State of the Art Hemorrhoidal Stapler Using a Modified Technique: A Step towards the Goals of Implement
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Date
2015-11Author
Anthimidis, George
Varsamis, Nikolaos
Georgakoudi, Eleni
Fahantidis, Epameinondas
Ioannidis, Kostas
Basdanis, George
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Background: Procedure for prolapse and hemorrhoids (PPH) has emerged as an alternative surgical
treatment of symptomatic hemorrhoids. The operative technique along with the device to be
used is constantly evolving. Aim: The aim of the present study was to evaluate results of PPH using
a modified technique and an innovative circular stapler. Material and Methods: A prospective,
comparative study of patients undergoing PPH for symptomatic Grade II and Grade III internal
hemorrhoids with either 32 mm or 34 mm stapler diameter (Circular Stapler for HemorrhoidsCSH
32/34) during a 36 month period (1/1/2012-1/1/2015) was performed. A modified operative
technique using two purse string sutures was employed. Patients were evaluated and compared in
terms of postoperative complications, operation time, length of hospital stay and time to return to
normal activities. Results: A total of 100 patients were included: 50 in the CSH 32 group and 50 in
the CSH 34 group. Complication rates were equal for both stapler diameters (32 mm and 34 mm).
Serious or life threatening complications were not encountered and need for reintervention was
never met. Operation time, length of hospital stay and time to return to normal activities were
similar in both groups. Conclusions: Our study suggests that there are no significant differences between the two available diameters of a new-fangled circular stapler, using a modified technique. It seems that progress of hemorrhoidal staplers has led to a step towards the goals of implement and from then on complications of surgical practice could be merely a matter of operative technique.