1st Surgical Clinic, First IKA Hospital, Lamera 31, Nea Makri, 19005 Attiki, Greece.
Tech Coloproctol. 2011 Oct;15 Suppl 1:S79-81. doi: 10.1007/s10151-011-0739-8.
Introduction of stapled hemorrhoidopexy (SH) brought a radical change in the treatment of haemorrhoidal disease. The aim of this study is to evaluate the results and the complications (early and late) from the use of this technique.
During the last 6 years (2005-2011), 123 patients underwent a SH in our ward. Our sample consists of 79 male and 44 female patients with an average age of 48.2 years (range 22-83 years). Of them, 83 had third-degree haemorrhoidal disease, 34 had fourth-degree and 6 had second-degree bleeding haemorrhoids. The follow-up period was 6-72 months.
Pain was minimal or even not existent. Additional sutures or use of adrenaline 1:200.000 for haemostasis were required in 6 patients (4.8%). The bleeding has been diminished with the use of this new haemorrhoidectomy stapler PPH03. Urinary retention, which was observed in 3 patients (2.4%), was temporary and the use of catheter was not needed. As a late complication, 'faecal urgency' occurred in 8 patients (6.5%), and disappeared after some months. No recurrent haemorrhoidal disease occurred. No cases of chronic pain were reported. Average hospital stay was 1 day, except for 2 patients who remained for 2 days for bleeding observation.
The correct application of SH reduces the possible complications. The advantages of the stapled procedure are reduced postoperative pain, the minimal hospital stay and early return to work.
吻合器痔上黏膜环切术（SH）的引入彻底改变了痔病的治疗方式。本研究旨在评估该技术的应用结果和并发症（早期和晚期）。
在过去的 6 年（2005-2011 年）中，我们科室有 123 例患者接受了 SH。我们的样本包括 79 名男性和 44 名女性患者，平均年龄为 48.2 岁（范围 22-83 岁）。其中，83 例为三度痔病，34 例为四度痔病，6 例为二度出血性痔病。随访时间为 6-72 个月。
疼痛轻微甚至不存在。6 例患者（4.8%）需要额外缝线或使用肾上腺素 1:200000 止血。新的痔切除术吻合器 PPH03 的使用减少了出血。3 例患者（2.4%）出现暂时性尿潴留，无需使用导尿管。8 例患者（6.5%）出现“排便急迫”的晚期并发症，数月后消失。无复发性痔病发生。无慢性疼痛报告。平均住院时间为 1 天，有 2 例患者因出血观察需要住院 2 天。
正确应用 SH 可减少可能的并发症。吻合器手术的优点是术后疼痛减轻、住院时间短、早期恢复工作。
