TITLE:
State of the Art Hemorrhoidal Stapler Using a Modified Technique: A Step towards the Goals of Implement
AUTHORS:
George Anthimidis, Nikolaos Varsamis, Eleni Georgakoudi, Epameinondas Fahantidis, Kostas Ioannidis, George Basdanis
KEYWORDS:
Hemorroids, Stapler, Procedure for Prolapse and Hemorrhoids
JOURNAL NAME:
Surgical Science,
Vol.6 No.11,
November
12,
2015
ABSTRACT: Background: Procedure for prolapse and hemorrhoids (PPH) has emerged as
an alternative surgical treatment of symptomatic hemorrhoids. The operative
technique along with the device to be used is constantly evolving. Aim: The aim
of the present study was to evaluate results of PPH using a modified technique
and an innovative circular stapler. Material and Methods: A prospective,
comparative study of patients undergoing PPH for symptomatic Grade II and Grade
III internal hemorrhoids with either 32 mm or 34 mm stapler diameter (Circular
Stapler for Hemorrhoids-CSH 32/34) during a 36 month period (1/1/2012-1/1/2015)
was performed. A modified operative technique using two purse string sutures
was employed. Patients were evaluated and compared in terms of
postoperative complications, operation time, length of hospital stay and time
to return to normal activities. Results: A total of 100 patients were included: 50 in the CSH 32 group and 50 in
the CSH 34 group. Complication rates were equal for both stapler diameters (32 mm
and 34 mm). Serious or life threatening complications were not encountered and
need for reintervention was never met. Operation time, length of
hospital stay and time to return to normal activities were similar in both
groups. Conclusions: Our study suggests
that there are no
significant differences between the two available diameters of a new-fangled
circular stapler, using a modified technique. It seems that progress of hemorrhoidal staplers has led to a step towards the goals of implement and from then on complications of surgical practice could
be merely a matter of operative technique.