Original Article
Stapled transanal rectal resection versus procedure for prolapse and hemorrhoids for the treatment of grade Ⅳ hemorrhoids
Zhidong Gao, Youli Wang, Long Han, Chao Wang, Zhanlong Shen, Peng Guo, Kai Shen, Shan Wang, Yingjiang Ye
Published 2015-09-25
Cite as Chin J Gen Surg, 2015, 30(9): 719-722. DOI: 10.3760/cma.j.issn.1007-631X.2015.09.015
Abstract
ObjectiveTo evaluate stapled transanal rectal resection (STARR) in patients with grade Ⅳ hemorrhoids.
MethodsBetween March 2010 and February 2012, 154 patients undergoing elective surgery for grade Ⅳ hemorrhoids by the same group of surgeons were included in the study. We compared patient data of two subdivided time periods, especially safety, effect, short-term outcomes and long-term outcomes. STARR was performed in 70 patients from March 2011 to February 2012. 84 patients underwent procedure for prolapse and hemorrhoids (PPH) from Mar 2010 to Feb 2011.
ResultsThe intraoperative blood, hospital stay, postoperative pain, and postoperative complications didn't show any statistical significance (P>0.05). There were no cases of serious complications, such as rectovaginal fistula, rectal perforation, and postoperative deaths. However, the operating time, medical expenses and use of painkillers on operation-day in STARR group were increasing (P<0.05). Patients treated with the STARR procedure had lower recurrence rate of hemorrhoids at three years (0% vs 5.9%, P=0.048).
ConclusionSTARR provides significantly lower recurrence rate of hemorrhoids than PPH in patients with grade Ⅳ hemorrhoids with equal safety, effect, and short-term outcomes.
Key words:
Hemorrhoids; Anastomosis, surgical; Comparative study
Contributor Information
Zhidong Gao
Department of Gastrointestinal Surgery, Peking University People's Hospital, Beijing 100044, China
Youli Wang
Long Han
Chao Wang
Zhanlong Shen
Peng Guo
Kai Shen
Shan Wang
Yingjiang Ye
