Randomised controlled trial between stapled circumferential mucosectomy and conventional circular hemorrhoidectomy in advanced hemorrhoids with external mucosal prolapse

Paolo Boccasanta, Pier Giuseppe Capretti, Marco Venturi, Ugo Cioffi, Matilde De Simone, Giovanni Salamina, Ettore Contessini-Avesani, Alberto Peracchia

Research output: Contribution to journalArticlepeer-review

Abstract

Background: This randomized prospective study compared the outcome of circular hemorrhoidectomy according to the Hospital Leopold Bellan (HLB) technique (Paris) with Longo stapled circumferential mucosectomy (LSCM) in two homogeneous groups of patients affected by circular fourth-degree hemorrhoids with external mucosal prolapse. Methods: From December 1996 to December 1999, 80 consecutive patients with fourth-degree hemorrhoids and external mucosal prolapse were randomly assigned to two groups. Forty patients (group A: 18 men, 22 women, mean age 50.5 years, range 21 to 82) underwent HLB hemorrhoidectomy, and 40 patients (group B: 15 men, 25 women, mean age 51.0 years, range 29 to 92) underwent LSCM. Before surgery, all patients were selected with a standard questionnaire for symptom evaluation, full proctological examination, flexible rectosigmoidoscopy, dynamic defecography, and anorectal manometry. No significant differences among the two groups were found. All patients were controlled with follow-up questionnaire and with clinical examination at 1, 2, 4, 12, and 54 weeks after the operation. A postoperative manometry was performed 3 months after surgery. Results: The length of the operation was significantly lower in group B (25 ± 3.1 SD versus 50 ± 5.3 minutes, P

Original languageEnglish
Pages (from-to)64-68
Number of pages5
JournalAmerican Journal of Surgery
Volume182
Issue number1
DOIs
Publication statusPublished - 2001

Keywords

  • Advanced hemorrhoidal disease
  • Circular hemorrhoidectomy
  • Prospective study
  • Rectal mucosal prolapse
  • Stapled hemorrhoidectomy

ASJC Scopus subject areas

  • Surgery

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