![]() ![]() ![]() The symptoms were greatly improved in the majority of patients (p = 0.06), and there was no difference between the groups as regards long-term anorectal pain (p = 0.16). Eighty-one percentage of Ferguson hemorrhoidectomy and 83 % of circular stapled hemorrhoidopexy patients stated that they would undergo hemorrhoid surgery again if needed (p = 0.86). 5 %, p = 0.47 and 3 % in both groups, p > 0.99, respectively). Long-term need for additional surgical or medical treatment was similar in the Ferguson hemorrhoidectomy and circular stapled hemorrhoidopexy groups (3 vs. Mean follow-up was longer in the Ferguson hemorrhoidectomy subgroups (7.7 ± 3.4 vs. Two hundred seventeen patients completed the questionnaires. Long-term follow-up was assessed with questionnaires. Patients who underwent Ferguson hemorrhoidectomy and circular stapled hemorrhoidopexy between 20 were reviewed. We aimed to compare long-term outcomes and quality of life in patients undergoing circular stapled hemorrhoidopexy to those who had Ferguson hemorrhoidectomy. This study found an earlier resumption of work and less pain in patients who underwent the stapled and semiclosed procedures rather than open, which was associated with more complications, particularly because of a higher rate of stenosis (see Video, Supplemental Digital Content 1, ). The high number of patients excluded might be considered a limitation of the study, but our selection criteria including patients living within 50 km of the hospital allowed for a low rate (9.4%) of patients lost to follow-up. The patients resumed work ≈11 days after semiclosed and stapled techniques (11.8 and 11.6 days), which was earlier compared with 21.3 days in the open group (p < 0.05). Sample size was calculated to determine a difference in terms of the intensity of postoperative pain at the first week and the days required for return to work activity.Īfter 1 week, patients who underwent semiclosed hemorrhoidectomy reported significantly less pain (p < 0.01) and a significant decrease in analgesic intake from the third postoperative day (p < 0.01) than after the other 2 techniques. Treatments according to the open, semiclosed, and stapled techniques were compared. The study was conducted from April 1999 to January 2007 at the University Hospital "Campus Bio-Medico di Roma."Īll of the patients who were referred for hemorrhoid surgery were enrolled according to inclusion and exclusion criteria (ISRCTN12040297). ![]() We aimed to determine the postoperative outcome following 3 main surgical techniques.Ī prospective, randomized trial was designed with 180 patients in 3 arms of 60 patients each. It should be noted that drug and instrumental therapy is used in approximately 90% of haemorrhoidal disease presentations.ĭifferent results have been reported concerning the postoperative outcomes of different surgical approaches for hemorrhoids. For instance, less invasive, mild treatment measures are initially recommended however, for chronic or severe haemorrhoids, medical, instrumental and/or surgical treatment may be necessary. ![]() This article reviews the different treatment options in some detail and indicates the most appropriate treatment for different types of haemorrhoidal disease. Treatment is essentially medical for the majority of patients, but there are a vast number of treatment options including non-invasive options, topical agents and suppositories, venotonics, oral anti-inflammatory drugs, instrumental treatments (such as sclerotherapy, infrared photocoagulation, rubber band ligation) and surgical treatment. Once haemorrhoids are diagnosed and their exact nature is determined, clinicians need to decide on the best treatment strategy. Although haemorrhoidal pathology may be the main reason for the initial proctological consultation, physicians need to diagnose and differentiate haemorrhoids from other conditions as symptoms may be similar and yet appropriate treatment will differ. Haemorrhoidal symptoms are the most frequent reason for consultation in proctology. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |