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High-Volume Transanal Surgery with CPH34 HV for the Treatment of III-IV Degree Haemorrhoids: Final Short-Term Results of an Italian Multicenter Clinical Study
Joint Authors
Reboa, Giuliano
Gipponi, Marco
Ciotta, Giovanni
Tarantello, Marco
Caviglia, Angelo
Pagliazzo, Antonio
Masoni, Luigi
Caldarelli, Giuseppe
Gaj, Fabio
Masci, Bruno
Verdi, Andrea
Gallo, Maurizio
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-02-21
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
The clinical chart of 621 patients with III-IV haemorrhoids undergoing Stapled Hemorrhoidopexy (SH) with CPH34 HV in 2012–2014 was consecutively reviewed to assess its safety and efficacy after at least 12 months of follow-up.
Mean volume of prolapsectomy was significantly higher (13.0 mL; SD, 1.4) in larger prolapse (9.3 mL; SD, 1.2) ( p < 0.001 ).
Residual or recurrent haemorrhoids occurred in 11 of 621 patients (1.8%) and in 12 of 581 patients (1.9%), respectively.
Relapse was correlated with higher preoperative Constipation Scoring System (CSS) ( p = 0.000 ), Pescatori’s degree ( p = 0.000 ), Goligher’s grade ( p = 0.003 ), prolapse exceeding half of the length of the Circular Anal Dilator (CAD) ( p = 0.000 ), and higher volume of prolapsectomy ( p = 0.000 ).
At regression analysis, only the preoperative CSS, Pescatori’s degree, Goligher’s grade, and volume of resection were significantly predictive of relapse.
A high level of satisfaction (VAS = 8.6; SD, 1.0) coupled with a reduction of 12-month CSS (Δ preoperative CSS/12 mo CSS = 3.4, SD, 2.0; p < 0.001 ) was observed.
The wider prolapsectomy achievable with CPH34 HV determined an overall 3.7% relapse rate in patients with high prevalence of large internal rectal prolapse, coupled with high satisfaction index, significant reduction of CSS, and very low complication rates.
American Psychological Association (APA)
Reboa, Giuliano& Gipponi, Marco& Gallo, Maurizio& Ciotta, Giovanni& Tarantello, Marco& Caviglia, Angelo…[et al.]. 2016. High-Volume Transanal Surgery with CPH34 HV for the Treatment of III-IV Degree Haemorrhoids: Final Short-Term Results of an Italian Multicenter Clinical Study. Surgery Research and Practice،Vol. 2016, no. 2016, pp.1-8.
https://search.emarefa.net/detail/BIM-1118435
Modern Language Association (MLA)
Reboa, Giuliano…[et al.]. High-Volume Transanal Surgery with CPH34 HV for the Treatment of III-IV Degree Haemorrhoids: Final Short-Term Results of an Italian Multicenter Clinical Study. Surgery Research and Practice No. 2016 (2016), pp.1-8.
https://search.emarefa.net/detail/BIM-1118435
American Medical Association (AMA)
Reboa, Giuliano& Gipponi, Marco& Gallo, Maurizio& Ciotta, Giovanni& Tarantello, Marco& Caviglia, Angelo…[et al.]. High-Volume Transanal Surgery with CPH34 HV for the Treatment of III-IV Degree Haemorrhoids: Final Short-Term Results of an Italian Multicenter Clinical Study. Surgery Research and Practice. 2016. Vol. 2016, no. 2016, pp.1-8.
https://search.emarefa.net/detail/BIM-1118435
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1118435