دورية أكاديمية
Picking Up the Threads: Long-Term Outcomes of the Sutured Haemorrhoidopexy: A Retrospective Single-Centre Cohort Study
| العنوان: | Picking Up the Threads: Long-Term Outcomes of the Sutured Haemorrhoidopexy: A Retrospective Single-Centre Cohort Study |
|---|---|
| المؤلفون: | Kuiper, S.Z., Van Dam, K.A.M., Kimman, M.L., Mitalas, L., Koot, P.G.M., Melenhorst, J., Van Kuijk, S.M.J., Dirksen, C.D., Breukink, S.O. |
| المصدر: | Kuiper , S Z , Van Dam , K A M , Kimman , M L , Mitalas , L , Koot , P G M , Melenhorst , J , Van Kuijk , S M J , Dirksen , C D & Breukink , S O 2023 , ' Picking Up the Threads: Long-Term Outcomes of the Sutured Haemorrhoidopexy: A Retrospective Single-Centre Cohort Study ' , Journal of Clinical Medicine , vol. 12 , no. 1 , 391 . https://doi.org/10.3390/jcm12010391Test |
| سنة النشر: | 2023 |
| المجموعة: | Maastricht University Research Publications |
| مصطلحات موضوعية: | haemorrhoidal disease, surgery, sutured haemorrhoidopexy, haemorrhoidopexy, HEMORRHOIDAL ARTERY LIGATION, MULTICENTER, MANAGEMENT, MILLIGAN, PREVALENCE, IMPACT |
| الوصف: | Background: This study aimed to assess the short- and long-term safety and efficacy of the sutured haemorrhoidopexy (SH) in patients with haemorrhoidal disease (HD). Methods: A retrospective study was performed, assessing the following treatment characteristics: number of sutures needed; operation time; perioperative complications; postoperative pain; hospital stay. The short- and long-term postoperative complications, HD recurrence and data on current HD symptoms were assessed according to the Core Outcome Set for HD. Results: Between January 2009 and December 2021, 149 patients with HD underwent a SH. One-hundred and forty-five patients were included, with a mean age of 61 years (+/- 12.8), of which 70 were women (48.3%). Patients were predominantly diagnosed with grade III (37.2%) HD and the median follow-up was nine years (5-11). Perioperative complications occurred in four cases (2.8%). In two patients (1.4%), short-term postoperative complications were reported, and in seven patients (6.2%), long-term complications were reported. The cumulative efficacy in terms of freedom of recurrence was 88.3% (95% CI, 83.1-93.5) at six months, 80.0% (95% CI, 73.5-86.5) at one year, and 67.7% (95% CI, 59.7-75.7) at five years. Conclusions: Sutured haemorrhoidopexy is a safe treatment for patients with HD and can be proposed as a minimally invasive surgical treatment if basic and outpatient procedures fail. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | https://cris.maastrichtuniversity.nl/en/publications/2eb665b7-d54f-4918-9a59-532a0da83036Test |
| DOI: | 10.3390/jcm12010391 |
| الإتاحة: | https://doi.org/10.3390/jcm12010391Test https://cris.maastrichtuniversity.nl/en/publications/2eb665b7-d54f-4918-9a59-532a0da83036Test |
| حقوق: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.AE394240 |
| قاعدة البيانات: | BASE |
| DOI: | 10.3390/jcm12010391 |
|---|