Complications and results after stapled haemorrhoidopexy as a day surgical procedure.
BACKGROUND
The aim of this report is to describe our experience with stapled haemorrhoidopexy as a day surgery procedure.


METHODS
From January 2000 to January 2003, a total of 214 patients with third- and fourth-degree haemorrhoids underwent stapled haemorrhoidopexy under spinal anaesthesia. We analysed early postoperative complications and long-term results. Patients were followed for 4-36 months (mean, 22 months). Only 3 patients (1%) were hospitalised. The long-term complications were analysed by means of a mailed questionnaire.


RESULTS
Minor bleeding at wiping after defecation was observed by 9% of patients and minor haemorrhoidal prolapse by 8% of patients. Pain after defecation was reported by 6% of patients and anal stenosis occurred in 2% of them. Faecal urgency was reported by 3% of patients with previously unknown incontinence problems.


CONCLUSIONS
According to our experience, stapled haemorrhoidopexy can be safely performed as a day surgery procedure.
Mlakar
B
B
Medical Centre IATROS, Parmova 51b, 1000 Ljubljana, Slovenia. bmlakardobnik@hotmail.com
Kosorok
P
P
D000556:Ambulatory Surgical Procedures; D006484:Hemorrhoids / Q000601:surgery*; D006801:Humans; D017060:Patient Satisfaction; D011183:Postoperative Complications; D017792:Surgical Stapling / Q000009:adverse effects