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Article: Ambulatory stapled haemorrhoidectomy: A safe and feasible surgical technique

TitleAmbulatory stapled haemorrhoidectomy: A safe and feasible surgical technique
Authors
KeywordsAmbulatory surgical procedures
Hemorrhoids
Postoperative complications
Issue Date2003
PublisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/resources/supp.html
Citation
Hong Kong Medical Journal, 2003, v. 9 n. 2, p. 103-107 How to Cite?
AbstractObjective. To compare outcomes following stapled haemorrhoidectomy as an in-patient versus day-surgery procedure. Design. Prospective non-randomised study. Setting. University affiliated hospitals, Hong Kong. Subjects and methods. Forty-eight consecutive patients who underwent stapled haemorrhoidectomy were included in the study. Twenty-four patients had the procedure in an ambulatory setting and the other 24 were treated as in-patients. The symptoms, operative details, postoperative complications, length of hospital stay, pain scores, analgesic requirements, and patient satisfaction scores were collected. Comparison was made between those patients undergoing ambulatory surgery and those treated as in-patients. Results. There were 25 women and 23 men in the study. The mean age was 46.6 years (standard deviation, 12.1 years). The mean operating time was 29.3 minutes (standard deviation, 9.9 minutes). An incomplete 'doughnut' after stapling was found in one patient. There were no other adverse intra-operative events or complications. Postoperative morbidities occurred in eight patients but none required further surgery. One patient in the day-surgery group could not be discharged because of urinary retention and three required re-admission to hospital because of secondary haemorrhage (n=1) or fever (n=2). There were no differences in the postoperative complications, pain scores, analgesic requirements, and patient satisfaction scores between the two groups. The total mean hospital stay was significantly shorter for those undergoing day-surgery stapled haemorrhoidectomy (0.46 versus 1.9 days, P<0.01). The mean follow-up period was 4.6 months (standard deviation, 4.0 months). All patients reported symptomatic improvement during this time and there was no incidence of faecal incontinence. One patient had a soft stricture, one had a fissure, and two had residual skin tags. All of these problems were conservatively managed, without the need for further surgical procedures. Conclusions. Stapled haemorrhoidectomy is a safe and effective operation for haemorrhoids. It is a feasible procedure to perform as day-surgery. The hospital stay can be significantly shortened, thus reducing the costs associated with in-patient care.
Persistent Identifierhttp://hdl.handle.net/10722/45419
ISSN
2015 Impact Factor: 0.887
2015 SCImago Journal Rankings: 0.279
References

 

DC FieldValueLanguage
dc.contributor.authorLaw, WLen_HK
dc.contributor.authorTung, HMen_HK
dc.contributor.authorChu, KWen_HK
dc.contributor.authorLee, FCWen_HK
dc.date.accessioned2007-10-30T06:25:04Z-
dc.date.available2007-10-30T06:25:04Z-
dc.date.issued2003en_HK
dc.identifier.citationHong Kong Medical Journal, 2003, v. 9 n. 2, p. 103-107en_HK
dc.identifier.issn1024-2708en_HK
dc.identifier.urihttp://hdl.handle.net/10722/45419-
dc.description.abstractObjective. To compare outcomes following stapled haemorrhoidectomy as an in-patient versus day-surgery procedure. Design. Prospective non-randomised study. Setting. University affiliated hospitals, Hong Kong. Subjects and methods. Forty-eight consecutive patients who underwent stapled haemorrhoidectomy were included in the study. Twenty-four patients had the procedure in an ambulatory setting and the other 24 were treated as in-patients. The symptoms, operative details, postoperative complications, length of hospital stay, pain scores, analgesic requirements, and patient satisfaction scores were collected. Comparison was made between those patients undergoing ambulatory surgery and those treated as in-patients. Results. There were 25 women and 23 men in the study. The mean age was 46.6 years (standard deviation, 12.1 years). The mean operating time was 29.3 minutes (standard deviation, 9.9 minutes). An incomplete 'doughnut' after stapling was found in one patient. There were no other adverse intra-operative events or complications. Postoperative morbidities occurred in eight patients but none required further surgery. One patient in the day-surgery group could not be discharged because of urinary retention and three required re-admission to hospital because of secondary haemorrhage (n=1) or fever (n=2). There were no differences in the postoperative complications, pain scores, analgesic requirements, and patient satisfaction scores between the two groups. The total mean hospital stay was significantly shorter for those undergoing day-surgery stapled haemorrhoidectomy (0.46 versus 1.9 days, P<0.01). The mean follow-up period was 4.6 months (standard deviation, 4.0 months). All patients reported symptomatic improvement during this time and there was no incidence of faecal incontinence. One patient had a soft stricture, one had a fissure, and two had residual skin tags. All of these problems were conservatively managed, without the need for further surgical procedures. Conclusions. Stapled haemorrhoidectomy is a safe and effective operation for haemorrhoids. It is a feasible procedure to perform as day-surgery. The hospital stay can be significantly shortened, thus reducing the costs associated with in-patient care.en_HK
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dc.languageengen_HK
dc.publisherHong Kong Medical Association. The Journal's web site is located at http://www.hkmj.org/resources/supp.htmlen_HK
dc.relation.ispartofHong Kong Medical Journalen_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subjectAmbulatory surgical proceduresen_HK
dc.subjectHemorrhoidsen_HK
dc.subjectPostoperative complicationsen_HK
dc.subject.meshAmbulatory Surgical Proceduresen_HK
dc.subject.meshHemorrhoids - surgeryen_HK
dc.subject.meshSurgical Stapling - adverse effectsen_HK
dc.subject.meshUrinary Tract Infections - etiologyen_HK
dc.subject.meshUrination Disorders - etiologyen_HK
dc.titleAmbulatory stapled haemorrhoidectomy: A safe and feasible surgical techniqueen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1024-2708&volume=9&issue=2&spage=103&epage=107&date=2003&atitle=Ambulatory+stapled+haemorrhoidectomy:+a+safe+and+feasible+surgical+techniqueen_HK
dc.identifier.emailLaw, WL: lawwl@hkucc.hku.hken_HK
dc.identifier.authorityLaw, WL=rp00436en_HK
dc.description.naturepublished_or_final_versionen_HK
dc.identifier.pmid12668820-
dc.identifier.scopuseid_2-s2.0-0037383497en_HK
dc.identifier.hkuros79165-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0037383497&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume9en_HK
dc.identifier.issue2en_HK
dc.identifier.spage103en_HK
dc.identifier.epage107en_HK
dc.publisher.placeHong Kongen_HK
dc.identifier.scopusauthoridLaw, WL=7103147867en_HK
dc.identifier.scopusauthoridTung, HM=7006351410en_HK
dc.identifier.scopusauthoridChu, KW=7402453653en_HK
dc.identifier.scopusauthoridLee, FCW=7403111996en_HK

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