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ANZ J Surg. 2011 Apr;81(4):253-6. doi: 10.1111/j.1445-2197.2010.05478.x. Epub 2010 Sep 16.

Results of 7302 stapled haemorrhoidectomy operations in a single centre: a seven-year review and follow-up questionnaire survey.

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1
Department of Colorectal Surgery, Singapore General Hospital, Singapore.

Abstract

BACKGROUND:

This study aims to evaluate the results of all 7302 stapled haemorrhoidectomy operations performed in a single centre.

METHOD:

A retrospective review of all 7302 patients who underwent stapled haemorrhoidectomy at our department over seven years was conducted. The hospital database was reviewed for subsequent readmissions and re-operations. A questionnaire survey was also sent out to all the patients.

RESULTS:

A total of 302 patients (4.1%) were admitted with post-operative bleeding and 281 stopped with conservative measures. Twenty one required surgical haemostasis. A total of 301 patients (4.1%) were admitted for an inability to void and 191 (2.6%) had true acute retention of urine, requiring catheterization. There were 124 patients (1.7%) admitted for pain, but all resolved with oral analgesia subsequently. Anal stricture requiring surgery occurred in only 86 patients (1.2%). Serious complications such as staple line dehiscence or anorectal sepsis occurred in seven patients. There were a total of 14 recurrences requiring readmission over this seven-year period, of which 12 were treated successfully with a second haemorrhoidectomy. A total of 1834 patients returned their questionnaire surveys and 95% of the patients reported complete resolution or improvement of their symptoms. Only 27 patients reported subsequent severe bleeding requiring medical attention.

CONCLUSION:

Stapled haemorrhoidectomy is safe, and most patients are satisfied with the long-term outcome.

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