A prospective and comparative study between stapled hemorrhoidopexy and hemorrhoidal artery ligation with mucopexy
| Autor: | J.-M. Fabreguette, D. de Faucal, F. Labbé, F. Borie, P. Pouderoux, A. Béliard |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Hemorrhoidectomy Male medicine.medical_specialty Adolescent medicine.medical_treatment Fistula Hemorrhoids Severity of Illness Index Prospective evaluation Cohort Studies Hemorrhoidal disease Young Adult Surgical Stapling medicine Humans Minimally Invasive Surgical Procedures Fecal incontinence Prospective Studies Intestinal Mucosa Ligation Aged Ultrasonography Pain Postoperative Chi-Square Distribution business.industry General surgery Rectum Arteries General Medicine Length of Stay Middle Aged medicine.disease Surgery Artery ligation Treatment Outcome Stapled hemorrhoidopexy Female medicine.symptom business Complication Follow-Up Studies |
| Zdroj: | Journal of Visceral Surgery. 151:257-262 |
| ISSN: | 1878-7886 |
| DOI: | 10.1016/j.jviscsurg.2014.03.009 |
| Popis: | The aim of this study was to compare the efficacy between stapled hemorrhoidopexy (Longo technique) and transanal hemorrhoidal artery ligation with mucopexy (THDm) in the treatment of hemorrhoidal disease.From June 2009 to January 2011, 81 patients having grade II or III hemorrhoidal disease underwent prospective evaluation followed by surgery at two centers (27 Longo and 54 THDm). Symptoms (bleeding, tenesmus, prolapse, fecal incontinence, pain) and the satisfaction score were compared on the first post-operative day and at 1, 6, 12, and 24 months thereafter. The follow-up was 24 months.There was no difference in mean length of stay. One complication (recto-vaginal fistula) was observed after Longo. The prolapse score was significantly lower after THDm than after Longo on the first post-operative day (P0.0015). Bleeding score after THDm was significantly lower on the first post-operative day (P = 0.04), but higher thereafter (P = 0.03 and P = 0.04). Tenesmus score after THDm was significantly lower for the first three months (P0.06 and 0.001). On the first post-operative day and at one month, the visual analog pain score was significantly lower after THDm than that after Longo (P0.0003 et P0.01). On the first post-operative day and at one month, the satisfaction score was higher after THDm than after Longo (P0.001).THDm was safe and effective. Short-term outcomes after THDm were better than after Longo but long-term results seemed to be similar. |
| Databáze: | OpenAIRE |
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