Do Patients with Reversible Haemorrhoidal Prolapse have fewer Complications after Stapled Haemorrhoidectomy than those with Permanent Prolapse

• Published in: Endoscopy
• Main Authors: Roy, J, Katory, M, Brown, S
• Format: Conference Proceeding
• Language: English
• Published: 23.09.2004
• ISSN: 0013-726X; 1438-8812
• DOI: 10.1055/s-2004-834535

Aims: Milligan Morgan haemorrhoidectomy is the traditional operation for haemorrhoids with significant external component. Circular staples are alternative method of treatment in this group of patients. Here we audit complications after stapled haemorrhoidectomy in patients with and without permanent haemorrhoidal prolapse. Methods: 52 patients underwent stapled haemorrhoidectomy over 2 years. 36 of these had haemorrhoids with reversible prolapse (RP), the remaining 16 had haemorrhoids with permanent prolapse (PP). A standard stapled haemorrhoidectomy technique was performed with mean and median anal- verge/staple-line distances of 26.34 and 29mm respectively. 41 from 52 patients were successfully followed up at 6 weeks. Results: 11 patients did not attend their follow up appointment. 7 of these were from RP group and 4 were from PP group. From the patients followed up 10/31 with RP had complications compared to 1/10 from the PP group. Complications from the RP group included 1 with post operative bleeding, 3 with persistent anal pain, 2 with anal stenosis, 4 with residual haemorrhoids and 1 with small perianal haematoma. The single complication from the PP group had been transient perianal irritation. Conclusion: Stapled haemorrhoidectomy is associated with fewer complications when performed on patients with permanent rather than reversible haemorrhoidal prolapse.