Surgical Effect of Tissue Selecting Therapy Stapler in Treatment of Hemorrhoid_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

SUNHao-bo ,  MENGQing-hui , LILong , PEITie-min

Department of Anorectal Surgery, The First Affiliated Hospital of Harbin Medical University, Harbin 150001, Heilongjiang Province, China;

Corresponding?author：

MENGQing-hui, Email: hui-90@163.com

Keywords：

Hemorrhoid; Tissue selecting therapy stapler; Procedure for prolapse and hemorrhoids; Effect

DOI：

10.7507/1007-9424.20160192

Video：

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Objective To compare the clinical effect of tissue selecting therapy stapler (TST) and procedure for prolapse and hemorrhoids (PPH) in treatment of hemorrhoid in Ⅲ-Ⅳ degree. Methods Clinical data of 80 cases of hemorrhoid in Ⅲ-Ⅳ degree who treated in The First Affiliated Hospital of Harbin Medical University from May 2015 to July 2015 were retrospectively collected. All the 80 cases were divided into TST group (n=40) and PPH group (n=40) according to the surgical types. The comparison of the clinical effect of 2 groups was performed. Results The operative time, hospital stay, intraoperative blood loss, anal fall bilge feeling score, postoperative pain score at 3 time points, and the incidence of anal secretions of TST group were lower or shorter than those corresponding indexes of PPH group (P<0.05). But there was no significant difference in cure rate, the incidence of urinary retention, the incidence of anal stenosis, the incidence of intractable pain, and satisfaction situation between the 2 groups (P>0.05). All of the cases were followed up for 3 months, during the follow-up period, no one suffered from rectal vaginal fistula, fecal incontinence, and recurrence. Conclusion TST and PPH both have satisfactory effect in treatment of hemorrhoid in Ⅲ-Ⅳ degree, but TST has advan- tages of less blood loss, shorter operative time, rapid postoperative recovery, and less pain.

Citation： SUNHao-bo, MENGQing-hui, LILong, PEITie-min. Surgical Effect of Tissue Selecting Therapy Stapler in Treatment of Hemorrhoid. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2016, 23(6): 727-731. doi: 10.7507/1007-9424.20160192 Copy

1.	Thomson WH. The nature of hemorrhoids. Br J Surg, 1975, 62(7):542-552.
2.
3.	Naldini G, Martellucci J, Rea R, et al. Tailored prolapse surgery forthe treatment of haemorrhoids and obstructed defecation syndromewith a new dedicated device: TST STARR Plus. Int J Colorectal Dis,2014, 29(5): 623-629.
4.	Khubchandani IT. Partial stapled hemorrhoidopexy versus circularstapled hemorrhoidopexy for grade Ⅲ-Ⅳ prolapsing hemorrhoids:a two-year prospective controlled study. Tech Coloproctol, 2012,16(5): 345, 347-348.
5.	Lin HC, He QL, Ren DL, et al. Partial stapled hemorrhoidopexy: aminimally invasive technique for hemorrhoids. Surg Today, 2012,42(9): 868-875.
6.	萬仁輝, 溫宜清, 鄧浩財. 選擇性痔上黏膜切除吻合術治療重度內痔的臨床研究. 嶺南現代臨床外科, 2013, 13(3): 184-188.
7.	Raahave D, Jepsen LV, Pedersen IK. Primary and repeated stapledhemorrhoidopexy for prolapsing hemorrhoids: follow-up to fiveyears. Dis Colon Rectum, 2008, 51(3): 334-341.
8.	宋維亮, 王振軍. 痔的現代治療評價. 中國普外基礎與臨床雜志,2010, 17(2): 116-118.
9.	Ommer A, Hinrichs J, M?llenberg H, et al. Long-term results afterstapled hemorrhoidopexy: a prospective study with a 6-year followup.Dis Colon Rectum, 2011, 54(5): 601-608.
10.	Tjandra JJ, Chan MK. Systematic review on the procedure forprolapse and hemorrhoids (stapled hemorrhoidopexy). Dis ColonRectum, 2007, 50(6): 878-892.
11.	Hetzer FH, Demartines N, Handschin AE, et al. Stapled vs excisionhemorrhoidectomy: long-term results of a prospective randomizedtrial. Arch Surg, 2002, 137(3): 337-340.
12.	Nisar PJ, Acheson AG, Neal KR, et al. Stapled hemorrhoidopexycompared with conventional hemorrhoidectomy: systematic reviewof randomized, controlled trials. Dis Colon Rectum, 2004, 47(11):1837-1845.
13.	范雷濤, 谷建南, 李玉博, 等. 吻合器痔上黏膜環形切除術輔助剪口結扎治療357 例混合痔患者的長期療效評價. 中國普外基礎與臨床雜志, 2015, 22(5): 623-625.
14.	王子恒, 孟慶輝. 吻合器痔上黏膜釘合術應用的相關問題. 中國普外基礎與臨床雜志, 2010, 17(11): 1213-1215.
15.	高顯華, 傅傳剛, Nabieu PF-W. PPH 術后復發與皮贅殘留: 應注意區分兩者. 中國實用外科雜志, 2009, 29(12): 1012-1017, 1024.
16.	林宏城, 任東林, 謝尚奎, 等. 選擇性痔上黏膜切除釘合術與痔上黏膜環切釘合術的對比研究. 廣東醫學, 2011, 32(11): 1457-1460.
17.	Naldini G, Fabiani B, Menconi C, et al. Tailored prolapse surgeryfor the treatment of hemorrhoids with a new dedicated device: TSTStarr plus. Int J Colorectal Dis, 2015, 30(12): 1723-1728.
18.	Garcea G, Sutton CD, Lloyd TD, et al. Management of benign rectalstrictures: a review of present therapeutic procedures. Dis ColonRectum, 2003, 46(11): 1451-1460.
19.	Brisinda G, Vanella S, Cadeddu F, et al. Surgical treatment of analstenosis. World J Gastroenterol, 2009, 15(16): 1921-1928.
20.	宣恩勝, 江洪亮. 選擇性痔上黏膜切除釘合術(TST) 治療痔病的臨床研究. 中國醫藥指南, 2014, 12(19): 78-80.
21.	Martellucci J, Naldini G, Del Popolo G, et al. Sacral nerve modulationin the treatment of chronic pain after pelvic surgery. ColorectalDis, 2012, 14(4): 502-507.
22.	楊向東, 賈英田, 趙希忠, 等. TST 術后常見并發癥的原因及對策( 附100 例臨床報告）. 結直腸肛門外科, 2011, 17(2): 101-103.
23.	Lin HC, Lian L, Xie SK, et al. The tissue-selecting technique: segmentalstapled hemorrhoidopexy. Dis Colon Rectum, 2013, 56(11):1320-1324.

1. Thomson WH. The nature of hemorrhoids. Br J Surg, 1975, 62(7):542-552.
2.
3. Naldini G, Martellucci J, Rea R, et al. Tailored prolapse surgery forthe treatment of haemorrhoids and obstructed defecation syndromewith a new dedicated device: TST STARR Plus. Int J Colorectal Dis,2014, 29(5): 623-629.
4. Khubchandani IT. Partial stapled hemorrhoidopexy versus circularstapled hemorrhoidopexy for grade Ⅲ-Ⅳ prolapsing hemorrhoids:a two-year prospective controlled study. Tech Coloproctol, 2012,16(5): 345, 347-348.
5. Lin HC, He QL, Ren DL, et al. Partial stapled hemorrhoidopexy: aminimally invasive technique for hemorrhoids. Surg Today, 2012,42(9): 868-875.
6. 萬仁輝, 溫宜清, 鄧浩財. 選擇性痔上黏膜切除吻合術治療重度內痔的臨床研究. 嶺南現代臨床外科, 2013, 13(3): 184-188.
7. Raahave D, Jepsen LV, Pedersen IK. Primary and repeated stapledhemorrhoidopexy for prolapsing hemorrhoids: follow-up to fiveyears. Dis Colon Rectum, 2008, 51(3): 334-341.
8. 宋維亮, 王振軍. 痔的現代治療評價. 中國普外基礎與臨床雜志,2010, 17(2): 116-118.
9. Ommer A, Hinrichs J, M?llenberg H, et al. Long-term results afterstapled hemorrhoidopexy: a prospective study with a 6-year followup.Dis Colon Rectum, 2011, 54(5): 601-608.
10. Tjandra JJ, Chan MK. Systematic review on the procedure forprolapse and hemorrhoids (stapled hemorrhoidopexy). Dis ColonRectum, 2007, 50(6): 878-892.
11. Hetzer FH, Demartines N, Handschin AE, et al. Stapled vs excisionhemorrhoidectomy: long-term results of a prospective randomizedtrial. Arch Surg, 2002, 137(3): 337-340.
12. Nisar PJ, Acheson AG, Neal KR, et al. Stapled hemorrhoidopexycompared with conventional hemorrhoidectomy: systematic reviewof randomized, controlled trials. Dis Colon Rectum, 2004, 47(11):1837-1845.
13. 范雷濤, 谷建南, 李玉博, 等. 吻合器痔上黏膜環形切除術輔助剪口結扎治療357 例混合痔患者的長期療效評價. 中國普外基礎與臨床雜志, 2015, 22(5): 623-625.
14. 王子恒, 孟慶輝. 吻合器痔上黏膜釘合術應用的相關問題. 中國普外基礎與臨床雜志, 2010, 17(11): 1213-1215.
15. 高顯華, 傅傳剛, Nabieu PF-W. PPH 術后復發與皮贅殘留: 應注意區分兩者. 中國實用外科雜志, 2009, 29(12): 1012-1017, 1024.
16. 林宏城, 任東林, 謝尚奎, 等. 選擇性痔上黏膜切除釘合術與痔上黏膜環切釘合術的對比研究. 廣東醫學, 2011, 32(11): 1457-1460.
17. Naldini G, Fabiani B, Menconi C, et al. Tailored prolapse surgeryfor the treatment of hemorrhoids with a new dedicated device: TSTStarr plus. Int J Colorectal Dis, 2015, 30(12): 1723-1728.
18. Garcea G, Sutton CD, Lloyd TD, et al. Management of benign rectalstrictures: a review of present therapeutic procedures. Dis ColonRectum, 2003, 46(11): 1451-1460.
19. Brisinda G, Vanella S, Cadeddu F, et al. Surgical treatment of analstenosis. World J Gastroenterol, 2009, 15(16): 1921-1928.
20. 宣恩勝, 江洪亮. 選擇性痔上黏膜切除釘合術(TST) 治療痔病的臨床研究. 中國醫藥指南, 2014, 12(19): 78-80.
21. Martellucci J, Naldini G, Del Popolo G, et al. Sacral nerve modulationin the treatment of chronic pain after pelvic surgery. ColorectalDis, 2012, 14(4): 502-507.
22. 楊向東, 賈英田, 趙希忠, 等. TST 術后常見并發癥的原因及對策( 附100 例臨床報告）. 結直腸肛門外科, 2011, 17(2): 101-103.
23. Lin HC, Lian L, Xie SK, et al. The tissue-selecting technique: segmentalstapled hemorrhoidopexy. Dis Colon Rectum, 2013, 56(11):1320-1324.

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Surgical Effect of Tissue Selecting Therapy Stapler in Treatment of Hemorrhoid

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