Stapled Hemorrhoidectomy versus Traditional Hemorrhoidectomy for the Treatment of Hemorrhoids
Background: We aimed in this randomized clinical trial to compare the results of traditional versus stapled hemorrhoidectomy for treatment of third and fourth degree hemorrhoids. Methods: Thirty patients admitted for surgical treatment of prolapsing hemorrhoids were randomly assigned to traditional (n=15) or stapled hemorrhoidectomy (n=15). All patients received standardized preoperative and postoperative analgesic and laxative regimens. Visual analog scale (VAS) scores were used as the primary outcome measure. Secondary outcome measures were operative time, use of analgesia, postoperative complications, hospital stay duration, time to first bowel motion, and return to normal activity. Results: Stapled procedure for hemorrhoids is associated with a significant improvement in postoperative pain control and with an earlier return to normal activity. Operative time and duration of hospital stay were shorter for the stapled procedure. A trend towards earlier bowel functions after the stapled procedure, although not significant in this study. Conclusion: Stapled hemorrhoidectomy is an effective treatment for third and fourth degree hemorrhoids with significant advantages for patients compared with traditional hemorrhoidectomy.
gouda m. ellabban
"Stapled Hemorrhoidectomy versus Traditional Hemorrhoidectomy for the Treatment of Hemorrhoids,"
World Journal of Colorectal Surgery:
1, Article 2.
Available at: http://services.bepress.com/wjcs/vol2/iss1/art2