Tags

Type your tag names separated by a space and hit enter

[Results two years after stapler hemorrhoidectomy versus Milligan-Morgan procedure].
Zentralbl Chir. 2002 Jan; 127(1):9-14.ZC

Abstract

The aim of this investigation was to demonstrate possible advantages of stapler hemorrhoidectomy in comparison to the Milligan-Morgan procedure. 96 patients with an average age of 54 years were treated in a two year period (7/1998-8/2000) by stapler hemorrhoidectomy. The complication rate was 12.5 % and included one mechanical stapler defect, two cases of bleeding, five cases of urinary retention and four of perianal edema. The use of analgesics was small with 70 % requiring no medication at all. Hospitalisation post-operatively was 3.3 days with patients under 65 years old and 4.7 days in those over 65 years. These data were compared retrospectively to that of Milligan-Morgan hemorrhoidectomy (214 patients) performed between January 1990-December 1997. The stapler patients had less pain, fewer complications and shorter hospitalisation. Using a questionnaire, all stapler patients and 50 Milligan-Morgan controls were evaluated. 78 % responded at 13.8 months after stapler hemorrhoidectomy, 63 % 54.1 months after Milligan-Morgan. The degree of satisfaction was high in both groups (93 vs 94 %). One patient in the Milligan-Morgan group suffered a recurrence. No further symptoms had been experienced by 57 % after stapler, 68 % after Milligan-Morgan procedure. Faecal continence represents a problem in the stapler group. Stapler hemorrhoidectomy is an effective treatment for IIIrd degree hemorrhoids. In comparison to the Milligan-Morgan procedure, it has advantages in the early post-operative period. Defecation problems can occur with an unknown prognosis. Without long-term results and because of the comparatively high cost of the procedure the indication for stapler hemorrhoidectomy should be carefully made.

Authors+Show Affiliations

Chirurgische Klinik, St. Martinus-Hospital gGmbH, Olpe. chirurg.oe@t-online.deNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

ger

PubMed ID

11889631

Citation

Ebert, K-H, and H J. Meyer. "[Results Two Years After Stapler Hemorrhoidectomy Versus Milligan-Morgan Procedure]." Zentralblatt Fur Chirurgie, vol. 127, no. 1, 2002, pp. 9-14.
Ebert KH, Meyer HJ. [Results two years after stapler hemorrhoidectomy versus Milligan-Morgan procedure]. Zentralbl Chir. 2002;127(1):9-14.
Ebert, K. H., & Meyer, H. J. (2002). [Results two years after stapler hemorrhoidectomy versus Milligan-Morgan procedure]. Zentralblatt Fur Chirurgie, 127(1), 9-14.
Ebert KH, Meyer HJ. [Results Two Years After Stapler Hemorrhoidectomy Versus Milligan-Morgan Procedure]. Zentralbl Chir. 2002;127(1):9-14. PubMed PMID: 11889631.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Results two years after stapler hemorrhoidectomy versus Milligan-Morgan procedure]. AU - Ebert,K-H, AU - Meyer,H J, PY - 2002/3/13/pubmed PY - 2002/4/25/medline PY - 2002/3/13/entrez SP - 9 EP - 14 JF - Zentralblatt fur Chirurgie JO - Zentralbl Chir VL - 127 IS - 1 N2 - The aim of this investigation was to demonstrate possible advantages of stapler hemorrhoidectomy in comparison to the Milligan-Morgan procedure. 96 patients with an average age of 54 years were treated in a two year period (7/1998-8/2000) by stapler hemorrhoidectomy. The complication rate was 12.5 % and included one mechanical stapler defect, two cases of bleeding, five cases of urinary retention and four of perianal edema. The use of analgesics was small with 70 % requiring no medication at all. Hospitalisation post-operatively was 3.3 days with patients under 65 years old and 4.7 days in those over 65 years. These data were compared retrospectively to that of Milligan-Morgan hemorrhoidectomy (214 patients) performed between January 1990-December 1997. The stapler patients had less pain, fewer complications and shorter hospitalisation. Using a questionnaire, all stapler patients and 50 Milligan-Morgan controls were evaluated. 78 % responded at 13.8 months after stapler hemorrhoidectomy, 63 % 54.1 months after Milligan-Morgan. The degree of satisfaction was high in both groups (93 vs 94 %). One patient in the Milligan-Morgan group suffered a recurrence. No further symptoms had been experienced by 57 % after stapler, 68 % after Milligan-Morgan procedure. Faecal continence represents a problem in the stapler group. Stapler hemorrhoidectomy is an effective treatment for IIIrd degree hemorrhoids. In comparison to the Milligan-Morgan procedure, it has advantages in the early post-operative period. Defecation problems can occur with an unknown prognosis. Without long-term results and because of the comparatively high cost of the procedure the indication for stapler hemorrhoidectomy should be carefully made. SN - 0044-409X UR - https://www.unboundmedicine.com/medline/citation/11889631/[Results_two_years_after_stapler_hemorrhoidectomy_versus_Milligan_Morgan_procedure]_ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-2002-20224 DB - PRIME DP - Unbound Medicine ER -