Day case stapled haemorrhoidopexy for prolapsing haemorrhoids

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
G C BeattieM A Loudon

Abstract

Conventional surgical management of prolapsing haemorrhoids is by excisional haemorrhoidectomy. Postoperative pain has restricted the application of such procedures in the day case setting. These operations remain associated with a period of restricted activity. The use of circular stapling devices as an alternative to the excisional approach in the management of haemorrhoids has been described. This study reports our experience of stapled haemorrhoidopexy as a day case procedure. Patients with third or fourth degree haemorrhoids were eligible for the procedure. Patients were considered suitable candidates for day case surgery based on conventional parameters. Symptoms were assessed using a previously validated symptom severity rating score. Stapled haemorrhoidopexy was carried out using a circular stapling device. Pain scores were obtained prior to discharge. Patients were admitted if pain was uncontrolled despite oral analgesia. Symptoms were re-scored at six-week follow-up. Over a 70-month period 168 consecutive stapled haemorrhoidopexies were performed or directly supervised by one consultant colorectal surgeon. One hundred and ten (65%) patients were considered appropriate candidates for day case surgery by conventional cr...Continue Reading

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May 1, 2000·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland· Beattie, Loudon

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Citations

Aug 2, 2008·Diseases of the Colon and Rectum·Pasquale GiordanoLashan Peiris
Jun 21, 2006·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·S R BrownP Dobbs
Apr 17, 2007·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·S SlawikA R Dixon
Jun 19, 2007·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·A J G Miles, A J Dunkley
Apr 4, 2008·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·J S KnightM J Lamparelli
Feb 19, 2009·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·F AignerH Gruber
Jul 3, 2010·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·I WhiteR Greenberg
Aug 13, 2011·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·L A Hidalgo GrauX Suñol Sala
Nov 26, 2009·World Journal of Gastroenterology : WJG·Ali Dogan BozdagVedat Deniz
Mar 22, 2016·Cirugía española·Luis Antonio Hidalgo GrauXavier Suñol Sala
Nov 28, 2014·International Journal of Colorectal Disease·B Vinson-BonnetL Siproudhis
May 23, 2016·Journal of Visceral Surgery·T HigueroB Vinson-Bonnet
Oct 6, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Pierpaolo SileriAchille Lucio Gaspari
Jan 22, 2008·Diseases of the Colon and Rectum·Dennis RaahaveIb K Pedersen
Mar 14, 2007·Cirugía española·Cristóbal ZaragozáCarlos Redondo Cano
Mar 8, 2011·Asian Journal of Surgery·Pik Yan ChanMichael Ka Wah Li

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