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Systematic review and meta-analysis of randomized controlled trials comparing stapled haemorrhoidopexy with conventional haemorrhoidectomy
British journal of surgery, 2008-02, Vol.95 (2), p.147-160
Shao, W.-J.
Li, G.-C. H.
Zhang, Z. H.-K.
Yang, B.-L.
Sun, G.-D.
Chen, Y.-Q.
2008
Volltextzugriff (PDF)
Details
Autor(en) / Beteiligte
Shao, W.-J.
Li, G.-C. H.
Zhang, Z. H.-K.
Yang, B.-L.
Sun, G.-D.
Chen, Y.-Q.
Titel
Systematic review and meta-analysis of randomized controlled trials comparing stapled haemorrhoidopexy with conventional haemorrhoidectomy
Ist Teil von
British journal of surgery, 2008-02, Vol.95 (2), p.147-160
Ort / Verlag
Chichester, UK: John Wiley & Sons, Ltd
Erscheinungsjahr
2008
Quelle
Wiley-Blackwell Journals
Beschreibungen/Notizen
Background: This paper compares stapled haemorrhoidopexy with conventional haemorrhoidectomy for the treatment of haemorrhoids. Methods: An electronic literature search was undertaken to identify primary studies and systematic reviews. Results on efficacy and safety were analysed. A meta‐analysis was conducted to examine long‐term outcomes. Results: Twenty‐nine randomized clinical trials recruiting 2056 patients were identified. Meta‐analysis showed that stapled haemorrhoidopexy was less painful than conventional haemorrhoidectomy. Stapled haemorrhoidopexy required a shorter inpatient stay (weighted mean difference (WMD) − 0·95 (95 per cent confidence interval (c.i.) − 1·32 to − 0·59) days; P < 0·001) and operating time (WMD − 11·42 (95 per cent c.i. − 18·26 to − 4·59) min; P = 0·001). It was also associated with a faster return to normal activities (WMD − 11·75 (95 per cent c.i. − 21·42 to − 2·08) days; P = 0·017). No significant difference was noted between the two techniques in terms of the total incidence of complications. Stapled haemorrhoidopexy was associated with a higher rate of recurrent disease (relative risk 2·29 (95 per cent c.i. 1·57 to 3·33); P < 0·001). Conclusion: Stapled haemorrhoidopexy offers some short‐term benefits over conventional operation but the total complication rates are similar for both techniques. Stapled haemorrhoidopexy is associated with a higher rate of recurrent disease. Copyright © 2008 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd. More disease recurrence with stapling
Sprache
Englisch
Identifikatoren
ISSN: 0007-1323
eISSN: 1365-2168
DOI: 10.1002/bjs.6078
Titel-ID: cdi_proquest_miscellaneous_70224667
Format
–
Schlagworte
Anal Canal - injuries
,
Analgesics - therapeutic use
,
Biological and medical sciences
,
Constipation - etiology
,
Fissure in Ano - etiology
,
General aspects
,
Hemorrhoids - surgery
,
Humans
,
Length of Stay
,
Medical sciences
,
Miscellaneous
,
Pain, Postoperative - prevention & control
,
Patient Satisfaction
,
Postoperative Complications - etiology
,
Postoperative Hemorrhage - etiology
,
Prospective Studies
,
Public health. Hygiene
,
Public health. Hygiene-occupational medicine
,
Randomized Controlled Trials as Topic
,
Reoperation
,
Second-Look Surgery
,
Surgical Stapling
,
Thrombosis - etiology
,
Urinary Retention - etiology
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