Stapled Haemorrhoidopexy Compared with Conventional Haemorrhoidectomy--A Systematic Review.
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Date
2012-01
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Abstract
Haemorrhoids are one of the most common anorectal disorders. Conventional haemorrhoidectomy (CH) is the most
commonly practiced surgical technique. Stapled haemorrhoidopexy (SH) [procedure for prolapsed haemorrhoids
(PPH)] is newly developed method for the surgical management of Haemorrhoids. This review looks at the surgical
management of prolapsed haemorrhoids in light of this recent development and suggests a treatment approach based
on this current evidence. A Medline, Pubmed and Cochrane data base search was performed using key words
"haemorrhoid" or 'hemorrhoid' and staple. Relevant papers e.g. randomized controlled trials, review and metaanalyses
from different parts of the world were collected. Data were analyzed and compiled. Though early small
RCTs (stapled haemorrhoidopexy comparing with traditional excisional surgery) have shown stapled
haemorrhoidopexy is less painful and it is associated with quicker recovery but recent large meta-analyses and long
term follow up have shown SH is associated with a higher long term risk of haemorrhoid recurrence and symptoms of
prolapse.
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Keywords
Haemorrhoids, Haemorrhoidopexy, Staple
Citation
Rahaman A S M T, Rahman A S M Z, Biswas S K, Majunder K R, Biswas G. Stapled Haemorrhoidopexy Compared with Conventional Haemorrhoidectomy--A Systematic Review. Faridpur Medical College Journal. 2012 Jan; 7(1): 37-41.