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Journals / Bakırköy Tıp Dergisi / 2008 / Cilt: 4 - Sayı: 2

Randomized clinical trial of Stapled hemorrhoidopexy versus Ferguson hemorrhoidectomy

Ferguson hemoroidektomiye karşı stapler hemoroidopeksi: Randomize klinik çalışma

Oktay BÜYÜKAŞIK
AHMET OĞUZ HASDEMİR
A. İlker KESKİN
Bilal ARIKAN
Salih BÜLBÜL
Pages
48–52
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Provided further clinical trials confirm these findings, SH may become a future gold standard.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: The purpose of this study was to compare stapled hemorrhoidopexy (SH) with that of the Ferguson hemorrhoidectomy (FH) for the surgical treatment of hemorrhoidal disease.
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Key Findings & Data:Material and Methods: Fifthy patients with grade III or IV haemorrhoids were randomized to undergo either the SH (n=25) or FH (n=25).
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Conclusion & Impact:Conclusion: Provided further clinical trials confirm these findings, SH may become a future gold standard.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: The purpose of this study was to compare stapled hemorrhoidopexy (SH) with that of the Ferguson hemorrhoidectomy (FH) for the surgical treatment of hemorrhoidal disease. Material and Methods: Fifthy patients with grade III or IV haemorrhoids were randomized to undergo either the SH (n=25) or FH (n=25). Operative time, length of hospital stay, postoperative pain, early and late complications, time to return to normal daily activities (both professional and social) and recurrence were evaluated. Follow up was one year. Results: Operative time, postoperative pain, the time to return to normal activities and recurrence were significantly less for patients in SH group. In the FH group early complications were more frequent but not statistically significant and there were no statistically significant differences regarding the frequency of late complications. Conclusion: Provided further clinical trials confirm these findings, SH may become a future gold standard.

Özet

Amaç: Bu çalışmada hemoroidal hastalığın cerrahi tedavisinde stapler hemoroideopeksi (SH) ile Ferguson hemorroidektomi (FH) tekniklerinin karşılaştırılması amaçlanmaktadır. Gereç ve Yöntem: Üçüncü veya 4. derecede hemoroidi olan 50 hasta randomize edilerek SH (n=25) ve FH (n=25) yöntemleri ile tedavi edildi. Operasyon süresi, hastanede kalış süresi, postoperatif ağrı, erken ve geç komplikasyonlar, hem profesyonel hem de sosyal olarak normal aktivitelerine dönüş zamanı ve nüks gelişimi yönünden değerlendirildi. Hastaların izlem süresi 1 yıldır. Bulgular: Operasyon süresi, hastanede kalış süresi, postoperatif ağrı, normal aktivitelerine dönüş zamanı ve nüks gelişimi SH grubunda belirgin olarak daha azdır. FH grubunda erken dönem komplikasyonlar daha sık görülmekle birlikte, erken ve geç komplikasyonlar yönünden istatistiki olarak fark yoktur. Sonuç: Bu bulgular gelecekte yapılan klinik çalışmalar ile doğrulanabilirse SH hemoroidal hastalığın tedavisinde altın standart olabilir.

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Cite This Article

BÜYÜKAŞIK, O., HASDEMİR, A. O., KESKİN, A. İ., ARIKAN, B., BÜLBÜL, S. (2008). Randomized clinical trial of Stapled hemorrhoidopexy versus Ferguson hemorrhoidectomy. Bakırköy Tıp Dergisi, Cilt: 4 - Sayı: 2, 48–52. https://ajindex.com/articles/137109

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References (16)

  1. Bleday R, Pena JP, Rothenberger DA, Goldberg SM, Buls JG. Symptomatic hemorrhoids: current incidence and complications of operative therapy. Dis Colon Rectum 1992; 35: 477-481
  2. Longo A. Mechanical hemorrhoidectomy using a circular stapler. Refresher course on hemorrhoidal disease therapy. 24th International Congress of Latin Mediterranean. Palermo, Italy: Renna s.p.a graphic; 1995
  3. Longo A. Treatment of haemorrhoids disease by reduction of mucosa and hemorrhoidal prolapse with a circular suturing device: a new procedure. In: Proceedings of The Sixth World Congress of Endoscopic Surgery. Bologna, Rome, Italy: Monduzzi Editore; 1998:p. 777–784
  4. Ferguson JA, Heaton JR. Closed hemorrhoidectomy. Dis Colon Rectum 1959; 2:176-179
  5. Sardinha TC,Corman ML. Hemorrhoids. Surg Clin North Am 2002; 82:1153-1167
  6. Loder PB, Kamm MA, Nicholls RJ, Phillips RK. Haemorrhoids: pathology, pathophysiology and aetiology. Br J Surg 1994; 81: 946-954
  7. Edmund A. Edmund Andrews 1824-1904. The treatment of hemoroids by injection. Dis Colon Rectum 1988; 31: 331-332
  8. Salvati EP. Nonoperative management of hemorrhoids: evolution of the office management of hemorrhoids. Dis Colon Rectum 1999; 42:989-993
  9. You SY, Kim SH, Chung CS, Lee DK. Open vs. closed hemorrhoidectomy. Dis Colon Rectum 2005; 48: 108-113
  10. Ho YH, Seow-Choen F, Tan M, Leong AF. Randomized controlled trial of open and closed haemorrhoidectomy. Br J Surg 1997; 84: 1729-1730
  11. Ganio E, Altomare DF, Gabrielli F, Milito G, Canuti S. Prospective randomized multicentre trial comparing stapled with open hemorrhoidectomy. Br J Surg 2001; 88: 669-674
  12. Ascanelli S, Gregorio C, Tonini G, Baccarini M, Azzena G. Long stapled haemorroidopexy versus Milligan-Morgan procedure: short and long term results of a randomised, controlled, prospective trial. Chir Ital 2005; 57: 439-447
  13. Sabancı U, Ogun I, Candemir G. Stapled haemorroidopexy versus Ferguson haemorrhoidectomy: a prospective study with 2-year postoperative follow- up. J Int Med Res 2007; 35: 917-921
  14. McCloud JM, Jameson JS, Scott AN. Life-threatening sepsis following treatment for haemorrhoids: a systematic review. Colorectal Dis 2006; 8: 748-755
  15. Maw A, Eu KW, Seow-Choen F. Retroperitoneal sepsis complicating stapled hemorrhoidectomy: report of a case and review of the literature. Dis Colon Rectum 2002; 45: 826-828
  16. Wong LY, Jiang JK, Chang SC, Lin JK. Rectal perforation: a lifethreatening complication of stapled hemorrhoidectomy