Stapled haemorrhoidopexy: is it time to move on?

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7 Citations (Scopus)

Abstract

Stapled haemorrhoidectomy was proposed as an 'ideal' solution for symptomatic haemorrhoids, with minimal postoperative pain, no perianal wound requiring postoperative wound care and a relatively short operative time. Some randomised controlled trials and reviews confirmed these findings, claiming that stapled haemorrhoidopexy is the most effective and safe procedure for haemorrhoids. However, there are increasing number of publications highlighting that the technique is associated with serious and life threatening complications. Maybe it is now the time to accept that stapled haemorrhoidopexy has done its role in directing our attention to the fact that modern surgical treatment of haemorrhoids should avoid excision of anorectal skin but should instead aim at treatment intervention above the dentate line.

Original languageEnglish
Pages (from-to)490-3
Number of pages4
JournalAnnals of the Royal College of Surgeons of England
Volume97
Issue number7
DOIs
Publication statusPublished - Oct 2015

Keywords

  • Hemorrhoids
  • Humans
  • Postoperative Complications
  • Surgical Stapling
  • Treatment Outcome
  • Journal Article
  • Review

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