2° Surgical Department, Azienda Ospedaliera Santa Maria Degli Angeli, Pordenone, Italy.
Colorectal Dis. 2012 Jul;14(7):e386-9. doi: 10.1111/j.1463-1318.2012.02965.x.
Selected patients with haemorrhoidal prolapse undergoing double stapled anopexy with the procedure for prolapse and haemorrhoids (PPH03) were studied.
Between March 2007 and March 2010, 235 patients referred with haemorrhoids were included in the study. Patients with obstructed defaecation were excluded. At surgery intraoperative evaluation for double stapled anopexy was carried out based on the criteria of prolapse occupying half or more of the anal circumference and redundant prolapsed tissue determined by the circular anal dilator. Patients fulfilling these criteria were submitted for double stapled anopexy with the PPH03 stapler. All clinical and operative data were recorded in a prospectively maintained database.
Among the 142 patients with haemorrhoidal prolapse having surgery 91 had a single and 51 a double stapled technique. The mean operative time was 34.8 min with no major or minor intraoperative complications. Recurrence at 48 months was 1.9% and the mean satisfaction score was 8.9.
The double stapled PPH03 technique in selected cases was as safe and effective as a single stapling technique with a lower incidence of recurrence over a medium-term follow-up.
研究接受吻合器痔上黏膜环切术（PPH03）治疗的痔疮脱垂患者。
2007 年 3 月至 2010 年 3 月，对 235 例痔疮患者进行了研究。排除了有排便障碍的患者。在手术中，根据脱垂占据肛门周长一半或更多以及环形肛门扩张器确定的多余脱垂组织的标准，对吻合器痔上黏膜环切术进行了术中评估。符合这些标准的患者接受了 PPH03 吻合器的双吻合器痔上黏膜环切术。所有临床和手术数据均记录在一个前瞻性维护的数据库中。
在 142 例有痔疮脱垂的患者中，91 例行单吻合器技术，51 例行双吻合器技术。平均手术时间为 34.8 分钟，无主要或次要的术中并发症。48 个月时的复发率为 1.9%，平均满意度评分为 8.9。
在选择病例中，双吻合器 PPH03 技术与单吻合器技术一样安全有效，在中期随访中复发率较低。
