{"id":4143,"date":"2022-09-16T10:26:00","date_gmt":"2022-09-16T13:26:00","guid":{"rendered":"https:\/\/revistaabcd.org.br\/?p=4143"},"modified":"2022-10-17T11:06:36","modified_gmt":"2022-10-17T14:06:36","slug":"stapled-hemorrhoidopexy-results-late-complications-and-degree-of-satisfaction-after-16-years-of-follow-up","status":"publish","type":"post","link":"https:\/\/revistaabcd.org.br\/pt-br\/stapled-hemorrhoidopexy-results-late-complications-and-degree-of-satisfaction-after-16-years-of-follow-up\/","title":{"rendered":"STAPLED HEMORRHOIDOPEXY: RESULTS, LATE COMPLICATIONS, AND DEGREE OF SATISFACTION AFTER 16 YEARS OF FOLLOW-UP"},"content":{"rendered":"<h2 class=\"wp-block-heading\">AIMS:<\/h2>\n\n\n\n<p>The aim of this study was to evaluate the very long-term results of the stapled hemorrhoidopexy technique.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">METHODS:<\/h2>\n\n\n\n<p>Stapled hemorrhoidopexy was performed on 155 patients between 2000 and 2003, and the early results have already been published. In this study, we evaluated the same patients after a very long follow-up. Data were collected with regard to late complications, rate and timing of recurrences, and patients\u2019 degree of satisfaction.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">RESULTS:<\/h2>\n\n\n\n<p>From a total of 155 patients, 98 patients were evaluated: 59 (60.2%) were interviewed by telephone and 39 (39.8%) were evaluated by outpatient consultation. The mean follow-up was 193 months (range: 184-231), 52 were female, 52 were grade III hemorrhoids, and 46 were grade IV. Recurrence was higher in grade IV (26.1%) than in grade III (7.7%) (p=0.014). Recurrence after prolonged follow-up was seen in 16 patients (16.3%) and 11 (11.2%) required reoperations. The complications were skin tags (3.1%), anal sub-stenosis (2.1%), and fecal incontinence (2.1%). After a prolonged follow-up, 82.5% of patients were either very satisfied or satisfied with the surgery.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">CONCLUSIONS:<\/h2>\n\n\n\n<p>Stapled hemorrhoidopexy is a safe and effective treatment for hemorrhoidal disease grades III and IV. Recurrence is higher for grade IV hemorrhoids and may occur up to 9 years of follow-up. Reoperations were infrequent and there is a high patient\u2019s degree of satisfaction associated with this technique.<\/p>","protected":false},"excerpt":{"rendered":"<p>AIMS: The aim of this study was to evaluate the very long-term results of the stapled hemorrhoidopexy technique. METHODS: Stapled hemorrhoidopexy was performed on 155 patients between 2000 and 2003, and the early results have already been published. In this study, we evaluated the same patients after a very long follow-up. Data were collected with [&hellip;]<\/p>","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_lmt_disableupdate":"no","_lmt_disable":"","footnotes":""},"categories":[9],"tags":[949,115,1139,847,30,1138],"class_list":["post-4143","post","type-post","status-publish","format-standard","hentry","category-original-article","tag-hemorrhoidectomy","tag-hemorrhoids","tag-long-term-care","tag-patient-satisfaction","tag-postoperative-complications","tag-surgical-staplers"],"acf":{"authors":[{"author_name":"Carlos Walter SOBRADO","orcid_id":"http:\/\/orcid.org\/0000-0003-4486-9894"},{"author_name":"Lucas Faraco SOBRADO","orcid_id":"http:\/\/orcid.org\/0000-0002-2336-5278"},{"author_name":"Carlos Almeida OBREGON","orcid_id":"http:\/\/orcid.org\/0000-0002-0304-9999"},{"author_name":"Helder Moura VILLELA","orcid_id":"http:\/\/orcid.org\/0000-0002-2043-8646"},{"author_name":"Jos\u00e9 Am\u00e9rico Bacchi HORA","orcid_id":"http:\/\/orcid.org\/0000-0003-0348-8972"}],"doi":"10.1590\/0102-672020220002e1689","buttons":{"pdf_-_en":4144,"pdf_-_pt":"","external_link":"","external_link_pt":"https:\/\/www.scielo.br\/j\/abcd\/a\/BdKZhBsJp8rWsjVd4JKLTpt\/?lang=en","full_text":"","jats_xml":""},"volume_and_issue":{"article-volume":"2022 - vol. 35","article-issue":"Issue 1"}},"modified_by":null,"_links":{"self":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/posts\/4143","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/comments?post=4143"}],"version-history":[{"count":0,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/posts\/4143\/revisions"}],"wp:attachment":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/media?parent=4143"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/categories?post=4143"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/tags?post=4143"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}