Abstract

Purpose- To study the impact of previous hemorrhoids surgery and outpatient procedures on results of Stapler Hemorrhoidopexy (SH)

Methods- 1125 patients with grade 3&4 hemorrhoids undergoing SH were retrospectively analyzed. 70 patients had undergone previous surgery (PSx)(conventional hemorrhoidectomy), 66 had previous out-patient procedures (PProc) (Banding=32, Injection Sclerotherapy=34) and 989 patients had no previous procedure(NoP) for hemorrhoids.

Results- Higher percentage of PSx (38/71,54.3%) patients presented with bleeding PR compared to PProc (24/66, 36.4%) and NoP (290/989, 29.3%) [p<0.0001]. PSx had much higher operating time (27.1±7.4min) compared to NoP (23.6± 8.2)[p=0.0006]. Postoperative urinary catheterization rate was significantly higher in PSx (59/70, 84.3%)and PProc (42/66, 63.6%) as compared to NoP (167/989,16.9%)[p<0.0001]. Percentage of patients highly satisfied by the procedure were significantly higher in NoP (847/989, 85.6%) compared to PProc (39/66, 59.1%) and PSx (28/70, 40%) [p<0.0001]. Incidence of incomplete doughnut, requirement for intra operative suturing for hemostasis, post operative bleeding, anal incontinence, anal stenosis and long term recurrence rates were similar in all three groups.

Conclusions- Previously operated patients and patients with previous out patients procedures done, presented more frequently with bleeding per rectum, had significantly higher operating time, had higher incidence of postoperative urinary catheterization rate and had significantly lower satisfaction rate compared to patients with no previous procedure.

Recommended Citation

Mohamed Ismail and Pankaj Garg (2008) "Impact of previous hemorrhoid surgery and outpatient hemorrhoid procedures on the results of Stapler Hemorrhoidopexy," World Journal of Colorectal Surgery: Vol. 1 : Iss. 1, Article 12.
Available at: http://services.bepress.com/wjcs/vol1/iss1/art12