Haemorrhoid treatment at the 3rd surgery department – 15-years experience
Authors:
O. Polanecký; S. Adámek; P. Hladík; J. Skořepa; M. Šnajdauf; J. Pastor; R. Lischke
Authors‘ workplace:
Přednosta: prof. MUDr. Robert Lischke, PhD.
; III. chirurgická klinika 1. LF. UK a FN Motol
Published in:
Prakt. Lék. 2014; 94(3): 141-144
Category:
Of different specialties
Overview
The authors present their experiences with haemorrhoid treatment in the last 15 years. Between 1998–2012 there were 7441 patients treated at the 3rd Surgery department in Faculty Hospital Motol. Out-patient treatment was applied in 6862 cases, and surgery in 579 cases. From the group of out-patients there were 2676 cases treated with medicaments, with 696 of them requiring the follow-up endoscopic treatment. In a group of 4186 patients, the Barron ligature method was used, which we considered the most effective non-surgical method. Surgery was performed in a group of 579 patients with stapled haemorrhoidectomy (Longo) used in 236 cases. Classical haemorrhoidectomy was used in 343 cases (ultrasound scalpel, haemorrhoidectomy with anorectoplastic). When using the Longo method we had post-operational bleeding in six cases, and in one case post-operative anal narrowing. Ultrasound scalpel haemorrhoidectomy was used on 153 patients, haemorrhoidectomy with partial anorectoplastic on 190 patients. Overall, we had using classical methods in eight cases of bleeding requiring surgery, in two cases it was after using an ultrasound scalpel.
Keywords:
haemorrhoidectomy – endoscopy – stapled haemorrhoidectomy (Longo) – ultrasound scalpel
Sources
1. Shanmugam V, Thaha MA, Rabindranath KS, et al. Systematic review of randomized trials comparing rubber band ligation with excisional haemorrhoidectomy. Br J Surg 2005; 92: 1481–1487.
2. Hahn M, Šimša J, Horák J. Operační léčba hemoroidů Longovou metodou a její komplikace. Rozhl Chir 2003; 82(6): 307–311.
3. Longo A. Treatment of hemorrhoids disease by reduction of mucosa and hemorrhoidal prolapse with a circular suturing device: A new procedure. In: Proceedings of the 6th World Congress of Endoscopie Surgery. Rome: Monduzzi Editori 1998: 777–784.
4. Mehingan BJ, Monson JR, Hartley JE. Stapling procedure for haemorrhoids versus Milligan-Morgan haemorrhoidectomy: randomised controlled trial. Lancet 2000; 355: 782–785.
5. Rowsell M, Bello M, Hemingway DM. Circumferential mucosectomy (stapled haemorrhoidectomy) versus conventional haemorrhoidectomy: randomised controlled trial. Lancet 2000; 355: 779–781.
6. Lehur PA, Gravié JF, Meurette G. Circular stapled anopexy for haemorrhoidal disease: results. Colorectal Dis 2001; 3(6): 374–379.
7. Franklin EJ, Seetharam S, Lowney J, et al. Randomized clinical trial of Ligasure vs. conventional diathermy in hemorrhoidectomy. Dis Colon Rectum 2003; 46(10): 1380–1383.
8. Kwok SY, Chung CC, Tsui KK, et al. A double-blind, randomized trial comparing Ligasure and Harmonic Scalpel hemorrhoidectomy. Dis Colon Rectum 2005; 48(2): 344–348.
Labels
General practitioner for children and adolescents General practitioner for adultsArticle was published in
General Practitioner
2014 Issue 3
Most read in this issue
- Allergy vaccine in general practice
- Children poisoning – experiences of Poisons Information Centre in Prague
- Facial pain: rhinosinusitis or other reason?
- Results of Adam’s test of scoliotic vertebral rotation in primary school students