Short-term Results and Functional Outcome after Stapled Hemorrhoidectomy Using Circular Stapler for Prolapsing Hemorrhoidal Disease

Michihiko Miyazaki, Joji Kuromizu, Toshimitsu Toyohara, Hiroshi Takeo and Tetsushi Kinugasa

Department of Surgery, Fukuoka Takano Hospital

This study reviews a consecutive series of patients who underwent stapled hemorrhoidectomy using a circular stapler (PPH^®Johnson & Johnson Company) for prolapsing hemorrhoidal disese. Methods: Subjects were 100 patients (61 males; age, 56.6±15.3 years) undergoing stapled hemorrhoidectomy between March 2000 and September 2001. Data on surgery, early postoperative results, anorectal manometry, and follow-up were evaluated in January 2002. Follow-up was obtained by questionaire. Results: Some 27 patients (27%) experienced anal swelling, 7 (7%) had bleeding (3 had surgical treatment), 8 (8%) felt severe pain, one (1%) felt lower abdominal pain. and 2 (2%) had urinary retention during hospitalization. Five (5%) had anal prolapse. Two (2%) had bleeding (1 had surgical treatment), 2 (2%) experienced stenosis of the anastomosis, and 4 (4%) had fecal incontinence 1 month after surgery. Three had reoperation, 1 for prolapse and 2 for stenosis. Maximum resting pressure, first sensation, and maximum tolerable volume decreased at two weeks postoperatively (P<0.05) but recovered with 1 month postoperatively. Conclusion: Stapled hemorrhoidectomy using a circular stapler is safe and effective, but long-term results must be evaluated because this fact must be kept in mind in dealing with such not in good patients.

Key words
stapled hemorrhoidectomy, short-term result, functional outcome, manometry, questionnaire

Reprint requests
Michihiko Miyazaki Department of Surgery, Fukuoka Takano Hospital
2-24-36 Shimobaru, Higashi-ku, Fukuoka City, 813-0002 JAPAN

Accepted
September 24, 2003

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