ArticleTechniques in coloproctology2018
Long-term results after stapled hemorrhoidopexy: a survey study with mean follow-up of 12 years.
Article in Techniques in coloproctology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 46 citations in OpenAlex.
- LigaSure™ Hemorrhoidectomy for Complex Grade III Hemorrhoidal Disease: A Prospective, Single-Center, Cohort Study.Cureus · 2026Article
- Analysis of recurrence after stapled hemorrhoidopexy in grade IV hemorrhoid disease.World journal of gastrointestinal surgery · 2025Article
- Clinical observation on prognosis of mixed hemorrhoids treated with polidocanol injection combined with automatic elastic thread ligation operation.World journal of gastrointestinal surgery · 2025Article
- The comparison of an accessible C-shaped partial stapled hemorrhoidopexy (C-PSH) versus circular stapled hemorrhoidopexy (CSH) in patients with grade IV hemorrhoids: a retrospective cohort study.BMC gastroenterology · 2023Article
- A patient tailored approach to the surgical treatment of hemorrhoids leads to equal satisfaction following hemorrhoidectomy, stapled hemorrhoidopexy or a combination of both.Langenbeck's archives of surgery · 2023Article
- Long-term outcomes of high-volume stapled hemorroidopexy to treat symptomatic hemorrhoidal disease.Annals of coloproctology · 2023Article
- Faecal incontinence in adults.Nature reviews. Disease primers · 2022Review
- Outcomes of Modified Tissue Selection Therapy Stapler in the Treatment of Prolapsing Hemorrhoids.Frontiers in surgery · 2022Article
- STAPLED HEMORRHOIDOPEXY: RESULTS, LATE COMPLICATIONS, AND DEGREE OF SATISFACTION AFTER 16 YEARS OF FOLLOW-UP.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2022Article
- Indications, Feasibility, and Safety of TST STARR Plus Stapler for Degree III Hemorrhoids: A Retrospective Study of 125 Hemorrhoids Patients.Frontiers in surgery · 2022Article
- Partial stapled hemorrhoidopexy for second-degree symptomatic hemorrhoidal prolapse.Techniques in coloproctology · 2021Article
- Linear Pinched Hemorrhoidectomy: A Retrospective Observational Study (An Innovative, Simplified Hemorrhoidectomy).Journal of the anus, rectum and colon · 2021Article
- Short term results of stapled versus conventional hemorrhoidectomy within 1 year follow-up.International journal of burns and trauma · 2021Article
- Stapled Hemorrhoidopexy: "Mucosectomy or Not Only Mucosectomy, This Is the Problem".Frontiers in surgery · 2021Article
- The Effort to Reduce Vasovagal Reaction and Abdominal Pain During Stapled Hemorrhoidopexy.Annals of coloproctology · 2020Article
- Improvement in Hemorrhoidal Disease Surgery Outcomes Using a New Anatomical/Clinical-Therapeutic Classification (A/CTC).Surgery journal (New York, N.Y.) · 2020Article
- Still a Case of "No Pain, No Gain"? An Updated and Critical Review of the Pathogenesis, Diagnosis, and Management Options for Hemorrhoids in 2020.Annals of coloproctology · 2020Review
- Consensus statement of the Italian society of colorectal surgery (SICCR): management and treatment of hemorrhoidal disease.Techniques in coloproctology · 2020Review
- Pre-operative assessment of internal mucosal rectal prolapse in internal hemorrhoids: technical details and results from a single institution.Acta bio-medica : Atenei Parmensis · 2019Article
- Long-term results of stapled hemorrhoidectomy.Techniques in coloproctology · 2019Article
Corrections and comments
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- Erratum issued
Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHemorrhoidal prolapse is a common benign disease. The introduction of circular-stapled hemorrhoidopexy as an alternative to the conventional hemorrhoidectomy led to a new spectrum of postoperative outcomes and complications. The aim of the present study was to evaluate long-term results after stapled hemorrhoidopexy.
methodsAll the patients who had stapled hemorrhoidopexy using a PPH03 stapler, from January 2003 to December 2005, were retrospectively collected in a dedicated database. Between March and May 2016, all the patients were asked by phone to complete a questionnaire. The study evaluated anatomical recurrence, symptom recurrence and frequency, and satisfaction after surgery. The postoperative complications recorded were hemorrhage, hematoma, urinary retention, anastomotic stenosis, persistent anal pain, tenesmus, and impaired anal continence evaluated also with the Faecal Incontinence Severity Index score.
resultsOne hundred and ninety four patients were identified and 171 completed the questionnaire. The mean follow-up was 12 ± 0.8 years (range 11-13 years). Anatomical self-reported prolapse recurrence was 40.9% (n = 70). In 75.6% (n = 129) of patients, the severity and frequency of symptoms improved. The overall complication rate was 56.7% (n = 40) with a serious adverse event rate of 8.7% (n = 15). The overall tenesmus rate was 38.2% (n = 65) and the overall impaired continence rate was 39.1% (n = 67). Medical therapy was still required occasionally by 40.3% (n = 69) of the patients and 9.3% (n = 16) of the patients underwent surgery for recurrence. Patient satisfaction rate was good (≥ 3 on a scale of 1 to 5) in 81.2% (n = 139) of cases.
conclusionsThe study showed that stapled hemorrhoidopexy using the first-generation devices is safe and feasible but associated with a high recurrence and incontinence rate. More stringent selection criteria in association with the use of large volume devices can lead to better results in the future.
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