ABSTRACT

OBJECTIVE:

Aim of this study was to evaluate early and late outcome of patients with hemorrhoidal disease to whom stapled hemorrhoidopexy was performed.

MATERIAL AND METHODS:

Patients with grade 3 – 4 hemorrhoidal disease to whom stapled hemorrhoidopexy was performed between February 2006 and October 2007 were prospectively evaluated for initial complaint, duration of complaint, co-morbid anal disease and post operative complaints. Operation was performed with the technique of Longo. Patients were invited for routine follow-up at 1, 2 and 12 months after operation. Visual analog scale (VAS) was used for assesment of pain.

FINDINGS:

Of the 50 cases 38 were men and 12 were women with a mean age of 39.3 (range: 26 - 67) and range of complaint duration was between 3 to 36 months. Mean operation duration was 27 minutes (10 -45 minutes). Lateral internal sphincterotomy was performed to 5 patients with comorbid anal fissure and 2 patients' thrombosed hemorrhoids were excised. All patients received IV NSAID (Tenoksikam) postoperatively. Mean VAS score was 1.6 (1-6). Mean length of hospital stay was 28.5 hours (24-72). 6 patients required re-operation: 3 patient with late bleeding (post-operative 7-10days) required suture ligation, 1 patient with persistant pain required examination under anesthesia, 1 patient with external thrombosed hemorrhoid required ligasure hemorrhoidectomy and 1 patient with intersphincteric abcess, 4 months after the operation required drainage. At the end of 1 year follow up none of the patients had active complaints.

CONCLUSİON:

Stapled Hemorrhoidopexy is an easily performed method with acceptable pain level and short healing process however, it may have serious post - operative complications, it is expensive and should be performed to selected cases.