Muhammad Rafaih Iqbal, Yaseen Rafi, Saad Javed, Khalid Javed Abid.
Stapled Hemorrhoidopexy: The Mayo Hospital Experience.
Pak J Med Health Sci Jan ;6(2):476-9.

Objective: To evaluate clinical outcome after Stapled Hemorrhoidopexy. Study design: Descriptive case study Place and duration of study: West Surgical Unit, King Edward Medical University and Mayo Hospital Lahore over a period of 2 years from July 2008 to June 2010. Method: A total number of 58 patients with symptomatic late second, third and fourth degree hemorrhoids were admitted. After taking informed consent and preoperative preparation all of them underwent Stapled Hemorrhoidopexy using 33mm circular stapling device (PPH 03, Ethicon Endo Surgery). Postoperatively pain scores, analgesia requirement, complications, hospital stay, return to routine activities and recurrence were recorded on a structured proforma. Follow-up was done at 2 weeks, 6 weeks and 1 year after the procedure. Results: In 58 consecutive patients Stapled Hemorrhoidopexy was done with an operative time range of 20-45 minutes, average hospital stay was 1.3 days and return to daily routine activities on the 5th post operative day in majority of the patients. All patients were followed at the outpatient clinic for 1 year postoperatively. No deterioration of symptoms occurred during the follow up. Recurrence or procedure related adverse affects, in particular impaired continence or persistent anal pain were absent. Conclusion: Stapled Hemorrhoidopexy is a safe procedure which results in less postoperative pain, minimal analgesia requirement, fast recovery and early discharge from the hospital.

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