collagen fleece reduces deep perineal wound infection aft...

    journal_title:Techniques in coloproctology

    pub_type: 杂志文章

    doi:10.1007/s10151-008-0440-8

    authors: de Bruin AF,Gosselink MP,Wijffels NA,Coene PP,van der Harst E

    更新日期:2008-12-01 00:00:00