Stapled Hemorrhoidopexy as a Day-Surgery Procedure
In the last 10 years, stapled hemorrhoidectomy has gained worldwide consensus. We studied a day-surgery stapled hemorrhoidopexy protocol to allow shorter recovery time and cost reduction. From 2003 to 2008, we performed 292 outpatient stapled hemorrhoidopexies under spinal or local anesthesia includ...
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| Veröffentlicht in: | The American surgeon 2011-05, Vol.77 (5), p.552-556 |
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| container_title | The American surgeon |
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| creator | COSENZA, Umile M MASONI, Luigi CONTE, Stefano SIMONE, Mauro NIGRI, Giuseppe MARI, Francesco S MILILLO, Andrea BRESCIA, Antonio |
| description | In the last 10 years, stapled hemorrhoidectomy has gained worldwide consensus. We studied a day-surgery stapled hemorrhoidopexy protocol to allow shorter recovery time and cost reduction. From 2003 to 2008, we performed 292 outpatient stapled hemorrhoidopexies under spinal or local anesthesia including symptomatic Grade III and IV hemorrhoid disease. We used PPH 01 to PPH 03 staplers. We assessed early and late postoperative pain with a Visual Analog Scale, whereas clinical postoperative examinations were performed at seven days, 6 months, and 1, 3, and 5 years after surgery. The mean surgery time was approximately 18 minutes (range, 13 to 39 minutes). Of 292 patients, 39 were not dischargeable for urine retention, severe pain, or mild bleeding. Four other patients were rehospitalized within 8 days for bleeding. Twenty-one patients reported transient fecal urgency, whereas nobody reported anal incontinence. We can conclude that stapled hemorrhoidopexy is a safe and effective procedure if performed in a day-surgery unit. The complication rate is comparable to that of inpatient procedures. |
| doi_str_mv | 10.1177/000313481107700512 |
| format | Article |
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We studied a day-surgery stapled hemorrhoidopexy protocol to allow shorter recovery time and cost reduction. From 2003 to 2008, we performed 292 outpatient stapled hemorrhoidopexies under spinal or local anesthesia including symptomatic Grade III and IV hemorrhoid disease. We used PPH 01 to PPH 03 staplers. We assessed early and late postoperative pain with a Visual Analog Scale, whereas clinical postoperative examinations were performed at seven days, 6 months, and 1, 3, and 5 years after surgery. The mean surgery time was approximately 18 minutes (range, 13 to 39 minutes). Of 292 patients, 39 were not dischargeable for urine retention, severe pain, or mild bleeding. Four other patients were rehospitalized within 8 days for bleeding. Twenty-one patients reported transient fecal urgency, whereas nobody reported anal incontinence. We can conclude that stapled hemorrhoidopexy is a safe and effective procedure if performed in a day-surgery unit. The complication rate is comparable to that of inpatient procedures.</description><identifier>ISSN: 0003-1348</identifier><identifier>EISSN: 1555-9823</identifier><identifier>DOI: 10.1177/000313481107700512</identifier><identifier>PMID: 21679586</identifier><identifier>CODEN: AMSUAW</identifier><language>eng</language><publisher>Atlanta, GA: Southeastern Surgical Congress</publisher><subject>Aged ; Ambulatory Surgical Procedures - methods ; Anesthesia, Spinal - methods ; Biological and medical sciences ; Feasibility Studies ; Female ; Follow-Up Studies ; General aspects ; Health services ; Hemorrhoids - diagnosis ; Hemorrhoids - surgery ; Hospitalization ; Humans ; Male ; Medical sciences ; Middle Aged ; Minimally Invasive Surgical Procedures - methods ; Pain ; Pain Measurement ; Pain, Postoperative - physiopathology ; Patient Satisfaction ; Postoperative Complications - epidemiology ; Postoperative Complications - physiopathology ; Retrospective Studies ; Risk Assessment ; Severity of Illness Index ; Surgery ; Surgical Stapling - adverse effects ; Surgical Stapling - methods ; Treatment Outcome</subject><ispartof>The American surgeon, 2011-05, Vol.77 (5), p.552-556</ispartof><rights>2015 INIST-CNRS</rights><rights>Copyright Southeastern Surgical Congress May 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c403t-731d9c0381339146fffc044536682dbd7e71ee5c98ff24aa4601627d45decece3</citedby><cites>FETCH-LOGICAL-c403t-731d9c0381339146fffc044536682dbd7e71ee5c98ff24aa4601627d45decece3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24107928$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21679586$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>COSENZA, Umile M</creatorcontrib><creatorcontrib>MASONI, Luigi</creatorcontrib><creatorcontrib>CONTE, Stefano</creatorcontrib><creatorcontrib>SIMONE, Mauro</creatorcontrib><creatorcontrib>NIGRI, Giuseppe</creatorcontrib><creatorcontrib>MARI, Francesco S</creatorcontrib><creatorcontrib>MILILLO, Andrea</creatorcontrib><creatorcontrib>BRESCIA, Antonio</creatorcontrib><title>Stapled Hemorrhoidopexy as a Day-Surgery Procedure</title><title>The American surgeon</title><addtitle>Am Surg</addtitle><description>In the last 10 years, stapled hemorrhoidectomy has gained worldwide consensus. 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The complication rate is comparable to that of inpatient procedures.</description><subject>Aged</subject><subject>Ambulatory Surgical Procedures - methods</subject><subject>Anesthesia, Spinal - methods</subject><subject>Biological and medical sciences</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>General aspects</subject><subject>Health services</subject><subject>Hemorrhoids - diagnosis</subject><subject>Hemorrhoids - surgery</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Minimally Invasive Surgical Procedures - methods</subject><subject>Pain</subject><subject>Pain Measurement</subject><subject>Pain, Postoperative - physiopathology</subject><subject>Patient Satisfaction</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - physiopathology</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Severity of Illness Index</subject><subject>Surgery</subject><subject>Surgical Stapling - 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Academic</collection><jtitle>The American surgeon</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>COSENZA, Umile M</au><au>MASONI, Luigi</au><au>CONTE, Stefano</au><au>SIMONE, Mauro</au><au>NIGRI, Giuseppe</au><au>MARI, Francesco S</au><au>MILILLO, Andrea</au><au>BRESCIA, Antonio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Stapled Hemorrhoidopexy as a Day-Surgery Procedure</atitle><jtitle>The American surgeon</jtitle><addtitle>Am Surg</addtitle><date>2011-05-01</date><risdate>2011</risdate><volume>77</volume><issue>5</issue><spage>552</spage><epage>556</epage><pages>552-556</pages><issn>0003-1348</issn><eissn>1555-9823</eissn><coden>AMSUAW</coden><abstract>In the last 10 years, stapled hemorrhoidectomy has gained worldwide consensus. We studied a day-surgery stapled hemorrhoidopexy protocol to allow shorter recovery time and cost reduction. From 2003 to 2008, we performed 292 outpatient stapled hemorrhoidopexies under spinal or local anesthesia including symptomatic Grade III and IV hemorrhoid disease. We used PPH 01 to PPH 03 staplers. We assessed early and late postoperative pain with a Visual Analog Scale, whereas clinical postoperative examinations were performed at seven days, 6 months, and 1, 3, and 5 years after surgery. The mean surgery time was approximately 18 minutes (range, 13 to 39 minutes). Of 292 patients, 39 were not dischargeable for urine retention, severe pain, or mild bleeding. Four other patients were rehospitalized within 8 days for bleeding. Twenty-one patients reported transient fecal urgency, whereas nobody reported anal incontinence. We can conclude that stapled hemorrhoidopexy is a safe and effective procedure if performed in a day-surgery unit. The complication rate is comparable to that of inpatient procedures.</abstract><cop>Atlanta, GA</cop><pub>Southeastern Surgical Congress</pub><pmid>21679586</pmid><doi>10.1177/000313481107700512</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The American surgeon, 2011-05, Vol.77 (5), p.552-556 |
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| subjects | Aged Ambulatory Surgical Procedures - methods Anesthesia, Spinal - methods Biological and medical sciences Feasibility Studies Female Follow-Up Studies General aspects Health services Hemorrhoids - diagnosis Hemorrhoids - surgery Hospitalization Humans Male Medical sciences Middle Aged Minimally Invasive Surgical Procedures - methods Pain Pain Measurement Pain, Postoperative - physiopathology Patient Satisfaction Postoperative Complications - epidemiology Postoperative Complications - physiopathology Retrospective Studies Risk Assessment Severity of Illness Index Surgery Surgical Stapling - adverse effects Surgical Stapling - methods Treatment Outcome |
| title | Stapled Hemorrhoidopexy as a Day-Surgery Procedure |
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