Trial reportJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2008
Treatment of hemorrhoids in day surgery: stapled hemorrhoidopexy vs Milligan-Morgan hemorrhoidectomy.
Trial report in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 4 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- Post-hemorrhoidectomy pain: can surgeons reduce it? A systematic review and network meta-analysis of randomized trials.International journal of colorectal disease · 2021Pooled it
- A systematic review of the literature assessing the outcomes of stapled haemorrhoidopexy versus open haemorrhoidectomy.Techniques in coloproctology · 2021Pooled it
- Ambulatory haemorrhoidal surgery: systematic literature review and qualitative analysis.International journal of colorectal disease · 2015Pooled it
- Documented complications of staple hemorrhoidopexy: a systematic review.International surgery · 2015Pooled it
- Gabapentin significantly decreases posthemorrhoidectomy pain: a prospective study.International journal of colorectal disease · 2014Trial
- Association of Muscle Fibers with Histopathology in Doughnut Specimens Following Stapled Hemorrhoidopexy and Their Impacts on Postoperative Outcomes.Surgery journal (New York, N.Y.) · 2022Article
- Benign Anorectal Disorders and Pelvic Floor Disease After Bariatric Surgery.Journal of clinical medicine research · 2022Review
- Early and midterm results of radiofrequency ablation (RafaeloTechniques in coloproctology · 2022Article
- The treatment of acute appendicitis in two age-based groups during COVID-19 pandemic: a retrospective experience in a COVID-19 referral hospital.International journal of colorectal disease · 2022Article
- Sclerotherapy for III- and IV-degree hemorrhoids: Results of a prospective study.Frontiers in surgery · 2022Article
- Outcomes of Modified Tissue Selection Therapy Stapler in the Treatment of Prolapsing Hemorrhoids.Frontiers in surgery · 2022Article
- Doppler-Guided Transanal Hemorrhoidal Dearterialization (DG-THD) Versus Stapled Hemorrhoidopexy (SH) in the Treatment of Third-Degree Hemorrhoids: Clinical Results at Short and Long-Term Follow-Up.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2016Article
- Medical and surgical treatment of haemorrhoids and anal fissure in Crohn's disease: a critical appraisal.BMC gastroenterology · 2013Article
- Stapled and conventional Milligan-Morgan haemorrhoidectomy: different solutions for different targets.International journal of colorectal disease · 2012Article
- Transanal haemorrhoidal dearterialization (THD) for selected fourth-degree haemorrhoids.Techniques in coloproctology · 2011Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRecently, it has been demonstrated that surgical treatment of hemorrhoids in a day-care basis is possible and safe. The aim of this study was to compare the Longo stapled hemorrhoidopexy (SH) and the Milligan-Morgan hemorrhoidectomy (MMH).
methodsOne hundred seventy one patients (95 cases in SH group and 76 cases in MMH group) entered the study: 83 cases were III degree hemorrhoids, 88 IV degree. A priori and a post hoc power analysis were performed. Results, prospectively collected, were compared using chi squared test and student t test. Visual analog scale was used for pain evaluation. Postoperative pain, duration of pain, wound secretion, bleeding, resumption of a normal lifestyle, and postoperative complication were evaluated.
resultsSurgical time was 28.41+/-10.78 for MMH and 28.30+/-13.28 min in SH (P=0.94). Postoperative pain was not different between MMH and SH during the first two postoperative days (4.73+/-2.91 vs 5.1+/-3.048; P=0.4), during the following 6 days, patients treated with SH had less pain (4.63+/-2.04 in MMH vs 3.60+/-2.35 in SH; P=0.006). In the SH group, seven patients needed further hospital stay for complicated course. SH showed higher incidence of anal fissure compared with MMH (6.3% vs 0%; P=0.025) but no differences in urinary retention, anal stricture, urgency, or anal hemorrhage.
conclusionsThis study confirms that SH is associated with less postoperative pain and shorter postoperative symptoms, compared with MMH. SH may be a viable addition to the therapy for hemorrhoids with some advantages in early postoperative pain and some disadvantages in postoperative complications and costs.
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