Ferguson versus Stapled Hemorrhoidectomy.

, Lee, Ho Won; , Song, Seung Kyu; , Suh, Kwang Wook

Original Article

Journal of the Korean Society of Coloproctology 2006;22(2):81-85.

Lee, Ho Won , Song, Seung Kyu , Suh, Kwang Wook

Department of Surgery, Ajou University School of Medicine, Suwon, Korea. suhkw@ajou.ac.kr

Abstract

PURPOSE
The circular stapled hemorrhoidectomy is a newly introduced treatment modality for hemorrhoids. This study was aimed to prove the clinical efficacy of a stapled hemorrhoidectomy.
METHODS
This prospective study analyzed 100 patients who underwent a hemorrhoidectomy from Jan 2002 to June 2004 at Ajou University Hospital. Among them, 50 patents underwent a stapled hemorrhoidectomy and the remaining patients underwent Ferguson's closed hemorrhoidectomy. The surgical severity and the postoperative complications were analyzed based on the medical records.
RESULTS
Neither groups showed significant postoperative complications. In the stapled hemorrhoidectomy group, the hospital stay and the mean operation time were shorten during the postoperative period, and the analagesic requirement was lower (P<0.05).
CONCLUSIONS
The circular stapled hemorrhoidectomy is safe, less painful, and those related easy to perform. Also, the complications related to this procedure are similar to those related to a conventional hemorrhoidectomy. Considering the advantages, the circular stapled hemorrhoidectomy is an acceptable modalities for hemorrhoids requiring surgical treatment.

Key Words: Hemorrhoids; Circular stapled hemorrhoidectomy (CSH); Procedure for prolapse and hemorrhoids (PPH)