Healing Hemorrhoids

The use of circular staples in healing hemorrhoids disease is known as a simple procedure, with low morbidity, less post-treatment pain and with the same efficacy when compared to the classical hemorrhoidectomy. Analyze the operative technique, intra-operative and immediate postoperative complications and late results in 100 patients treated for hemorrhoid disease by circular stapling technique. The group included 53 males and 47 females with mean age of 49.8 years, operated during the period June 2000 to June 2002 in the Sao Palo University Hospital. The majority of patients (78%) were discharged on the first post-operative day. Eight patients required supplementary analgesia and were given intramuscular diclofenac sodium and four of them received intramuscular tramadol. One intraoperative complication was bleeding which was difficult to control and required a blood transfusion. One patient was reoperated on the first postoperative day due to intermittent and persistent bleeding, however without hemodynamic changes or a drop in hematocrit. Two patients presented hemorrhoidal thrombosis in the early postoperative stage. There are always many different treatments for hemorrhoids, the circular staple treatment is one of hundreds or even thousands.

The postoperative follow-up displayed: recurrence ofprolapse, five cases (5%); anal sub-stenosis, two cases (2%); anal fissure, one case (1%); persistent pain, two cases (2%). Seven reoperations were performed: one due to bleeding, one due to sub-stenosis and five due to recurrence of hemorrhoids prolapse and persistence of symptoms. Stapling is simple to accomplish, has low postoperative pain and rate of complications, however, the incidence of late reoperations is rather high and therefore major follow-up for better analysis is required. Many other treatments have indeed shown better results then the not-so-popular circular staple procedure. Remember ,there are always those treatments that do not require surgery! We Encourage our readers to research into both hemorrhoidectomy and the circular staple procedure, because they are both usually compared against each other. We also recommend to first ask your doctor about what you should do about your hemorrhoids.