Ann Coloproctol.  2017 Feb;33(1):28-34. 10.3393/ac.2017.33.1.28.

Early Experience With a Partial Stapled Hemorrhoidopexy for Treating Patients With Grades III–IV Prolapsing Hemorrhoids

• Jeong H
• Hwang S
• Ryu KO
• Lim J
• Kim HT
• Yu HM
• Yoon J
• Lee JY
• Kim HR
• Choi YG

• KMID: 2377387
• DOI: http://doi.org/10.3393/ac.2017.33.1.28

Abstract

PURPOSE
Circular stapled hemorrhoidopexy (CSH) is widely used to treat patients with grades III-IV hemorrhoids because of less pain and short hospital stay. However, this procedure is associated with some complications, such as urge to defecate, anal stenosis, staple line dehiscence, abscess and sepsis. To avoid these complications, surgeons perform a partial stapled hemorrhoidopexy (PSH). The aim of this study is to present our early experience with the PSH.
METHODS
We retrospectively reviewed the medical records of 58 patients with hemorrhoids who were treated with a PSH at Busan Hang-Un Hospital from January 2016 to June 2016. A specially designed tri-window anoscope was used, and a purse string suture was made at the mucosae of the protruding hemorrhoids through the window of the anoscope. The hemorrhoidopexy was done by using a circular stapler.
RESULTS
Of the 58 patients included in this study, 34 were male and 24 were female patients (mean age, 50.4 years). The mean operation time was 12.4 minutes, and the mean postoperative hospital stay was 3.8 days. Three patients experienced bleeding (5.1%) 5 urinary retention (8.6%) and 5 skin tags (8.6%). Urge to defecate, tenesmus, abscess, rectovaginal fistula, anal stricture, incontinence, and recurrence did not occur.
CONCLUSION
PSH is a minimally invasive, feasible, and safe technique for treating patients with grades III-IV hemorrhoids. A PSH, instead of a CSH, can be used to treat certain patients with hemorrhoids.

Keyword

Hemorrhoids; Circular stapled hemorrhoidopexy; Partial stapled hemorrhoidopexy; Tissue selecting technique; Tissue selecting therapy

MeSH Terms

Abscess
Busan
Constriction, Pathologic
Female
Hemorrhage
Hemorrhoids*
Humans
Length of Stay
Male
Medical Records
Mucous Membrane
Rectovaginal Fistula
Recurrence
Retrospective Studies
Sepsis
Skin
Surgeons
Sutures
Urinary Retention