Stapled hemorrhoidectomy for the treatment of hemorrhoids
Arq. gastroenterol
;
40(1): 35-39, Jan.-Mar. 2003. tab
Artigo
em Inglês
| LILACS
| ID: lil-347609
RESUMO
BACKGROUND:
The use of circular staplers in the treatment of hemorrhoidal disease is known as a simple procedure, with low morbidity, less post-treatment pain and with the same efficacy when compared to the classical hemorrhoidectomy.AIM:
Analyze the operative technique, intra-operative and immediate postoperative complications and late results in 100 patients treated for hemorrhoid disease by stapling technique. PATIENTS ANDMETHODS:
The group included 53 males and 47 females with mean age of 49.8 years, operated during the period June 2000 to June 2002 in the "Hospital Universitário" (São Paulo University Hospital) and "Hospital Sírio Libanês", in São Paulo, SP, Brazil.RESULTS:
The majority of patients (78 percent) were discharged on the first post-operative day. Eight patients required supplementary analgesia and were given intramuscular diclofenac sodium and four of them received intramuscular tramadol. One intraoperative complication was bleeding which was difficult to control and required a blood transfusion. One patient was reoperated on the first postoperative day due to intermittent and persistent bleeding, however without hemodynamic changes or a drop in hematocrit. Two patients presented hemorrhoidal thrombosis in the early postoperative stage. The postoperative follow-up displayed recurrence of prolapse, five cases (5 percent); anal sub-stenosis, two cases (2 percent); anal fissure, one case (1 percent); persistent pain, two cases (2 percent). Seven reoperations were performed one due to bleeding, one due to sub-stenosis and five due to recurrence of hemorrhoidal prolapse and persistence of symptoms.CONCLUSIONS:
Stapling is simple to accomplish, has low postoperative pain and rate of complications, however, the incidence of late reoperations is rather high and therefore major follow-up for better analysis is required.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Grampeamento Cirúrgico
/
Hemorroidas
Limite:
Adulto
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Arq. gastroenterol
Assunto da revista:
Gastroenterologia
Ano de publicação:
2003
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Hospital Sírio Libanês/BR
/
São Paulo University Medical School/BR
/
University of São Paulo/BR
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