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Randomized clinical trial of stapled haemorrhoidopexy versus conventional diathermy haemorrhoidectomy.
Br J Surg. 2002 Nov; 89(11):1376-81.BJ

Abstract

BACKGROUND

The aim of this study was to compare the results of stapled haemorrhoidopexy (commonly called stapled haemorrhoidectomy) with those of conventional diathermy haemorrhoidectomy.

METHODS

Fifty-five patients with symptomatic third- and fourth-degree haemorrhoids were randomized to either stapled haemorrhoidopexy (n = 27) or conventional diathermy haemorrhoid ectomy (n = 28). Operating time, postoperative pain, time to return to work, postoperative complications and effectiveness of haemorrhoidal symptom control were recorded. The mean follow-up was 15.9 months in the stapled haemorrhoidopexy group and 15.2 months in the conventional haemorrhoidectomy group.

RESULTS

Mean pain intensity was significantly less in the stapled group (P = 0.001). There were no significant differences in the total number of complications, the length of absence from work or control of symptoms. Seven patients in the stapled group re-presented with prolapse compared with none in the conventional haemorrhoidectomy group (P = 0.004). This difference was also observed in the subset of patients with fourth-degree haemorrhoids (P = 0.003).

CONCLUSION

The stapled operation was significantly less painful than conventional haemorrhoidectomy. However, the rate of recurrent prolapse was higher after stapled haemorrhoidopexy than after conventional diathermy haemorrhoidectomy.

Authors+Show Affiliations

Unit of Coloproctology, Department of Surgery, Hospital Virgen del Camino, Irunlarrea 4, E-31008 Pamplona, Navarra, Spain. HHORTIZ@teleline.esNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

12390376

Citation

Ortiz, H, et al. "Randomized Clinical Trial of Stapled Haemorrhoidopexy Versus Conventional Diathermy Haemorrhoidectomy." The British Journal of Surgery, vol. 89, no. 11, 2002, pp. 1376-81.
Ortiz H, Marzo J, Armendariz P. Randomized clinical trial of stapled haemorrhoidopexy versus conventional diathermy haemorrhoidectomy. Br J Surg. 2002;89(11):1376-81.
Ortiz, H., Marzo, J., & Armendariz, P. (2002). Randomized clinical trial of stapled haemorrhoidopexy versus conventional diathermy haemorrhoidectomy. The British Journal of Surgery, 89(11), 1376-81.
Ortiz H, Marzo J, Armendariz P. Randomized Clinical Trial of Stapled Haemorrhoidopexy Versus Conventional Diathermy Haemorrhoidectomy. Br J Surg. 2002;89(11):1376-81. PubMed PMID: 12390376.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Randomized clinical trial of stapled haemorrhoidopexy versus conventional diathermy haemorrhoidectomy. AU - Ortiz,H, AU - Marzo,J, AU - Armendariz,P, PY - 2002/10/23/pubmed PY - 2002/12/3/medline PY - 2002/10/23/entrez SP - 1376 EP - 81 JF - The British journal of surgery JO - Br J Surg VL - 89 IS - 11 N2 - BACKGROUND: The aim of this study was to compare the results of stapled haemorrhoidopexy (commonly called stapled haemorrhoidectomy) with those of conventional diathermy haemorrhoidectomy. METHODS: Fifty-five patients with symptomatic third- and fourth-degree haemorrhoids were randomized to either stapled haemorrhoidopexy (n = 27) or conventional diathermy haemorrhoid ectomy (n = 28). Operating time, postoperative pain, time to return to work, postoperative complications and effectiveness of haemorrhoidal symptom control were recorded. The mean follow-up was 15.9 months in the stapled haemorrhoidopexy group and 15.2 months in the conventional haemorrhoidectomy group. RESULTS: Mean pain intensity was significantly less in the stapled group (P = 0.001). There were no significant differences in the total number of complications, the length of absence from work or control of symptoms. Seven patients in the stapled group re-presented with prolapse compared with none in the conventional haemorrhoidectomy group (P = 0.004). This difference was also observed in the subset of patients with fourth-degree haemorrhoids (P = 0.003). CONCLUSION: The stapled operation was significantly less painful than conventional haemorrhoidectomy. However, the rate of recurrent prolapse was higher after stapled haemorrhoidopexy than after conventional diathermy haemorrhoidectomy. SN - 0007-1323 UR - https://www.unboundmedicine.com/medline/citation/12390376/Randomized_clinical_trial_of_stapled_haemorrhoidopexy_versus_conventional_diathermy_haemorrhoidectomy_ L2 - https://academic.oup.com/bjs/article-lookup/doi/10.1046/j.1365-2168.2002.02237.x DB - PRIME DP - Unbound Medicine ER -