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2011 | 83 | 4 | 204-211
Tytuł artykułu

A One-Year Follow-Up of the Quality of Life After Stapled Hemorrhoidopexy

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Articles presenting treatment outcomes of stapled hemorrhoidopexy are rarely based on detailed analyses of the quality of life.The aim of the study was the assessment of changes within one year of treatment in the quality of life of patients who underwent stapled hemorrhoidopexy using QLQ-C30 form (version 3).Material and methods. 120 patients with grade III and IV internal hemorrhoidal disease treated with stapled hemorrhoidopexy were enrolled in the study. They answered questions from QLQ-C30 form and were subjected to examination a day before surgery and 1 day, 7 days, 4 weeks, 6 and 12 months after surgery. Assessment included operation site inspection, pain intensity measurement in VAS scale and parameters incorporated in QLQ-C30 form evaluation.Results. The overall quality of life decreased immediately after surgery (a day after 50% vs. 60% before surgery), but rapidly improved in one week and in one month periods (60% and 80% consecutively) reaching a plateau one month after surgery. Early complications occurred in 6 patients (5%). Recurrence of the disease was not observed. Bleeding from anastomosis site and severe pain in anal area immediately post surgery as a result of improper purse-string suture placement were the main complications.Conclusions. In patients with grade III or IV hemorrhoidal disease, stapled hemorrhoidopexy ensures a rapid improvement in the quality of life after surgery to the level experienced prior to the operation. 7-day convalescence period is sufficient. After one month, the overall quality of life improves significantly and reaches a plateau.
Słowa kluczowe
Wydawca

Rocznik
Tom
83
Numer
4
Strony
204-211
Opis fizyczny
Daty
wydano
2011-04-01
online
2011-06-07
Twórcy
  • Surgical Department, Ministry of the Interior and Administration Hospital in Gdańsk
  • Oncological Surgery Department, Gdynia Centre of Oncology, Maritime Hospital in Gdynia
  • Oncological Surgery Department, Medical University of Gdańsk
  • Surgical Department, Ministry of the Interior and Administration Hospital in Gdańsk
Bibliografia
  • Burch J, Epstein D, Baba-Akbari A et al.: Stapled haemorrhoidectomy (haemorrhoidopexy) for the treatment of haemorrhoids: a systematic review and economic evaluation. Health Technol Assess 2008; 12: 1-193.
  • Kaidar-Person O, Person B, Wexner SD: Hemorrhoidal disease: a comprehensive review. J Am Coll Surg 2007; 204: 102-17.
  • Gao XH, Fu ChG, Nabieu PF: Residual skin tags following procedure for prolapse and hemorrhoids: differentiation from recurrence. World J Surg 2010; 34: 344-52.[Crossref][WoS][PubMed]
  • Laughlan K, Jayne DG, Jackson D et al.: Stapled haemorrhoidopexy compared to Milligan-Morgan and Ferguson haemorrhoidectomy: a sysytematic review. Int J Colorectal Dis 2009; 24: 335-44.[WoS][PubMed][Crossref]
  • Tjandra JJ, Chan MKY: Systematic review on the procedure for prolapse and hemorrhoids (stapled hemorrhoidopexy). Dis Colon Rectum 2007; 50: 878-92.[Crossref][PubMed][WoS]
  • Longo A: Treatment of hemorrhoidal disease by reduction of mucosa an haemorrhoidal prolapse with a circular-stapling device: a new procedure. Proceedings of 6-th World Congress of Endoscopic Surgery 1998: 777-84.
  • Pesta W, Wirkowski A, Leksowski K: Stapled haemorrhoidopexy for the treatment of haemorrhoids: a review of our experience. Videosurgery and Other Miniinvasive Techniques 2009; 4: 147-53.
  • Ravo B, Amato A, Bianco V et al.: Complications after stapled hemorrhoidectomy: can it be prevented? Tech Coloproctol 2002; 6: 83-88.[PubMed][Crossref]
  • Brusciano L, Ayabaca SM, Pescatori M et al.: Reinterventions after complicated or failed stapled hemorrhoidopexy. Dis Colon Rectum 2004; 47: 1846-51.[Crossref][PubMed]
  • Wong L-Y, Jiang J-K, Chang S-Ch et al.: Rectal perforation: a life-threatening complication of stapled hemorrhoidectomy. Dis Colon Rectum 2003; 46: 116-17.[Crossref]
  • Martinsons A, Narbuts Z, Brunenieks I et al.: A comparison of quality of life and postoperative results from combined PPH and conventional hemorrhoidectomy in different cases hemorrhoid disease. Colorectal Dis 2007; 9: 423-29.[WoS][Crossref]
  • Smyth EF, Baker RP, Wilken BJ et al.: Stapled versus excision haemorrhoidectomy: long-term follow up of a randomised controlled trial. Lancet 2003; 361: 1437-38.[PubMed][Crossref]
  • Wilson MS, Pope V, Doran HE et al.: Objective comparison of stapled anopexy and open hemorrhoidectomy: a randomized, controlled trial. Dis Colon Rectum 2002; 45: 1437-44.[Crossref][PubMed]
  • Aaronson NK, Ahmedzai S, Bergman B et al.: The European Organization for Research and Treatment of Cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology. J Natl Cancer Inst 1993; 85: 365-76.[Crossref]
  • Gravie JF, Lehur P-A, Huten N et al.: Stapled hemorrhoidopexy versus Milligan-Morgan hemorrhoidectomy. Ann Surg 2005; 242: 29-35.[WoS][PubMed][Crossref]
  • Senagore AJ, Singer M, Abcarian H et al.: A prospective, randomized, controlled multicenter trial comparing stapled hemorrhoidopexy and Ferguson hemorrhoidectomy: perioperative and oneyear results. Dis Colon Rectum 2004; 47: 1824-36.[Crossref]
  • Jayaraman S, Colquhoun PHD, Malthaner RA: Stapled hemorrhoidopexy is associated with a higher long-term recurrence rate of internal hemorrhoids compared with conventional excisional hemorrhoid surgery. Dis Colon Rectum 2007; 50: 1297-1305.[PubMed][WoS][Crossref]
  • Palimento D, Picchio M, Attanasio U et al.: Stapled and open hemorrhoidectomy: randomized controlled trial of early results. World J Surg 2003; 27: 203-07.[PubMed]
  • Altomare DF, Rinaldi M, Sallustio PL et al.: Long-term effects of stapled haemorrhoidectomy on internal anal function and sensitivity. Br J Surg 2001; 88: 1487-91.
  • Corman ML, Gravie JF, Hager T et al.: Stapled haemorrhoidopexy: a consensus position paper by an International Working Party - indications, contra-indications and technique. Colorect Dis 2003; 5: 304-10.[Crossref]
  • Habr-Gama A, Sousa AHS, Rovelo JMO et al.: Stapled hemorrhoidectomy: initial experience of a Latin American Group. Gastrointest Surg 2003; 7: 809-13.[Crossref]
  • Racalbuto A, Aliotta I, Corsaro G et al.: Hemorrhoidal stapler prolapsectomy vs. Milligan-Morgan hemorrhoidectomy: a long-term randomized trial. Int J Colorectal Dis 2004; 19: 239-44.[PubMed][Crossref]
  • Shanmugam V, Watson AJ M, Chapman AD et al.: Pathological audit of stapled haemorrhoidopexy. Colorect Dis 2005; 7: 172-75.[Crossref]
  • Ganio E, Altomore DF, Gabrielli F et al.: Prospective randomized multicentre trial comparing stapled with open haemorrhoidectomy. Br J Surg 2001; 88: 669-74.
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_v10035-011-0031-7
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