Authors: P Garg
Publish Date: 2009/03/14
Volume: 13, Issue: 1, Pages: 5-10
Abstract
High recurrence rates are being reported with stapled mucosectomy SM in patients with highgrade haemorrhoids A modification was at — tempted in which SM was followed by ligation and cutting of residual prolapsing haemorrhoids and the procedure was compared with standard SMThere were 21 patients in the SMstd group and 19 patients in the SMmod group Five patients were lost to followup The mean age hospital stay number of painful days during the postoperative period and the number of days before resumption of normal work were not significantly different between the groups p005 Recurrence rates were significantly lower in the SMmod group 2/19 105 than in the SMstd group 14/21 667 p=00004 The percentage of patients highly satisfied score 1 with the procedure was significantly higher in the SMmod group 737 14/19 than in the SMstd group 333 7/21 p=0014Patients with highgrade haemorrhoids in whom a modified stapled mucosectomy ligating and cutting the residual haemorrhoids on the operating table after the procedure was performed had a significantly lower recurrence rate and better satisfaction rate than patients in whom standard stapled mucosectomy was performed Longterm studies in a larger group of patients are needed to substantiate these results
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