Stapled hemorrhoidopexy trial#

METHODS: Patients with prolapsing hemorrhoids (Grade III) were randomized to undergo the procedure for prolapse and hemorrhoids or Ferguson hemorrhoidectomy by colorectal surgeons who had training in using the stapling technique.

Stapled hemorrhoidopexy trial#

Results are presented here from the first prospective, randomized, multicenter trial comparing these hemorrhoid procedures in the United States. However, there have been few randomized comparisons assessing both perioperative and long-term outcomes of the procedure for prolapse and hemorrhoids and Ferguson hemorrhoidectomy. CONCLUSIONS: These data demonstrate that stapled hemorrhoidopexy offers the benefits of less postoperative pain, less requirement for analgesics, and less pain at first bowel movement, while providing similar control of symptoms and need for additional hemorrhoid treatment at one-year follow-up from surgery.ДЄbstract = 'PURPOSE: There is a growing body of evidence supporting the lesser degrees of pain with stapled hemorrhoidopexy, also called the procedure for prolapse and hemorrhoids. Only four of the Ferguson patients (5 interventions) required additional procedures more than 30 days after surgery. Control of hemorrhoid symptoms was similar between groups however, significantly fewer patients having the procedure for prolapse and hemorrhoids required additional anorectal procedures during one-year follow-up (procedure for prolapse and hemorrhoids, 2 (2.6 percent), vs. Postoperative pain during the first 14 days, pain at first bowel movement, and need for post-operative analgesics were significantly less in the procedure for prolapse and hemorrhoids group. Reoperation for an adverse effect was required in six (7.6 percent) Ferguson patients and in 0 patients having the procedure for prolapse and hemorrhoids (P = 0.028). There were a similar number of patients with adverse events in each group (procedure for prolapse and hemorrhoids, 28 (36.4 percent) vs. Demographic parameters, hemorrhoid symptoms, preoperative pain scores, and bowel habits were similar between groups. One hundred seventeen patients (procedure for prolapse and hemorrhoids, 59 Ferguson, 58) returned for one-year follow-up. RESULTS: A total of 156 patients (procedure for prolapse and hemorrhoids, 77 Ferguson, 79) completed randomization and the surgical procedure, 18 (procedure for prolapse and hemorrhoids, 12 Ferguson, 6) had significant protocol violations.

Primary end points were acute postoperative pain, and hemorrhoid symptom recurrence requiring additional treatment at one-year follow-up from surgery.

PURPOSE: There is a growing body of evidence supporting the lesser degrees of pain with stapled hemorrhoidopexy, also called the procedure for prolapse and hemorrhoids.