PPH03 stapled hemorrhoidopexy: our experience

Techniques in Coloproctology
Y K LimC L Tang

Abstract

Stapled hemorrhoidopexy is an established treatment for hemorrhoidal disease. We evaluated our experience with stapled hemorrhoidopexy using the new Procedure for Prolapse and Hemorrhoids (PPH03) Proximate HCS hemorrhoidal circular stapler (Ethicon Endo-Surgery). We retrospectively reviewed clinical data for 238 patients who had undergone stapled hemorrhoidopexy in our department over a 2-month period. Patients were followed-up for a median of 3.5 weeks (range, 1-11 weeks) and were analyzed for complications and resolution of symptoms. The hemorrhoids treated were third- and fourth-degree, as well as second degree (after failure of other therapies). Mean duration of surgery was 12.7 minutes (range, 5-20 minutes) and the majority of patients was treated with an ambulatory procedure. Most patients were discharged within 6 hours after surgery. On follow-up, 3.7% of patients had minor complaints after surgery. Technically, the new PPH03 stapler device has a quickclose knob, which allows rapid opening and closing. The closed staple height of 0.75 mm increases staple line compression on tissue and key blood vessels, hence minimizing bleeding. Prior to this, stapled hemorrhoidopexy was done using the PPH01 device. Stapled hemorrhoidop...Continue Reading

Citations

Sep 29, 2011·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·S FestenM F Gerhards
Apr 3, 2008·ANZ Journal of Surgery·Kheng-Hong NgKong-Weng Eu
Nov 28, 2014·International Journal of Colorectal Disease·B Vinson-BonnetL Siproudhis
Jan 17, 2015·International Surgery·Liesel J PorrettYik-Hong Ho
Nov 16, 2018·Techniques in Coloproctology·T C DuQ Meng
Mar 31, 2017·Gastroenterology Research and Practice·Zhe Fan, Yingyi Zhang

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