Long-term outcomes of high-volume stapled hemorroidopexy to treat symptomatic hemorrhoidal disease
Purpose The study aimed to assess the long-term results of the stapled hemorrhoidopexy (SH) using high-volume devices equipped with innovative technology, evaluating recurrence rate, complications rate, and patients’ satisfaction. Methods All the patients who underwent SH using high-volume devices (...
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| Format: | Article |
| Language: | English |
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Korean Society of Coloproctology
2023-02-01
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| Series: | Annals of Coloproctology |
| Subjects: | |
| Online Access: | http://coloproctol.org/upload/pdf/ac-2020-00227-0032.pdf |
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| author | Alessandro Sturiale Raad Dowais Bernardina Fabiani Claudia Menconi Felipe Celedon Porzio Virginia Coli Gabriele Naldini |
| author_facet | Alessandro Sturiale Raad Dowais Bernardina Fabiani Claudia Menconi Felipe Celedon Porzio Virginia Coli Gabriele Naldini |
| author_sort | Alessandro Sturiale |
| collection | DOAJ |
| description | Purpose The study aimed to assess the long-term results of the stapled hemorrhoidopexy (SH) using high-volume devices equipped with innovative technology, evaluating recurrence rate, complications rate, and patients’ satisfaction. Methods All the patients who underwent SH using high-volume devices (TST Starr plus, Touchstone International Medical Science Corp., Ltd.) for II to IV symptomatic hemorrhoidal disease from November 2012 to December 2014 were enrolled. Between December 2019 and January 2020, all of them were phone called to come to undergo a proctological reevaluation and asked to fill some questionnaires about hemorrhoidal prolapse recurrence, symptoms recurrence, and surgery satisfaction. Results Fifty-nine patients with a mean age of 47 years completely answered the questionnaires. Twenty-two of them accepted to come to undergo a proctological reevaluation while 27 preferred to answer only by phone due to their referred wellbeing. The median follow-up was 70.5 months (range, 60–84 months). The recurrence rate was 5.1% with a mean satisfaction level after surgery was 9.1 (range, 0–10) and 84.7% of patients whose satisfaction scored ≥8. The mean value of Cleveland Global Quality of Life assessment was 0.79 (range, 0.71–0.93). There were no cases of new onset of impaired anal continence after surgery. Conclusion The new generation high-volume devices to perform SH resulted to be safe and effective for II to IV degree hemorrhoidal prolapse leading to a lower long-term recurrence rate with an evident reduction of postoperative complications in comparison with the low-volume SH. |
| first_indexed | 2024-04-09T14:26:46Z |
| format | Article |
| id | doaj.art-08e3524e64ab41b8853c656ca6b37fcd |
| institution | Directory Open Access Journal |
| issn | 2287-9714 2287-9722 |
| language | English |
| last_indexed | 2024-04-09T14:26:46Z |
| publishDate | 2023-02-01 |
| publisher | Korean Society of Coloproctology |
| record_format | Article |
| series | Annals of Coloproctology |
| spelling | doaj.art-08e3524e64ab41b8853c656ca6b37fcd2023-05-04T01:21:43ZengKorean Society of ColoproctologyAnnals of Coloproctology2287-97142287-97222023-02-01391111610.3393/ac.2020.00227.00321854Long-term outcomes of high-volume stapled hemorroidopexy to treat symptomatic hemorrhoidal diseaseAlessandro Sturiale0Raad Dowais1Bernardina Fabiani2Claudia Menconi3Felipe Celedon Porzio4Virginia Coli5Gabriele Naldini6 Proctology and Pelvic Floor Clinical Centre, Cisanello University Hospital, Pisa, Italy Proctology and Pelvic Floor Clinical Centre, Cisanello University Hospital, Pisa, Italy Proctology and Pelvic Floor Clinical Centre, Cisanello University Hospital, Pisa, Italy Proctology and Pelvic Floor Clinical Centre, Cisanello University Hospital, Pisa, Italy Proctology and Pelvic Floor Clinical Centre, Cisanello University Hospital, Pisa, Italy Proctology and Pelvic Floor Clinical Centre, Cisanello University Hospital, Pisa, Italy Proctology and Pelvic Floor Clinical Centre, Cisanello University Hospital, Pisa, ItalyPurpose The study aimed to assess the long-term results of the stapled hemorrhoidopexy (SH) using high-volume devices equipped with innovative technology, evaluating recurrence rate, complications rate, and patients’ satisfaction. Methods All the patients who underwent SH using high-volume devices (TST Starr plus, Touchstone International Medical Science Corp., Ltd.) for II to IV symptomatic hemorrhoidal disease from November 2012 to December 2014 were enrolled. Between December 2019 and January 2020, all of them were phone called to come to undergo a proctological reevaluation and asked to fill some questionnaires about hemorrhoidal prolapse recurrence, symptoms recurrence, and surgery satisfaction. Results Fifty-nine patients with a mean age of 47 years completely answered the questionnaires. Twenty-two of them accepted to come to undergo a proctological reevaluation while 27 preferred to answer only by phone due to their referred wellbeing. The median follow-up was 70.5 months (range, 60–84 months). The recurrence rate was 5.1% with a mean satisfaction level after surgery was 9.1 (range, 0–10) and 84.7% of patients whose satisfaction scored ≥8. The mean value of Cleveland Global Quality of Life assessment was 0.79 (range, 0.71–0.93). There were no cases of new onset of impaired anal continence after surgery. Conclusion The new generation high-volume devices to perform SH resulted to be safe and effective for II to IV degree hemorrhoidal prolapse leading to a lower long-term recurrence rate with an evident reduction of postoperative complications in comparison with the low-volume SH.http://coloproctol.org/upload/pdf/ac-2020-00227-0032.pdfhemorrhoidsstapled hemorrhoidopexyhigh-volume staplerhemorrhoidal prolapse |
| spellingShingle | Alessandro Sturiale Raad Dowais Bernardina Fabiani Claudia Menconi Felipe Celedon Porzio Virginia Coli Gabriele Naldini Long-term outcomes of high-volume stapled hemorroidopexy to treat symptomatic hemorrhoidal disease Annals of Coloproctology hemorrhoids stapled hemorrhoidopexy high-volume stapler hemorrhoidal prolapse |
| title | Long-term outcomes of high-volume stapled hemorroidopexy to treat symptomatic hemorrhoidal disease |
| title_full | Long-term outcomes of high-volume stapled hemorroidopexy to treat symptomatic hemorrhoidal disease |
| title_fullStr | Long-term outcomes of high-volume stapled hemorroidopexy to treat symptomatic hemorrhoidal disease |
| title_full_unstemmed | Long-term outcomes of high-volume stapled hemorroidopexy to treat symptomatic hemorrhoidal disease |
| title_short | Long-term outcomes of high-volume stapled hemorroidopexy to treat symptomatic hemorrhoidal disease |
| title_sort | long term outcomes of high volume stapled hemorroidopexy to treat symptomatic hemorrhoidal disease |
| topic | hemorrhoids stapled hemorrhoidopexy high-volume stapler hemorrhoidal prolapse |
| url | http://coloproctol.org/upload/pdf/ac-2020-00227-0032.pdf |
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