ACTA FAC. MED. NAISS. 2003; 20 (3): 163-168

Original article
 

SURGICAL TREATMENT OF INTERNAL HEMORRHOIDES WITH STAPLER HEMORRHOIDECTOMY
 

Goran Stanojević, Dragoslav Miljković, Milan Jovanović, Miroslav Stojanović, Aleksandar Nagorni
Surgical Clinic, Clinical Center Nis, Clinic for Gastroenterology and Hepatology, Clinical Center Nis
 

SUMMARY
The paper demonstrates the results of clinical investigations dealing with the postoperative complications in patients surgically treated for internal III and IV grade hemorrhoids with stapler hemorrhoidectomy.
The investigation was conducted on 20 patients aged averagely 39.6 years (ranging from 28-53 years), out of whom 12 were men (60%) and 8 were women (40%). In all of them, internal grade III and IV hemorrhoides were confirmed, with a certain degree of mucosal prolapse.
In the postoperative period in 15 patients (75%) pain value was registered in the range 2.5-3.5 by the VAS scale, while in 5 examinees the pain was intensity below 2.5, whereas 15 examinees (75%) used analgetics in the period of up to 5 postoperative days (average dose of 1 g of metamisole, ranging 500 mg to 2 g) and 5 patients (25%) did not use analgetics.
Bleeding was not observed postoperatively.
In 1 examinee (5%) urine retention was documented and resolved with Foley catheter. In 4 cases (20 %) edema of the perianal region as well as submucous hematoma were noted.
Stapler application in hemorrhoidal disease is a safe and simple surgical approach which could resolve hemorrhoidal bleeding, pain, prolapse and represents minimally invasive surgical procedure.

Key words: internal hemorrhoides, hemorrhoidal disease, stapler hemorrhoidectomy