Tags

Type your tag names separated by a space and hit enter

Procedure for prolapse and hemorrhoids (PPH) with low rectal anastomosis using a PPH 03 stapler: low rate of recurrence and postoperative complications.
Int J Colorectal Dis. 2017 Dec; 32(12):1687-1692.IJ

Abstract

PURPOSE

The procedure for prolapse and hemorrhoids (PPH) has the advantage of less postoperative pain. However, serious postoperative complications have been reported after PPH, and the postoperative recurrence rate is high in comparison with conventional Milligan-Morgan hemorrhoidectomy (MMH). The purpose of this study was to evaluate PPH with low rectal anastomosis (PPH-LA) in comparison with the original PPH and MMH.

METHODS

Among a total of 1315 patients with hemorrhoids, MMH was conducted in 322, original PPH using a PPH 01 stapler (PPH01) in 63, PPH-LA using 01 (PPH-LA01) in 236, 03 (PPH-LA03) in 649, and sclerotherapy (SCL) in 45.

RESULTS

Length of hospital stay and number of working days lost were significantly greater for MMH than for any form of PPH. The rate of massive postoperative bleeding was significantly lower after PPH-LA03 than after PPH01 or PPH-LA01. No serious postoperative complications occurred after any form of PPH. A significantly higher proportion of patients complained of continued prolapse after PPH01 than after MMH, PPH-LA01, or -LA03. The 5- and 16-year postoperative cumulative recurrence rates after PPH-LA03 were significantly lower than after PPH01.

CONCLUSIONS

The postoperative cumulative recurrence rate after PPH-LA03 is as low as that after MMH for up to 16 years, and compared with the original PPH01, the effectiveness is higher and the postoperative cumulative recurrence rate for up to 16 years is significantly lower. We conclude that PPH-LA03 is a superior procedure for hemorrhoids, having less postoperative pain and a low rate of recurrence.

Authors+Show Affiliations

Health Examination Center, Fukui-ken Saiseikai Hospital, 7-1 Funabashi, Wadanaka-cho, Fukui-shi, Fukui, 918-8503, Japan. tanakajm@tanaka-hosp.jp. Department of surgery, Jihoukai Tanaka Hospital, 2-3-1 Ote, Fukui-shi, Fukui, 910-0005, Japan. tanakajm@tanaka-hosp.jp.Hide-Saito Clinic, 4-3-9 Houei, Fukui-shi, Fukui, 910-0004, Japan.Department of surgery, Fukui-ken Saiseikai Hospital, 7-1 Funabashi, Wadanaka-cho, Fukui-shi, Fukui, 918-8503, Japan.Department of surgery, Fukui-ken Saiseikai Hospital, 7-1 Funabashi, Wadanaka-cho, Fukui-shi, Fukui, 918-8503, Japan.Department of surgery, Fukui-ken Saiseikai Hospital, 7-1 Funabashi, Wadanaka-cho, Fukui-shi, Fukui, 918-8503, Japan.

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

28956135

Citation

Iida, Yoshiro, et al. "Procedure for Prolapse and Hemorrhoids (PPH) With Low Rectal Anastomosis Using a PPH 03 Stapler: Low Rate of Recurrence and Postoperative Complications." International Journal of Colorectal Disease, vol. 32, no. 12, 2017, pp. 1687-1692.
Iida Y, Saito H, Takashima Y, et al. Procedure for prolapse and hemorrhoids (PPH) with low rectal anastomosis using a PPH 03 stapler: low rate of recurrence and postoperative complications. Int J Colorectal Dis. 2017;32(12):1687-1692.
Iida, Y., Saito, H., Takashima, Y., Saitou, K., & Munemoto, Y. (2017). Procedure for prolapse and hemorrhoids (PPH) with low rectal anastomosis using a PPH 03 stapler: low rate of recurrence and postoperative complications. International Journal of Colorectal Disease, 32(12), 1687-1692. https://doi.org/10.1007/s00384-017-2908-3
Iida Y, et al. Procedure for Prolapse and Hemorrhoids (PPH) With Low Rectal Anastomosis Using a PPH 03 Stapler: Low Rate of Recurrence and Postoperative Complications. Int J Colorectal Dis. 2017;32(12):1687-1692. PubMed PMID: 28956135.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Procedure for prolapse and hemorrhoids (PPH) with low rectal anastomosis using a PPH 03 stapler: low rate of recurrence and postoperative complications. AU - Iida,Yoshiro, AU - Saito,Hideo, AU - Takashima,Yoshihiro, AU - Saitou,Kenichiro, AU - Munemoto,Yoshinori, Y1 - 2017/09/27/ PY - 2017/09/18/accepted PY - 2017/9/29/pubmed PY - 2018/7/10/medline PY - 2017/9/29/entrez KW - Milligan-Morgan hemorrhoidectomy KW - Procedure for prolapse and hemorrhoids (PPH) KW - Prolapsing hemorrhoids KW - Stapled hemorrhoidectomy KW - Stapled hemorrhoidopexy SP - 1687 EP - 1692 JF - International journal of colorectal disease JO - Int J Colorectal Dis VL - 32 IS - 12 N2 - PURPOSE: The procedure for prolapse and hemorrhoids (PPH) has the advantage of less postoperative pain. However, serious postoperative complications have been reported after PPH, and the postoperative recurrence rate is high in comparison with conventional Milligan-Morgan hemorrhoidectomy (MMH). The purpose of this study was to evaluate PPH with low rectal anastomosis (PPH-LA) in comparison with the original PPH and MMH. METHODS: Among a total of 1315 patients with hemorrhoids, MMH was conducted in 322, original PPH using a PPH 01 stapler (PPH01) in 63, PPH-LA using 01 (PPH-LA01) in 236, 03 (PPH-LA03) in 649, and sclerotherapy (SCL) in 45. RESULTS: Length of hospital stay and number of working days lost were significantly greater for MMH than for any form of PPH. The rate of massive postoperative bleeding was significantly lower after PPH-LA03 than after PPH01 or PPH-LA01. No serious postoperative complications occurred after any form of PPH. A significantly higher proportion of patients complained of continued prolapse after PPH01 than after MMH, PPH-LA01, or -LA03. The 5- and 16-year postoperative cumulative recurrence rates after PPH-LA03 were significantly lower than after PPH01. CONCLUSIONS: The postoperative cumulative recurrence rate after PPH-LA03 is as low as that after MMH for up to 16 years, and compared with the original PPH01, the effectiveness is higher and the postoperative cumulative recurrence rate for up to 16 years is significantly lower. We conclude that PPH-LA03 is a superior procedure for hemorrhoids, having less postoperative pain and a low rate of recurrence. SN - 1432-1262 UR - https://www.unboundmedicine.com/medline/citation/28956135/Procedure_for_prolapse_and_hemorrhoids__PPH__with_low_rectal_anastomosis_using_a_PPH_03_stapler:_low_rate_of_recurrence_and_postoperative_complications_ L2 - https://doi.org/10.1007/s00384-017-2908-3 DB - PRIME DP - Unbound Medicine ER -