The stapled hemorrhoidopexy syndrome: a new clinical entity?
Tech Coloproctol
; 15 Suppl 1: S95-9, 2011 Oct.
Article
de En
| MEDLINE
| ID: mdl-21887569
ABSTRACT
PURPOSE:
Haemorrhoidal disease is a rather common disease of unknown cause. A new technique for treating prolapsing haemorrhoids known as the stapled hemorrhoidopexy (SH) or the "Longo procedure" is widely used. Serious adverse events were reported in 2000 and some discussion over the syndrome but nothing since.METHODS:
Two hundred and five patients underwent SH by our surgical team at the Interbalkan European Medical Center. Modified SH was performed.RESULTS:
Despite the low incidence of postoperative complications (11/205), 36.58% of patients developed syndrome comprised of urgency to defecate, sensation of anal foreign body and incomplete defecation and mild cramp like anal discomfort, immediately after surgery or in the following 48 h. There is not statistically significant relationship between the presence of the syndrome and the gender, the presence of muscle fibres in the resected "ring" the degree of haemorrhoidal disease, age and ring length.CONCLUSION:
Observations led us to conclude that the stapled hemorrhoidopexy syndrome (SHS) is probably caused by the irritating presence of the titanium staples in the rectal mucosa and by the resection itself.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Canal anal
/
Complications postopératoires
/
Matériaux de suture
/
Agrafage chirurgical
/
Hémorroïdes
Type d'étude:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limites:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Langue:
En
Journal:
Tech Coloproctol
Sujet du journal:
GASTROENTEROLOGIA
Année:
2011
Type de document:
Article
Pays d'affiliation:
Grèce