Initial experience with stapled haemorrhoidectomy: A local report

Abstract

Objective: Stapled haemorrhoidectomy is a new modality in the surgical treatment of haemorrhoidal disease and rectal mucosal prolapse. This paper aims at reporting the initial experience in a local institution. Method: From July 2000 to March 2001, a total of 17 patients underwent stapled haemorrhoidectomy, including 16 patients with third-degree haemorrhoids and one patient with rectal mucosal prolapse. With the aid of a specially designed assessment form, data were collected during the inpatient period and at 4 weeks, 8 weeks and 12 weeks after the operation. Results: The median operation time was 18 min (range 5–45 min) with a median blood loss of 10 mL (range 0–100 mL). Only three patients required pethidine injection during the postoperative period; other patients could be managed with simple oral analgesic. Thirteen patients (76%) could be discharged on the second day after the operation (range 1–7 patients), and the median time off work was 9 days (range 1–21 days). Complications encountered were minor, and symptom control and functional outcome appeared superior to excisional haemorrhoidectomy. Conclusion: Stapled haemorrhoidectomy is safe. The improved postoperative pain and the reduced time off work are evident; however, long-term outcomes still need further evaluation. Chinese Abstract Figure Chinese Abstract.