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Stapled haemorrhoidopexy compared to Milligan–Morgan and Ferguson haemorrhoidectomy: a systematic review

Laughlan, K, Jayne, DG, Jackson, DL, Rupprecht, F and Ribaric, G (2009) Stapled haemorrhoidopexy compared to Milligan–Morgan and Ferguson haemorrhoidectomy: a systematic review International Journal of Colorectal Disease: clinical and molecular gastroenterology and surgery, 24 (3). pp. 335-344.

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Purpose The aim of this study was to perform a systematic review and meta-analysis of the short- and long-term outcomes of stapled haemorrhoidopexy.Methods A literature search identified randomised controlled trials comparing stapled haemorrhoidopexy with Milligan–Morgan/Ferguson haemorrhoidectomy. Data were extracted independently for each study and differences analysed with fixed and random effects models.Results Thirty-four randomised trials and two systematic reviews were identified, and 29 trials included. Stapled haemorrhoidopexy was statistically superior for hospital stay (p < 0.001) and numerically superior for post-operative pain (peri-operative and mid-term), operation time and bleeding (post-operative and long-term). Recurrent prolapse and re-intervention for recurrence were more frequent following stapled haemorrhoidopexy. No difference was observed in the rates of complications.Conclusions Stapled haemorrhoidopexy reduces the length of hospital stay and may have an advantage in terms of decreased operating time, reduced post-operative pain and less bleeding but is associated with an increased rate of recurrent prolapse.

Item Type: Article
Subjects : Economics
Divisions : Surrey research (other units)
Authors :
Laughlan, K
Jayne, DG
Rupprecht, F
Ribaric, G
Date : 2009
DOI : 10.1007/s00384-008-0611-0
Uncontrolled Keywords : HaemorrhoidsStapled haemorrhoidopexyMilligan–Morgan haemorrhoidectomyFerguson haemorrhoidectomy
Depositing User : Symplectic Elements
Date Deposited : 16 May 2017 15:38
Last Modified : 24 Jan 2020 15:08

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