title: Residual Prolapse in Patients with III-IV Degree Haemorrhoids Undergoing Stapled Haemorrhoidopexy with CPH34 HV: Results of an Italian Multicentric Clinical Study.
abstract: CPH34 HV, a high volume stapler, was tested in order to assess its safety and efficacy in reducing residual/recurrent haemorrhoids. The clinical charts of 430 patients with third- to fourth-degree haemorrhoids undergoing SH in 2012-2013 were consecutively reviewed, excluding those with obstructed defecation (rectocele >2 cm; Wexner's score >15). Follow-up was scheduled at six and 12 months. Rectal prolapse exceeding more than half of CAD was reported in 341 patients (79.3%); one technical failure was reported (0.2%) without any serious untoward effect; and 1.3 stitch/patient (SD, 1.7) was required to achieve complete haemostasis. Doughnuts volume was higher (13.8 mL; SD, 1.5) in patients with a large rectal prolapse than with smaller one (8.9 mL; SD, 0.7) (P value <0.05). Residual and recurrent haemorrhoids occurred in 8 of 430 patients (1.8%) and 5 of 254 patients (1.9%), respectively. A high index of patient satisfaction (visual analogue scale = 8.9; SD, 0.9) coupled with a persistent reduction of constipation scores (CSS = 5.0, SD, 2.2) was observed. The wider prolapse resection well correlated with a clear-cut reduction of haemorrhoidal relapse, a high index of patient satisfaction, and clinically relevant reduction of constipations scores coupled with satisfactory haemostatic properties of CPH34 HV.
authors.affiliation: Coloproctology Unit, Casa di Cura San Camillo, Forte dei Marmi, Lucca, Italy.
authors.forename: Giuliano
authors.initials: G
authors.lastname: Reboa
authors.affiliation: General Surgery and Breast Unit, IRCCS "San Martino-IST", L.go R. Benzi 10, 16132 Genoa, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Gipponi
authors.affiliation: General Surgery and Breast Unit, IRCCS "San Martino-IST", L.go R. Benzi 10, 16132 Genoa, Italy.
authors.forename: Andrea
authors.identifier: 0000-0003-3119-4568
authors.initials: A
authors.lastname: Rattaro
authors.affiliation: Casa di Cura Triolo-Zancla, Palermo, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Ciotta
authors.affiliation: Casa di Cura Triolo-Zancla, Palermo, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Tarantello
authors.affiliation: Colo-Proctology Unit, San Camillo Hospital, Rome, Italy.
authors.forename: Angelo
authors.initials: A
authors.lastname: Caviglia
authors.affiliation: Coloproctology Unit, Casa di Cura San Camillo, Forte dei Marmi, Lucca, Italy.
authors.forename: Antonio
authors.initials: A
authors.lastname: Pagliazzo
authors.affiliation: General Surgery, Villa Paideia Hospital, Rome, Italy.
authors.forename: Luigi
authors.initials: L
authors.lastname: Masoni
authors.affiliation: General Surgery, Celio Military Hospital, Rome, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Caldarelli
authors.affiliation: General Surgery, Policlinico Umberto I, Rome, Italy.
authors.forename: Fabio
authors.initials: F
authors.lastname: Gaj
authors.affiliation: General Surgery, San Carlo IDI Hospital, Rome, Italy.
authors.forename: Bruno
authors.initials: B
authors.lastname: Masci
authors.affiliation: General Surgery, Fatebenefratelli Hospital, Rome, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Verdi