E Ganio1, D F Altomare, G Milito, F Gabrielli, S Canuti. 1. Department of Emergency and Organ Transplantation, Section of General Surgery and Liver Transplantation, University of Bari, Policlinico, Piazza G. Cesare 11, 70124 Bari, Italy.
Abstract
INTRODUCTION:Stapled haemorrhoidopexy is less painful than Milligan-Morgan haemorrhoidectomy, allowing an earlier return to working activities, but its long-term efficacy is not fully established. This study reports the long-term follow-up of a randomized clinical trial comparing the two techniques in 100 patients affected by third- and fourth-degree haemorrhoids. METHODS: All patients were contacted and invited to attend the clinic to assess long-term functional outcome. The degree of continence and satisfaction were assessed by questionnaire. Anal manometry and anoscopy were performed. RESULTS:Eighty patients were available after a median follow-up of 87 months. No statistically significant differences were found between the two groups in terms of incontinence, stenosis, pain, bleeding, residual skin tags or recurrent prolapse. A tendency towards a higher recurrence rate was reported in patients with fourth-degree haemorrhoids, irrespective of the technique used. No significant changes in anal manometric values were found after surgery in either group. CONCLUSION: Both techniques are effective in the long term. Copyright (c) 2007 British Journal of Surgery Society Ltd.
RCT Entities:
INTRODUCTION: Stapled haemorrhoidopexy is less painful than Milligan-Morgan haemorrhoidectomy, allowing an earlier return to working activities, but its long-term efficacy is not fully established. This study reports the long-term follow-up of a randomized clinical trial comparing the two techniques in 100 patients affected by third- and fourth-degree haemorrhoids. METHODS: All patients were contacted and invited to attend the clinic to assess long-term functional outcome. The degree of continence and satisfaction were assessed by questionnaire. Anal manometry and anoscopy were performed. RESULTS: Eighty patients were available after a median follow-up of 87 months. No statistically significant differences were found between the two groups in terms of incontinence, stenosis, pain, bleeding, residual skin tags or recurrent prolapse. A tendency towards a higher recurrence rate was reported in patients with fourth-degree haemorrhoids, irrespective of the technique used. No significant changes in anal manometric values were found after surgery in either group. CONCLUSION: Both techniques are effective in the long term. Copyright (c) 2007 British Journal of Surgery Society Ltd.
Authors: A Sturiale; B Fabiani; C Menconi; D Cafaro; F Fusco; G Bellio; M Schiano di Visconte; G Naldini Journal: Tech Coloproctol Date: 2018-10-04 Impact factor: 3.781
Authors: P Lucarelli; M Picchio; M Caporossi; F De Angelis; A Di Filippo; F Stipa; E Spaziani Journal: Ann R Coll Surg Engl Date: 2013-05 Impact factor: 1.891
Authors: Jong-Sun Kim; Yogesh K Vashist; Sabrina Thieltges; Oliver Zehler; Karim A Gawad; Emre F Yekebas; Jakob R Izbicki; Asad Kutup Journal: J Gastrointest Surg Date: 2013-05-14 Impact factor: 3.452