Stapled hemorrhoidectomy

Hemorrhoids: Surgical Treatment

Published in Laurence R. Sands, Dana R. Sands, Ambulatory Colorectal Surgery, 2008

Senagore et al. (45) conducted a randomized, prospective trial comparing stapled hemorrhoidectomy with the closed Ferguson technique in 13 U.S. centers. Postoperative pain in the first two weeks, pain with first bowel movement, and need for postoperative analgesics were significantly reduced in the stapled hemorrhoidopexy group. Patients in the conventional hemorrhoidectomy group were more likely to present with new or worsening symptoms within the first six months, but after one year, the converse was observed. Other trials comparing stapled hemorrhoidectomy with conventional hemorrhoidectomy are presented in Table 1. Stapled hemorrhoidectomy is now the preferred method of the authors for the surgical treatment of internal hemorrhoids in the absence of a significant external component (46).

Pyogenic liver abscess after open hemorrhoidectomy

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Journal Information

Published in Acta Chirurgica Belgica, 2023

Maxim Peeters, Xavier De Raeymaeker, Amine Karimi, Martijn van der Pas

It is known that surgery or even examination of the anal canal may be associated with transient bacteremia. Diathermic hemorrhoidectomy causes thermal injury and may facilitate translocation of bacteria through the bowel wall. A study of Maw et al (BJS, 2002) shows a trend for higher rates of transient bacteremia in stapled hemorrhoidectomy, than in diathermic hemorrhoidectomy [7].

Stapled hemorrhoidectomy

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Hemorrhoids: Surgical Treatment

Pyogenic liver abscess after open hemorrhoidectomy