Short And Long Term Results Of Stapled Hemorrhoidectomy.

Purpose: Stapled hemorrhoidectomy is an alternative surgical technique in hemorrhoid treatment. We studied the early and long term results of stapled hemorrhoidectomy. Material and Methods: Between January 2000 and December 2009, 44 patients (33 men and 11 women) with an average age of 43 years (range 25 to 72) underwent stapled hemorrhoidectomy for third or fourth degree hemorrhoids in Vakif Gureba Training Hospital. Data about pre and postoperative symptoms, operation details, early and late term complications, length of hospital stay and patient satisfaction scores were collected. Statistical data is evaluated with SSPS 13 for windows. Results: Hemorrhoids were third degree in 30 patients (68.1%) and fourth degree in 14 patients (31.9%). Rectal bleeding was the most common preoperative symptom [n=39 (88.6%)]. The other symptoms were perianal swelling [n=11 ( 25%)], pain [n=10 (22.7%)] and itching [n=2 (4.5%)]. Six patients were operated with findings of chronic anemia. Operation time was ranged between 15 to 75 minutes (average 26 minutes). There were no perioperative complication. Haemostatic sutures for mucosal bleeding were needed in 30 cases (68.1 %). Postoperative problems were observed in 14 patients. The most common problem was urinary retention which has been detected in 8 patients. Conclusion: Stapled hemorrhoidectomy is safe, effective surgical technique with low complication rates. It can be performed in ambulatory setting. The haemostatic suturing after firing of stapler is needed and advised. [ABSTRACT FROM AUTHOR]