Our findings indicate an acceptable complication rate among a group of surgeons beginning to integrate this modality into clinical practice. Stapled hemorrhoidectomy (SH), a new approach to the treatment of hemorrhoids, removes a circumferential strip of mucosa about four centimeters above the dentate line. This data suggests that stapled hemorrhoidectomy is a safe and effective approach to hemorrhoidal disease. No additional complications were discovered at follow-up. Postoperative follow-up was available for over 90 per cent of the patients at a median of 4 weeks postoperatively.
One patient experienced urinary retention that resolved with conservative management. The second patient was subsequently found to have a bleeding diverticulum. How is this procedure performed Staple haemorrhoidectomy is performed following these steps. The first patient was admitted overnight and required no blood transfusion or further intervention. One patient experienced bleeding the first evening, and the second patient had bleeding 1 week postoperatively. Two patients reported postoperative bleeding. Postoperative pain, defined as requiring pain control with intravenous medication, hospital admission, or an emergency department visit, occurred in two patients. There was one death unrelated to the hemorrhoid surgery. Sixty-two patients underwent this operation, and complications were reported in six patients (10%). Postoperative factors included complications and date of last follow-up. Operative factors examined included operating time, use of perioperative antibiotics, and oversewing of the suture line. Medical records from 62 patients treated by. Our purpose was to assess the safety and early post-op results of this new surgical technique as it was introduced into clinical practice. Preoperative factors assessed included demographics, comorbidities, prior anorectal surgery, hemorrhoid grade, and the indications for surgery. Treatment of hemorrhoids may safely be accomplished by using a circular stapler instead of the conventional open procedure for large symptomatic hemorrhoids. Medical records from 62 patients treated by circumferential mucosectomy/stapled hemorrhoidectomy were obtained from 6 surgeons.
Treatment of hemorrhoids may safely be accomplished by using a circular stapler instead of the conventional open procedure for large symptomatic hemorrhoids.