Stapled haemorrhoidopexy for the treatment of haemorrhoids: a systematic review
| Autor: | A. Baba-Akbari Sari, Helen Weatherly, Dave Fox, David Epstein, Nerys Woolacott, Jane Burch, David Jayne |
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| Rok vydání: | 2009 |
| Předmět: |
Male
medicine.medical_specialty media_common.quotation_subject Postoperative pain Blood Loss Surgical Postoperative Hemorrhage Hemorrhoids law.invention Patient satisfaction Randomized controlled trial Recurrence law Surgical Stapling medicine Operating time Humans Minimally Invasive Surgical Procedures Review process Hospital Costs Stage (cooking) Randomized Controlled Trials as Topic media_common Pain Postoperative Sutures business.industry Convalescence Gastroenterology Length of Stay Surgery Treatment Outcome Patient Satisfaction Female business Colorectal Surgery Hospital stay Follow-Up Studies |
| Zdroj: | Colorectal Disease. 11:233-243 |
| ISSN: | 1463-1318 1462-8910 |
| DOI: | 10.1111/j.1463-1318.2008.01638.x |
| Popis: | Objective This systematic review aimed to evaluate the short- and long-term safety, efficacy and costs of stapled haemorrhoidopexy (SH) compared with conventional haemorrhoidectomy. Method We searched 26 electronic databases and websites for studies in any language up to July 2006. Inclusion criteria were predefined, and each stage of the review process was conducted in duplicate. Results Twenty-seven randomized controlled trials were included (n = 2279). All had some methodological flaws. Postoperatively, 19 trials (95%) reported less pain, 17 (89%) reported a shorter operating time, 14 (88%) a shorter hospital stay, and 14 (93%) a shorter convalescence time following SH. However, prolapse was significantly more common after SH (OR 3.38; 95% CI: 1.00, 11.47). In the longer term, prolapse was significantly more common after SH (OR 4.34; 95% CI: 1.67, 11.28) as was reintervention for prolapse (OR 6.78; 95% CI: 2.00, 23.00). There were no differences in the rate or type of complications. Conventional haemorrhoidectomy and SH had similar costs during the initial admission. Conclusion Compared with conventional haemorrhoidectomy, SH resulted in less postoperative pain, shorter operating time, a shorter hospital stay, and a shorter convalescence, but a higher rate of prolapse and reintervention for prolapse. |
| Databáze: | OpenAIRE |
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