Stapler hemoroidopeksi yapılan hastalarda klinik deneyimimiz
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Tarih
2010
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info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmanın amacı hemoroidal hastalıgın cerrahi tedavisinde stapler hemoroidopeksi sonuçlarının değerlendirilmesidir. Gereç-yöntem: 3. ve 4.derece hemoroidi bulunan 12 hasta stapler hemoroidopeksi ile tedavi edildi. Hastaların hastanede kalış süreleri, operasyon süresi, postoperatif ağrısı ,komplikasyonlar ve normal aktivitelere dönüşü ve nüks açısından değerlendirildi. Hastaların izlem süresi 1 yıldır. Bulgular: Hastaların 1 tanesinde postoperatif minimal kanama izlendi.(%7.8) Medikal tedavi edildi. Başka komplikasyon izlenmedi. Postop ortalama hastanede kalma süresi 2 gün. 6 hasta postop ilk 24 saat içinde analjezik ihtiyacı duydular. Daha sonraki dönmede gerek duymadılar. Yapılan rectal muayenelerinde sütür hattında bir patoloji saptanmadı. Bütün hastalar yaklaşık 1 haftada normal aktivitelerine döndüler.1 yıl sonunda nüks izlenmedi. Sonuç: Stapler hemoroidopeksi uygulaması maliyetli bir yöntem olması rağmen; postoperatif ağrının az olması, hastanede kalış süresinin ve işe dönüş süresinin kısa olması nedeniyle önerilen bir yöntemdir. Bulgularımız gelecekte yapılan klinik
Aim: The aim of this study was to evaluate the results of stapled haemorrhoidectomy in the surgical treatment of haemorrhoidal disease. Material and methods: Twelve patients with Grade III and IV haemorrhoids were treated with stapled haemorrhoidectomy. The patients were evaluated in terms of the length of hospitalization, duration of operation, postoperative pain, complications, returning to normal activities, and recurrence. The follow-up period for the patients was one year. Results: One of the patients had minimal postoperative bleeding (7.8%) and was treated medically. No other complications were observed. The mean postoperative hospitalization length was 2 days. Six patients needed analgesic within the first 24 hours postoperatively but did not need any analgesic in later periods. Rectal examinations revealed no pathologies at the suture line. All patients returned to their normal activities in about a week. No recurrence was observed at the end of one year. Conclusion: Despite its high cost, stapled haemorrhoidectomy has been a recommended method because it causes less postoperative pain, its hospitalization period is shorter, and patients can return to work in a shorter period. If our experiences are confirmed with further clinical studies, stapled haemorrhoidectomy can be the gold standard in the treatment of haemorrhoidal disease.
Aim: The aim of this study was to evaluate the results of stapled haemorrhoidectomy in the surgical treatment of haemorrhoidal disease. Material and methods: Twelve patients with Grade III and IV haemorrhoids were treated with stapled haemorrhoidectomy. The patients were evaluated in terms of the length of hospitalization, duration of operation, postoperative pain, complications, returning to normal activities, and recurrence. The follow-up period for the patients was one year. Results: One of the patients had minimal postoperative bleeding (7.8%) and was treated medically. No other complications were observed. The mean postoperative hospitalization length was 2 days. Six patients needed analgesic within the first 24 hours postoperatively but did not need any analgesic in later periods. Rectal examinations revealed no pathologies at the suture line. All patients returned to their normal activities in about a week. No recurrence was observed at the end of one year. Conclusion: Despite its high cost, stapled haemorrhoidectomy has been a recommended method because it causes less postoperative pain, its hospitalization period is shorter, and patients can return to work in a shorter period. If our experiences are confirmed with further clinical studies, stapled haemorrhoidectomy can be the gold standard in the treatment of haemorrhoidal disease.
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8
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3
