Our Experience of Stapler Hemorrhoidopexy in the Treatment of Hemorrhoids.

Yıl 2020, Cilt: 4 Sayı: 3, 82 - 87, 12.12.2020

Muhammed Gömeç , Hüseyin Özden

https://doi.org/10.46332/aemj.773538

Öz

Purpose: Hemorrhoid surgeries performed with stapler hemorrhoidopexy are frequently preferred in the treatment of patients with stage III-IV hemorrhoids, with less pain and shorter hospital stay. The aim of this study is to evaluate our clinical experiences in patients underwent SH.

Material and Method: Hospital records of 26 patients with stage III-IV hemorrhoids treated with SH procedure be-tween June 2018 and October 2019 at a secondary center were retrospectively analyzed. Demographic data of patients, accompanying anal diseases, duration of surgery and hospital stay, postoperative pain, complications and early recur-rence rates were reviewed.

Results: A total of 26 patients was included in the study, 18 males (69%) and 8 females (31%). The mean age of the patients was 36,4 years (age range: 18-64). The mean operation time was 14 minutes and the mean hospital stay after the operation was 2.8 days. Bleeding was observed in one patient (3.8%), urinary retention in 2 (7.7%) and skin tag (7.7%) in 2. Recurrence was observed in one patient in the first six months. None of the patients had tenesmus, ab-scess, incontinence, rectovaginal fistula, or anal stenosis.

Conclusion: SH is a minimally invasive, feasible technique that can be used to treat stage III-IV hemorrhoids and can provide effective treatment in a single session. However, we believe that the choice of surgical procedures is important since complications such as recurrence and bleeding are rarely seen in the early and late periods.

Anahtar Kelimeler

Hemorrhoids, longo procedure, minimal invasive

Hemoroid Tedavisinde Stapler Hemoroidopeksi Deneyimlerimiz.

Öz

Amaç: Stapler hemoroidopeksi (Longo prosedürü) ile yapılan hemoroid ameliyatları, daha az ağrı ve daha kısa hasta-nede kalış süresi ile özellikle evre III-IV hemoroidli hastaların tedavisinde sık tercih edilebilen bir cerrahi yöntemdir. Bu çalışmanın amacı kliniğimizde stapler hemoroidopeksi (SH) yöntemi ile tedavi etmiş olduğumuz hastalarla ilgili klinik deneyimlerimizi değerlendirmektir.

Araçlar ve Yöntem: İkinci basamak bir devlet hastanesinde Haziran 2018 ile Ekim 2019 tarihleri arasında SH yönte-mi uygulanarak tedavi edilen evre III-IV hemoroidli 26 hastanın tıbbi kayıtları retrospektif olarak incelendi. Hastala-rın demografik verileri, eşlik eden anal bölge hastalıkları, ameliyat ve hastanede yatış süreleri, postoperatif dönemde gelişen ağrıları, komplikasyonları ve erken dönem nüks oranları değerlendirildi.

Bulgular: Çalışmaya dahil edilen 26 hastanın 18'i erkek (%69), 8'i kadındı (%31). Hastalar 18-64 yaş aralığında ve ortalama yaş 36,4 olarak hesaplandı. Ortalama ameliyat süresi 14 dakika ve ameliyat sonrası ortalama hastanede kalış süresi 2.8 gündü. Bir hastada kanama (% 3,8), 2 hastada idrar retansiyonu (% 7,7) ve 2 hastada deri katlantısı (skin tag) (% 7,7) görüldü. 1 hastada ilk 6 ayda nüks izlendi. Hiçbir hastada tenesmus, apse, inkontinans, rektovajinal fistül veya anal darlık görülmedi.

Sonuç: Stepler hemoroidopeksi, evre III-IV hemoroid hastalarını tedavi etmek için kullanılan, tek seansta etkili bir tedavi ortaya koyabilen, minimal invaziv, uygulanabilir bir tekniktir. Ancak erken ve geç dönemde nüks ve kanama gibi komplikasyonlar nadir de olsa görülebildiğinden cerrahi prosedür seçiminin önemli olduğu kanaatindeyiz.  

Anahtar Kelimeler

longo prosedürü, hemoroid, minimal invaziv

Kaynakça

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