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Title: Recurrent Symptoms after Stapled Haemorrhoidopexy and the Impact on Patient Satisfaction after a Minimum of 2 Years Follow-up
Authors: Wolthuis, A. M.
Penninckx, F.
Cornille, J. -B.
FIEUWS, Steffen 
D'Hoore, A.
Issue Date: 2012
Source: ACTA CHIRURGICA BELGICA, 112 (6), p. 419-422
Abstract: Background : Stapled haemorrhoidopexy came as an attractive alternative to treat grade 3 haemorrhoids. This study aims to assess the nature of recurrent symptoms and the impact on patient satisfaction after a minimum follow-up of two years in a group of patients who underwent stapled haemorrhoidopexy. Methods : A standardized questionnaire was used to evaluate a consecutive group of patients by telephone treated by a stapled haemorrhoidopexy between January 2004 and December 2007. Outcome assessment comprised residual symptoms, subsequent treatment, and patient satisfaction. Results : Hundred sixty-five patients underwent a stapled haemorrhoidopexy in the study period. Twenty-five patients (15%) were lost to follow-up. The included 140 patients presented with grade 2 (16) or grade 3 (124) prolapsing internal haemorrhoids. Median age was 50 years (range 27-79) and 56% were males. Median follow-up was 43 months (range 25-87). At final follow-up, 79 patients (56%) remained symptom-free. Nevertheless, 89% were more than satisfied. Only 11% were disappointed with the ultimate outcome. Recurrent symptoms were prolapse (52 patients), anal bleeding (46 patients), anal pressure or pain (24 patients) and pruritus (21 patients). Thirty-five patients had subsequent therapy : 20 underwent surgical resection and 15 had sclerotherapy or rubber band ligation. Patient satisfaction correlates with the number of recurrent (residual) symptoms and the need for further treatment. Conclusion : Despite the high symptomatic recurrence rate after stapled haemorrhoidopexy, 89% of patients were satisfied. This suggests that recurrent or residual symptoms after stapled haemorrhoidopexy are often less severe compared to the initial presenting symptoms.
Notes: [Wolthuis, A. M.; Penninckx, F.; Cornille, J. -B.; D'Hoore, A.] Univ Hosp Gasthuisberg, Dept Abdominal Surg, B-3000 Louvain, Belgium. [Fieuws, S.] Katholieke Univ Leuven, Interuniv Ctr Biostat & Stat Bioinformat, Louvain, Belgium. [Fieuws, S.] Univ Hasselt, Diepenbeek, Belgium.
Keywords: Surgery
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ISSN: 0001-5458
e-ISSN: 0001-5458
ISI #: 000313371400003
Category: A1
Type: Journal Contribution
Validations: ecoom 2014
Appears in Collections:Research publications

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