Impact of stapled haemorrhoidopexy on stool continence and anorectal function—long-term follow-up of 242 patients |
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Authors: | Stefan Riss Philipp Riss Michael Schuster Thomas Riss |
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Institution: | 1. Department of General Surgery, Hartmannspital, Nikolsdorfergasse 26-36, 1050 Vienna, Austria 2. Department of Surgery, Medical University of Vienna, W?hringer Gürtel 18-20, 1090 Vienna, Austria
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Abstract: | Background and aims Several studies have proved the feasibility and safety of stapled anopexy for treating haemorrhoidal prolapse. However, stool
urgency and faecal incontinence as possible side effects are still debated. Therefore, the present study was designed to assess
the impact of Longo’s procedure on stool continence and anorectal function.
Materials and methods From 1999 to 2005, 300 patients underwent stapled haemorrhoidopexy for symptomatic haemorrhoidal prolapse. Two hundred forty-two
patients (100 women, 142 men) were available for follow-up and were retrospectively reviewed. All operations were performed
by one single surgeon. To evaluate anorectal function, the results of a validated incontinence score (total incontinence score
IS]: 0 = best, 20 = worst) and evacuation score (total evacuation score ES]: 0 = worst, 28 = best) were compared pre- and
postoperatively.
Results The total IS showed no difference in means before and after operation (p = 0.875, CI 95%) retrospectively. Concerning the ES, paired sample t-test showed a weak positive correlation, indicating a significant difference in score means (p = 0.041, CI 95%). The group means changed from 26.24 before operation to 26.60 after the follow-up period.
Conclusion The present data revealed no significant negative impact of Longo’s technique on anorectal function. In contrast, according
to the evacuation score, the results showed a significant improvement of evacuation. |
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Keywords: | Haemorrhoids Stapled anopexy Stapled haemorrhoidopexy Incontinence Surgery |
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