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Purpose:
we report initial experience of stapling hemorrhoidopexy in Iran.
Shiraz E-Medical Journal
Stapled Hemorrhoidopexy, Initial Experience in Iran.
Author(s):
1Associate Professor, Colorectal Surgery, Rasoul Akram Medical Center, Department of Surgery, Iran University of Medical Sciences,
2Assistant Professor, Ziaeian Hospital, Tehran University of Medical Sciences,
3General physician, Rassoul Akram Hospital, Iran university of Medical Sciences, Tehran, Iran.
Published online:Jan 01, 2009
Article type:Research Article
Received:Jan 12, 2008
Accepted:Nov 08, 2008
How to Cite:R Azizi MM Danesh-Pageuh L Zahedi-Shoolami Stapled Hemorrhoidopexy, Initial Experience in Iran..Shiraz E-Med J.10(1):12-9.
Abstract
Methods:
Forty-nine patients with symptomatic hemorrhoids were treated in three medical centers; 29 with Procedure for Prolapse and Hemorrhoids (P.P.H) (Ethicon Endo-surgery), and 20 with Straightforward Trans Anal Mucohemorrhoidectomy (STRAM-kit) (Tyco Healthcare, Norwalk, US). Patients were prospectively evaluated for postoperative pain, anorectal functional status, morbidity and postoperative complications. The follow up period was at least 6 months.
Results:
Forty-nine patients were evaluated. The mean age of the patients was 49.3 years. There were 23(46.9%) males and 26(53.1%) females. The median duration of symptom was 7.5 years. No mortality was reported. Urinary retention was the most common complication. Three patients had delayed bleeding. Postoperative pain was classified as painless, mild, moderate and severe. 39 cases (79.6%) had a mild to moderate pain relieved by an Acetaminophen tablet or NSAID. Thirty-six patients (73.5%) were fully satisfied with the operation result. All patients except one (99%) had returned to their normal functional life and their normal activity within 48 hours post-operation.
Conclusion:
Stapled hemorrhoidopexy is a safe effective procedure with low complication, minimal postoperative pain and early recovery.
Copyright
© 2009, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.
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