Stapled hemorrhoidopexy: clinical results for 65 cases

Yıl 2012, , 340 - 344, 01.09.2012

Ahmet Pergel Ahmet Fikret Yücel İbrahim Aydın Dursun Ali Şahin

https://doi.org/10.5799/ahinjs.01.2012.03.0175

Cited By: 1

Öz

Objectives: To present results of our patients underwent stapled hemorrhoidopexy due to hemorrhoidal disease and discuss in accompaniment with the literature. Material and methods: The patients, who diagnosed by 3rd-4th degree hemorrhoidal disease and underwent hemorrhoidopexy with Longo method between January, 2009 and April, 2011, were included. All data were prospectively collected and retrospectively examined. The patients were evaluated in terms of demographic properties, complaints on admission, and postoperative complications. Results: Forty-three (66%) of 65 patients were male, 22 (34%) were female. The mean age was 38±11.9 (range:23-76) years. The most frequent complaints were bleeding, swelling, itching, pain, constipation respectively. Third degree hemorrhoid was present in fifty-eight (89%) patients, 4th degree hemorrhoid was in 7 (11%) patients. The mean operation duration was 37.6±8.1(range:24-55) minutes, the mean hospitalization duration was 27±7.8 (range:20-76) hours. One or more complication developed in total 17 (26%) patients. As complication, bleeding was determined in 13 (20%) patients, pain was in 6 (9%), urinary retention was in 2 (3%), tenesmus was in 3 (5%), external hemorrhoidal thrombosis was in 1 (2%), and recurrence was in 4 (6%). Conclusions: The patients can return their daily activities early with stapled hemorrhoidopexy because of less pain and quick recovery period. We consider that appropriate patient selection and proper application of the technique are important in the success of this method. Particularly in 3rd degree hemorrhoidal disease, Longo\'s technique can be suggested as an alternative to classical methods.

Anahtar Kelimeler

Hemorrhoidal disease, stapled hemorrhoidopexy, Longo\'s procedure

Stapler hemoroidopeksi: 65 olguda klinik sonuçlar

Öz

Amaç: Hemoroidal hastalık sebebiyle stapler hemoroidopeksi
uyguladığımız hastalarımızın sonuçlarını sunmak
ve literatür eşliğinde tartışmak.
Gereç ve yöntem: Ocak 2009- Nisan 2011 tarihleri arasında
3-4. derece hemoroidal hastalık tanısı konan ve
Longo yöntemiyle hemoroidopeksi uygulanan hastalar
çalışmaya dahil edildi. Tüm veriler prospektif toplanıp retrospektif
olarak incelendi. Hastalar; demografik özellikler,
başvuru sırasındaki şikayetler, ameliyat sonrası komplikasyonlar
açısından değerlendirildi.
Bulgular: Toplam 65 hastadan 43 (% 66)’ü erkek, 22 (%
34)’si kadındı. Ortalama yaş 38±11.9 (23-76) yıl idi. Olguların
en sık başvuru şikayetleri sıklık sırasına göre kanama,
şişlik, kaşıntı, ağrı, kabızlık şeklinde idi. Elli sekiz (%
89) hastada 3. derece, 7 (%11) hastada 4. derece hemoroid
mevcuttu. Ortalama ameliyat süresi 37.6±8.1(24-55)
dakika, ortalama yatış süresi 27±7.8 (20-76) saat idi. Toplam
17 (% 26) hastada bir ya da daha fazla komplikasyon
gelişti. Komplikasyon olarak 13 (% 20) hastada kanama,
6 (%9)’sında ağrı, 2 (% 3)’sinde idrar retansiyonu, 3 (%
5)’ünde tenezm, 1 (% 2)‘inde eksternal hemoroidal tromboz,
4 (%6)’ünde ise nüks saptandı.
Sonuç: Stapler hemoroidopekside ağrının az ve iyileşme
sürecinin hızlı olması nedeniyle hastalar günlük aktivitelerine
erken dönebilmektedirler. Bu yöntemin başarısında
uygun hasta seçimi ve tekniğin doğru uygulanmasının
önemli olduğunu düşünmekteyiz. Özellikle 3.derece hemoroidal
hastalıkta Longo tekniği klasik yöntemlere alternatif
olarak önerilebilir.

Anahtar Kelimeler

Hemoroidal hastalık, stapler hemoroidopeksi, Longo yöntemi

Kaynakça

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