Feasibility of stapled haemorrhoidopexy in Day Surgery

A. Caviglia, A. Del Grammastro, R. Crocetta*, A. Straniero**, F. Giorgiano***

Departmental Operative Unity of Colonproctology; *Department of Anesthesia and Emergency, Hospital San Camillo-Forlanini, Rome (Italy) **Department of Surgery “F. Durante”; ***Department of General Surgery, Surgical Specialties and Transplants “P. Stefanini”, Policlinico Umberto I, “La Sapienza” University, Rome (Italy)

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• Surgery

The aim of this study was to report the results of a stapled haemorrhoidopexy for patients with second to fourth degree of rectal prolapse, with reference to its feasibility as a day-surgery procedure.
Between January 2005 and December 2007, 203 patients with symptomatic hemorrhoids have been operated for stapled haemorrhoidopexy. Surgery was performed between the 8:00 to 9:00 am using a standard sedation and a regional perianal local block. All the patients were discharged from the hospital at 18:00 of the same day of the surgery. Postoperative analgesia with a disposable device for infusion, after 24 hours was removed at home.
Four patients after 3 hours from the operation have had an anal bleeding in the hospital. Four patients have had an anal bleeding at home during the night. One patient has had an important anal pain at home during the night.
Stapled haemorrhoidopexy in day surgery may be a viable addition to the therapy for rectal prolapse with the advantages of an early discharge and a lower cost than a longer hospitalization. With this procedure, performed in a single day, we provided a value-added service to the patients with less cost and without a significant compromise on safety and efficacy.

Corresponding Author: Angelo Caviglia, MD; e-mail: a.caviglia@tiscali.it

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