COMPARISON OF EXCISIONAL STAPLER HEMORRHOIDOPEXY METHOD(SH) AND NON-EXCISIONAL ARTERIAL DETECTION LIGATION METHOD(ADL); ONE YEAR FOLLOW-UP

Yıl 2023, Cilt: 6 Sayı: 2, 290 - 295, 31.08.2023

Nevin Sakoğlu Aziz Ocakoğlu

https://doi.org/10.36516/jocass.1319930

Öz

Giriş: Hemoroidal hastalık alt rektum ve anüs bölgesinin kronik bir hastalığıdır ve ıkınma sırasında artan basınç nedeniyle oluşur. Dünya çapında milyonlarca insanda hemorhoidal hastalık mevcuttur. Hastalığın evresi ile hastaların semptomları paralellik göstermediği için iki farklı cerrahi yöntemin sonuçlarını değerlendirdik; arteriyel tespit ligasyonu (ADL) ve stapler hemoroidopexy (SH).
Gereç ve Yöntemler: 2021-2022 yılları arasında hemoroid nedeniyle opere edilen hastalar arasında gerçekleştirilmiş retrospektif bir çalışmadır.
Sonuç: Evre II, III ve IV olan erişkin hastalar dahil edildi. 60 hasta içeren SH ve ADL grupları oluşturuldu. Hastaların ameliyat sonrası ağrı şikayetleri (VAS) ve normal günlük aktiviteleri (KATZ) incelendi. Bu çalışmada istatistiksel analizler NCSS (Number Cruncher Statistical System) 2007 Statistical Software (Utah, ABD) paket programı ile yapılmıştır. Hastaların 50'si kadın, 70'i erkekti. SH ve ADL gruplarının yaş ve cinsiyet dağılımları arasında fark yoktu (p=0,231, p=0,711). 1. gün VAS değerleri SH grubunda ADL grubuna göre istatistiksel olarak anlamlı yüksek bulundu (p=0,003). Her iki grubun günlük aktiviteleri incelendiğinde giyinme(p=0,042) ve tuvalete gitme (p=0,012) aktiviteleri SH grubunda daha düşüktü. Ağrı değerlendirmeleri açısından ise gruplar arasında istatistiksel olarak anlamlı fark vardı (SH; p= 0,0001, ADL; p=0,0001).
Tartışma: Her iki yöntem incelendiğinde iki tekniğin başarı oranı benzerdi ve ADL yöntemi anorektal bölge anatomisini ciddi komplikasyon riski olmadan en az etkilemektedir.

Anahtar Kelimeler

hemorrhoids, treatment, stapler hemorrhoidopexy, arterial detection liagtion

Destekleyen Kurum

Finansal destek alınmadı

Teşekkür

yok

Comparison of Excisional Stapler Hemorrhoidopexy Method and Non-Excisional Arterial Detection Ligation Method; One Year Follow-Up

Öz

Abstract
Aim: Hemorrhoidal disease is a chronic disease of the lower rectum and anus occurs due to increased pressure during straining. Millions of people in the world suffer from this disease. Since the stage of the disease and the symptoms of the patients do not show parallelism, we evaluated the results of two different surgical methods; arterial detection ligation (ADL) and stapler hemorrhoidopexy (SH).
Methods: A retrospective study among patients who were operated for hemorrhoids between 2021-2022.
Results: Adult patients with Grades II, III and IV were included. SH and ADL groups containing 60 patients were formed. Pain complaints (VAS) and normal daily activities (KATZ) of patients after surgery were examined. In this study, statistical analyzes were performed with NCSS (Number Cruncher Statistical System) 2007 Statistical Software (Utah, USA) package program. 50 of the patients were female and 70 were male. There was no difference between the age and gender distributions of the SH and ADL groups (p=0.231, p=0.711). On the 1st day VAS values in the SH group were found to be statistically significantly higher than the ADL group (p=0.003). When the daily activities of both groups were examined, the dressing (p=0.042) and toileting (p=0.012) activities in the SH group were lower. On the other hand, there was a statistically significant difference within the groups (SH; p= 0,0001, ADL; p=0,0001) related to the pain assessments.
Conclusions: When both methods were examined, the success rate of two techniques was similar and ADL least affects the anatomy of the anorectal region without serious complication risk.

Anahtar Kelimeler

Hemorrhoids, treatment, Stapler hemorrhoidopexy (SH), Arterial detection ligation (ADL)

Kaynakça

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