Stapled anopexy. (Clinical Capsules).
The benefits of stapled anopexy over open hemorrhoidectomy in the treatment of prolapsed hemorrhoids are most evident in the first few days postoperatively British investigators reported.
In a randomized study of 89 patients with prolapsed hemorrhoids, 27 received an Autosuture stapled anopexy, 32 had an Ethicon stapled anopexy; and 30 had an open hemorrhoidectomy.
The Ethicon stapled anopexies took significantly less time than the open hemorrhoidectomies (mean of 12 minutes vs. 18 minutes). No significant time differences were seen between the Autosuture group and either of the other two groups, said Dr. M.S. Wilson of Christie Hospital, Manchester, England, and colleagues.
Mean blood loss was significantly less in both the Ethicon (7 g) and Autosuture (11 g) groups than in the open group (39 g).
The staple patients used postoperative protective pads for significantly fewer days than the open group (a mean of 0 days in both staple groups vs. 11 days).
However, 16 of the patients in the staple groups required catheterization for up to 24 hours but none of the patients in the open group did (Dis. Colon Rectum 45[1l]: in press, 2002). In addition, significant postoperative hemorrhage was seen in three of the staple patients.
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|Publication:||Internal Medicine News|
|Date:||Nov 1, 2002|
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