Stapled anopexy: Postoperative course and functional outcome in 400 patients

Stefano Bona, Francesco Battafarano, Uberto Fumagalli Romario, Mauro Zago, Riccardo Rosati

Research output: Contribution to journalArticle

Abstract

PURPOSE: We performed a retrospective analysis of postoperative course and functional outcome after at least six months' follow-up in a series of 400 consecutive patients who underwent stapled anopexy. METHODS: All patients were evaluated at one week and one month after surgery and then according to symptoms. A clinical or telephone follow-up was obtained for all patients. The last 50 patients were prospectively evaluated with an obstructive defecation syndrome score and Wexner continence and constipation score before operation and six months after anopexy. RESULTS: There were no intraoperative complications. Postoperative bleeding that requires reoperation was observed in 11 patients, most cases (9/11) occurring in the early experience (first 50 patients). After a median follow-up of 6.1 years, four patients required reoperation. After anopexy, we observed an improvement in patients who present disturbance in defecation. The difference between the median obstructive defecation syndrome score before and after operation was statistically significant. Wexner score showed improvement without significant difference. CONCLUSIONS: Treatment of hemorrhoids with circular stapler seems to be effective with low morbidity and high satisfaction rate because of reduced postoperative pain and rapid recovery. This technique also allows improvement of obstructive defecation symptoms, which are seldom studied in patients with hemorrhoids.

Original languageEnglish
Pages (from-to)950-955
Number of pages6
JournalDiseases of the Colon and Rectum
Volume51
Issue number6
DOIs
Publication statusPublished - Jun 2008

Keywords

  • Hemorrhoidal disease
  • Obstructive defecation
  • Stapled anopexy

ASJC Scopus subject areas

  • Gastroenterology

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