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http://hdl.handle.net/1942/16981
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 | Publisher: | ACTA MEDICAL BELGICA | 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 | Document URI: | http://hdl.handle.net/1942/16981 | ISSN: | 0001-5458 | e-ISSN: | 2577-0160 | ISI #: | 000313371400003 | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2014 |
Appears in Collections: | Research publications |
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