title: Stapled haemorrhoidopexy for haemorrhoids in combination with lateral internal sphincterotomy for fissure-in-ano.
abstract: The aim of this prospective study is to describe the combined technique and results of stapled haemorrhoidopexy and lateral internal sphincterotomy for patients suffering from prolapsing 3rd-degree haemorrhoids and chronic fissure-in-ano. During the period from 1999 to 2004, 26 patients underwent combined surgical treatment for anal fissure and prolapsing symptomatic haemorrhoids. Preoperative and postoperative clinical evaluation and the patient's degree of satisfaction were recorded. Early complications included faecal urgency (3 patients) and pain (2 patients). Complete continence was restored within 10 weeks in all patients except 1 who had persisting incontinence to flatus. All fissures healed completely within 4 weeks. No haemorrhoidal or fissure recurrence has been observed during follow-up. The combination of stapled haemorrhoidopexy and lateral internal sphincterotomy is a safe and effective procedure for the treatment of prolapsing 3rd-degree haemorrhoids and chronic anal fissures.
authors.affiliation: 4th Surgical Department, Aristotle University of Thessaloniki, Thessaloniki, Greece. ik@hol.gr
authors.forename: I
authors.initials: I
authors.lastname: Kanellos
authors.forename: S
authors.initials: S
authors.lastname: Angelopoulos
authors.forename: E
authors.initials: E
authors.lastname: Zacharakis
authors.forename: D
authors.initials: D
authors.lastname: Kanellos
authors.forename: M G
authors.initials: MG
authors.lastname: Pramateftakis
authors.forename: K
authors.initials: K
authors.lastname: Blouhos
authors.forename: D
authors.initials: D
authors.lastname: Betsis
mesh_terms: D000328:Adult; D001003:Anal Canal / Q000601:surgery*; D003131:Combined Modality Therapy; D005260:Female; D005401:Fissure in Ano / Q000150:complications / Q000601:surgery*; D005500:Follow-Up Studies; D006484:Hemorrhoids / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011446:Prospective Studies; D017792:Surgical Stapling