Brief Article
Copyright ©2009 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Nov 28, 2009; 15(44): 5573-5578
Published online Nov 28, 2009. doi: 10.3748/wjg.15.5573
Comparison of a modified anoscope and the purse-string anoscope in stapled haemorrhoidopexy
Ali Dogan Bozdag, Ismail Yaman, Hayrullah Derici, Tugrul Tansug, Vedat Deniz
Ali Dogan Bozdag, Hayrullah Derici, Tugrul Tansug, Third Surgical Clinic of Izmir Ataturk Training and Research Hospital, 35360 Izmir, Turkey
Ismail Yaman, Clinic of General Surgery, Manisa State Hospital, 45020 Manisa, Turkey
Vedat Deniz, Clinic of General Surgery, Cizre State Hospital, 73000 Sirnak, Turkey
Author contributions: Bozdag AD and Yaman I contributed equally to this work; Bozdag AD, Yaman I, Derici H and Tansug T designed the research; Bozdag AD, Yaman I, Derici H, Tansug T and Deniz V performed the research; Bozdag AD and Tansug T contributed analytic tools; Bozdag AD and Deniz V analyzed the data; Bozdag AD, Yaman I, Derici H and Tansug T wrote the paper.
Correspondence to: Dr. Ali Dogan Bozdag, Associated Professor, Third Surgical Clinic of Izmir Ataturk Training and Research Hospital, 35360 Izmir, Turkey. bozdaga@gmail.com
Telephone: +90-232-4252588 Fax: +90-232-2434848
Received: August 3, 2009
Revised: September 14, 2009
Accepted: September 21, 2009
Published online: November 28, 2009
Abstract

AIM: To compare the results of the anoscope of the PPH kit and a modified anoscope during stapled haemorrhoidopexy.

METHODS: The hospital records of 37 patients who underwent stapled haemorrhoidopexy between 2001 and 2006 were reviewed. The purse-string suture anoscope in the PPH kit was used on 15 patients (Group 1), and the modified anoscope was used on 22 patients (Group 2). Demographic characteristics of the patients, operation time, surgeon’s performance, analgesic requirement, and complications were compared.

RESULTS: Operation time was significantly longer in Group 1 (42.0 ± 8.4 min vs 27.7 ± 8.0 min, P = 0.039). The surgeons reported their operative performance as significantly better in Group 2 (the results of the assessments were poor in ten, medium in four and good in one in Group 1, while good in all patients in Group 2, P < 0.001). The need for haemostatic sutures was significantly higher in Group 1 (six cases) and was needed in two cases in Group 2 (P = 0.034).

CONCLUSION: Operation time decreased and the surgeon’s satisfaction increased with use of the modified anoscope, and fewer haemostatic sutures were required if the surgeon waited longer before and after firing the stapler.

Keywords: Haemorrhoidal disease, Modified anoscope, Purse-string suture, Stapled haemorrhoidopexy, Stapled anopexy