Abstract:

OBJECTIVE: Our aim was to investigate that whether stapled hemorrhoidopexy is less painful, has quick recovery to the social life, is safe and easy to perform, has less hospitalisation time. METHODS: In this study between Jan 2004- Jan 2006, thirthyone patients were operated under spinal anesthesia with circular stapler. All of patients were male, mean age was 27 (20-46) years. The patients were evaluated in terms of functional recovery, hospitalization time, level of pain according to the Visual Analogue Scale (VAS: 1 to 10). RESULTS: Complaints of patients were; anal swelling 28, constipation 25, bleeding 23, pain around the anal region while sitting 18. Grade III hemorrhoid was confirmed in 17 patients, grade IV was confirmed in 14 patients. Mean operation time was 17,1 (16-45) minutes, mean hospitalization time was 47,2 (24-72) hours. Follow-up time was 2-24 months. Peroperatory bleeding was seen in 1 patient. Postoperative anal stricture was seen in 2 patients. Postoperative anal edema was seen in 1 patient. Postoperative urinary retantion was seen in 5 patients. Mean VAS score was 4 (1-7). Requiring analgesic was minimal level. CONCLUSION: Our results are verified obvious advantages of stapled hemorrhoidopexy in selected cases (especially for Type III hemorrhoids), allows the quick recovery, causes less pain during postoperative period, shortened the hospitalization time. The morbidity rate was low, the results are directly depend on experience.

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