Our Summary

This research paper discusses a surgical treatment for hemorrhoids, a common condition affecting adults. The treatment, known as Stapled Hemorrhoidopexy or SH, uses a stapling device to resect or remove the hemorrhoidal tissue that has prolapsed, or slipped out of place.

The stapler is loaded with circular lines of titanium staples and is used in several steps. After evaluating the extent of the prolapse, a type of stitch known as a purse string or parachute suture is made. The stapler is then introduced, the wires are pulled through, and the device is fired and then removed. The area is then checked for any issues.

One of the latest advancements in this procedure is Tissue Selective Therapy, a minimally invasive approach that targets only the prolapsed tissue, leaving normal tissue untouched.

Studies have shown that this procedure is safe and effective. It is quicker than traditional treatments, resulting in a shorter hospital stay and faster return to work. It also results in less postoperative pain, bleeding, complications, and constipation. Newer generation staplers have shown better results with fewer complications.

In conclusion, the paper suggests that Stapled Hemorrhoidopexy has revolutionized the treatment of hemorrhoids, offering a safe and effective option with less pain and a faster recovery time.

FAQs

  1. What is the Stapled Hemorrhoidopexy procedure for the treatment of hemorrhoids?
  2. What are the benefits of the Stapled Hemorrhoidopexy procedure compared to traditional treatments?
  3. What is the Tissue Selective Therapy advancement in the Stapled Hemorrhoidopexy procedure?

Doctor’s Tip

After rectal prolapse surgery, it is important to follow your doctor’s instructions for postoperative care. This may include taking prescribed medications, eating a high-fiber diet, and avoiding heavy lifting or strenuous activities. It is also important to attend follow-up appointments to monitor your recovery progress and address any concerns. Remember to communicate openly with your healthcare provider about any symptoms or issues you may experience after surgery.

Suitable For

Patients who are typically recommended rectal prolapse surgery are those who have tried conservative treatments such as dietary changes, fiber supplements, and medications without success. Additionally, patients with severe rectal prolapse that causes significant discomfort, pain, bleeding, or difficulty with bowel movements may be candidates for surgery. It is important for patients to discuss their symptoms and treatment options with a healthcare provider to determine if rectal prolapse surgery is the best course of action for their individual situation.

Timeline

Before rectal prolapse surgery, a patient may experience symptoms such as rectal bleeding, pain, discomfort, and the sensation of a bulge or protrusion from the rectum. They may undergo diagnostic tests such as a physical examination, colonoscopy, or imaging studies to confirm the diagnosis of rectal prolapse.

After surgery, patients typically experience some pain and discomfort, which can be managed with pain medication. They may also experience some bleeding, swelling, and difficulty with bowel movements in the immediate postoperative period. Patients are usually advised to follow a special diet and avoid straining during bowel movements to aid in the healing process.

Over time, patients should experience improvement in their symptoms, with a reduction or elimination of rectal prolapse and related issues such as incontinence. With proper care and follow-up, patients can expect a good outcome and improved quality of life following rectal prolapse surgery.

What to Ask Your Doctor

Some questions a patient should ask their doctor about rectal prolapse surgery include:

  1. What are the potential risks and complications associated with Stapled Hemorrhoidopexy surgery?
  2. What is the success rate of this procedure in treating rectal prolapse?
  3. How long is the recovery period after surgery, and what can I expect in terms of pain and discomfort?
  4. Will I need to make any lifestyle changes or follow a specific diet after the surgery?
  5. Are there any alternative treatment options for rectal prolapse that I should consider?
  6. How experienced are you in performing Stapled Hemorrhoidopexy surgery, and what is your success rate with this procedure?
  7. Will I need to undergo any additional tests or examinations before the surgery?
  8. How long will I need to stay in the hospital after the surgery, and what is the typical post-operative care plan?
  9. What are the long-term outcomes and potential complications of Stapled Hemorrhoidopexy surgery?
  10. Are there any specific instructions or precautions I should follow before and after the surgery to ensure a successful outcome?

Reference

Authors: Sturiale A, Fabiani B, Menconi C, Cafaro D, Celedon Porzio F, Naldini G. Journal: Rev Recent Clin Trials. 2021;16(1):39-53. doi: 10.2174/1574887115666200310164519. PMID: 32156241