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The safety and efficacy of stapled hemorrhoidectomy in the treatment of hemorrhoids: a systematic review and meta-analysis of ten randomized control trials.
Int J Colorectal Dis. 2006 Mar; 21(2):172-8.IJ

Abstract

AIMS

The objective of this study was to compare the safety and efficacy outcomes of stapled hemorrhoidectomy (PPH) with Milligan-Morgan hemorrhoidectomy (MMH) in the treatment of severe hemorrhoids.

METHODS

A meta-analysis pooled the effects of the safety and efficacy outcomes on PPH, and MMH in ten randomized control trials was presented using a fixed effects model or a random effects model (via RevMan Version 4.2).

RESULTS

There was reasonably clear evidence in favor of PPH for operating time, length of hospital stay, pain, anal discharge, and patient satisfaction. However, skin tags and prolapse occurred at higher rates in the PPH group. PPH was not more superior than MMH as to postoperative bleeding, urinary retention, difficulty in defecating, anal fissure and stenosis, sphincter damage, resumption of normal activities, incontinence, pruritus, anal resting and squeeze pressures, and analgesia.

CONCLUSIONS

PPH may be at least as safe as MMH. However, the efficacy of PPH compared with MMH could not be determined absolutely. More rigorous studies with longer follow-up periods and larger sample sizes need to be conducted.

Authors+Show Affiliations

Department of Gastrointestinal Surgery, First Affiliated Hospital, Sun Yat-Sen University, 58 Zhongshan Road II, Guangzhou, 510080, People's Republic of China. lpzm@yahoo.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Meta-Analysis
Review
Systematic Review

Language

eng

PubMed ID

15971065

Citation

Lan, Ping, et al. "The Safety and Efficacy of Stapled Hemorrhoidectomy in the Treatment of Hemorrhoids: a Systematic Review and Meta-analysis of Ten Randomized Control Trials." International Journal of Colorectal Disease, vol. 21, no. 2, 2006, pp. 172-8.
Lan P, Wu X, Zhou X, et al. The safety and efficacy of stapled hemorrhoidectomy in the treatment of hemorrhoids: a systematic review and meta-analysis of ten randomized control trials. Int J Colorectal Dis. 2006;21(2):172-8.
Lan, P., Wu, X., Zhou, X., Wang, J., & Zhang, L. (2006). The safety and efficacy of stapled hemorrhoidectomy in the treatment of hemorrhoids: a systematic review and meta-analysis of ten randomized control trials. International Journal of Colorectal Disease, 21(2), 172-8.
Lan P, et al. The Safety and Efficacy of Stapled Hemorrhoidectomy in the Treatment of Hemorrhoids: a Systematic Review and Meta-analysis of Ten Randomized Control Trials. Int J Colorectal Dis. 2006;21(2):172-8. PubMed PMID: 15971065.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The safety and efficacy of stapled hemorrhoidectomy in the treatment of hemorrhoids: a systematic review and meta-analysis of ten randomized control trials. AU - Lan,Ping, AU - Wu,Xjiaojian, AU - Zhou,Xuyu, AU - Wang,Jianping, AU - Zhang,Longjuan, Y1 - 2005/06/22/ PY - 2005/04/27/accepted PY - 2005/6/23/pubmed PY - 2006/12/9/medline PY - 2005/6/23/entrez SP - 172 EP - 8 JF - International journal of colorectal disease JO - Int J Colorectal Dis VL - 21 IS - 2 N2 - AIMS: The objective of this study was to compare the safety and efficacy outcomes of stapled hemorrhoidectomy (PPH) with Milligan-Morgan hemorrhoidectomy (MMH) in the treatment of severe hemorrhoids. METHODS: A meta-analysis pooled the effects of the safety and efficacy outcomes on PPH, and MMH in ten randomized control trials was presented using a fixed effects model or a random effects model (via RevMan Version 4.2). RESULTS: There was reasonably clear evidence in favor of PPH for operating time, length of hospital stay, pain, anal discharge, and patient satisfaction. However, skin tags and prolapse occurred at higher rates in the PPH group. PPH was not more superior than MMH as to postoperative bleeding, urinary retention, difficulty in defecating, anal fissure and stenosis, sphincter damage, resumption of normal activities, incontinence, pruritus, anal resting and squeeze pressures, and analgesia. CONCLUSIONS: PPH may be at least as safe as MMH. However, the efficacy of PPH compared with MMH could not be determined absolutely. More rigorous studies with longer follow-up periods and larger sample sizes need to be conducted. SN - 0179-1958 UR - https://www.unboundmedicine.com/medline/citation/15971065/The_safety_and_efficacy_of_stapled_hemorrhoidectomy_in_the_treatment_of_hemorrhoids:_a_systematic_review_and_meta_analysis_of_ten_randomized_control_trials_ L2 - https://doi.org/10.1007/s00384-005-0786-6 DB - PRIME DP - Unbound Medicine ER -