Circular mucosal and submucosal resection of low-ampullary region of the rectum (stapled hemorrhoidopexy) at treatment of chronic hemorrhoids
Abstract
Aim of investigation. To highlight experience of treatment of patients after circular mucoso-submucosal resection of low-ampullary region of the rectum (stapled hemorrhoidopexy) with clinical and instrumental investigation of operated patients in early and remote postoperative periods.
Material and methods. Monitoring of 197 patients with hemorrhoids, operated by specified procedure was carried out. The age of patients varied from 27 years to 71 years (average – 43,5±10,6 year). Of them 118 (59,8%) were men and 79 – (40,2%) women.
Results. Considered method is an efficient treatment mode for hemorrhoids of II–IV stages. Operation is followed by long-lasting clinical effect, small number of postoperative complications and reduces terms of aftertreatment of operated patients.
Conclusion. Pathogenetic validity of this operation basing on mechanical and vascular theories of hemorrhoids development is proved.
About the Authors
A. M. KuzminovRussian Federation
Yu. Yu. Chubarov
Russian Federation
A. A. Tikhonov
Russian Federation
Sh. T. Minbayev
Russian Federation
V. Yu. Korolik
Russian Federation
References
1. Воробьев Г.И. Основы колопроктологии. – М.: МИА, 2006. – С. 90–92.
2. Воробьев Г.И., Кузьминов А.М., Чубаров Ю.Ю., Королик В.Ю. Сравнительная оценка циркулярной резекции слизисто-подслизистого слоя нижнеампулярного отдела прямой кишки и операции Миллигана– Моргана при лечении хронического геморроя // Актуальные вопросы колопроктологии: Тез. докл. 2-го съезда колопроктологов России с междунар. участием. – Уфа, 2007. – С. 166–168.
3. Altomare D.F., Rinaldi M., Palasciano N. Treatment of external anal mucosal prolapse with circular stapler: an easy and effective new surgical technique // Dis. Colon Rectum. – 1999. – Vol. 42. – P. 1102–1104.
4. Ganio E., Altomare D.F., Gabrielli F. et al. Prospective randomized multicentre trial comparing stapled with open haemorrhoidectomy // Br. J. Surg. – 2001. – Vol. 88. – P. 669–743.
5. Longo А. Treatment of hemorrhoids disease by reduction of mucosa and hemorrhoidal prolapse with a circular suturing device: a new procedure. – 6th World Congress of Endoscopic Surdgery. – Rome, 1998. – P. 777–784.
6. Palimento D., Picchio M., Attanasio U. et al. Stapled and open emorrhoidectomy: randomized controlled trial of early results // World J. Surg. – 2003. – Vol. 27. – P. 203–207.
7. Pernice L.M., Bartalucci B., Bencini L. et al. Early and late (ten years) experience with circular stapler hemorroidectomy // Dis. Colon Rectum. –2001. – Vol. 44. – P. 836–841.
8. Smyth E.F., Baker R.P., Wilken B.J. et al. Stapled versus excision haemorrhoidectomy: long-term follow up of a randomized controlled trial // Lancet. – 2003. – Vol. 361. – P. 1437–1438.
Review
For citations:
Kuzminov A.M., Chubarov Yu.Yu., Tikhonov A.A., Minbayev Sh.T., Korolik V.Yu. Circular mucosal and submucosal resection of low-ampullary region of the rectum (stapled hemorrhoidopexy) at treatment of chronic hemorrhoids. Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2010;20(3):82-87. (In Russ.)