The incidence of surgical complications by Ferguson's technique was 3.5% - stenosis (1.7%), bleeding (0.6%), worsening of anal hypotonia (0.6%) and sepsis (0.6%). The incidence of surgical complications by Milligan-Morgan technique was 3.0% - stenosis (1.9%), bleeding (1.9%), worsening of anal hypotonia (0.2%) and systemic complications (0.04%). The overall incidence of surgical complications was 3.0% (87 cases): anal stenosis (1.8%), bleeding (0.8%), worsening of anal hypotonia (0.2%), sepsis (0.1%) and systemic complications (0.1%), with no difference among the techniques used. Most patients who agreed to undergo hemorrhoidectomy were those of the second (38.2%), eighth (35.9%) and ninth (34.5%) decades of age. Hemorrhoidectomy was more common in patients of the fourth (27.7%), fifth (21.9%) and third (21.0%) decades of age. Hemorrhoidectomy was more common among women (53.8%) than men (46.2%), and more accepted by women (26.5%) than men (24.8%). The patients' acceptance of surgical indication for hemorrhoidectomy was 25.7%. Safety and short-term effectiveness of EEA stapler vs PPH stapler in the treatment of degree III haemorrhoids: prospective randomized controlled trial.The analysis of 2,840 cases of hemorrhoidectomy by open techniques of Milligan-Morgan (2,189 cases), Ferguson (341 cases) and mixed (310 cases) in 11,043 patients with hemorrhoidal disease (HD) allowed the following conclusions.A prospective and comparative study between stapled hemorrhoidopexy and hemorrhoidal artery ligation with mucopexy.Stapled hemorrhoidopexy versus milligan-morgan hemorrhoidectomy: a prospective, randomized, multicenter trial with 2-year postoperative follow up.Implementation of a New High-Volume Circular Stapler in Stapled Anopexy for Hemorrhoidal Disease: Is Patient's Short-Term Outcome Affected by a Higher Volume of Resected Tissue?.Procedure for prolapse and hemorrhoids (PPH) with low rectal anastomosis using a PPH 03 stapler: low rate of recurrence and postoperative complications.Long-term results after stapled hemorrhoidopexy: a survey study with mean follow-up of 12 years.New devices for stapled rectal mucosectomy: a multicenter experience.PPH03 stapled hemorrhoidopexy: our experience.Comparison of the short-term outcomes of using DST and PPH staplers in the treatment of grade III and IV hemorrhoids.Anal mucosectomy for haemorrhoids: should we start to speak Chinese?.CONCLUSIONS: Postoperative anal stenosis was more common after circular stapled hemorrhoidopexy with the ChexTM CPH32 stapler.
The volume of tissue excised by the ChexTM CPH32 and CPH34 staplers was significantly larger than in the PPH03 group (18.19 ± 9.67 mL 25.53 ± 13.99 mL 11.63 ± 5.66 mL p < 0.0001). There was no difference in complication rates between the three different devices, except for the occurrence of postoperative stenosis with more stricture formation when using the CPH32 stapler (p < 0.0001). Postoperatively, 28.5% of patients experienced minor early complications. One hundred and seventy-four patients were treated with the PPH03 stapler, 51 with the ChexTM CPH32 stapler and 28 with the ChexTM CPH34 stapler. RESULTS: From 1 January 2008 to 30 December 2014, 253 patients underwent a SH using three different devices. We assessed early postoperative complications and complaints and compared the rate of complications between the three used devices. The volume of the excised tissue was determined by reviewing the anatomopathologic reports. The demographic data were reviewed as well as indications for surgery. Three different devices were used: the PPH03 stapler (Ethicon EndoSurgery, Diegem, Belgium) and the ChexTM CPH32 and CPH34 staplers (Frankenman International Ltd, Hong Kong, China). MATERIALS AND METHODS: All patients who underwent an elective SH from January 2008 to December 2014 were included. N2 - BACKGROUND: A retrospective analysis was performed to assess differences between three devices used for stapled hemorrhoidopexy (SH) in terms of early complications and complaints and the volume of excised tissue. T1 - Early complications after stapled hemorrhoidopexy: a retrospective study comparing three different circular staplers.
0 kommentar(er)
