scholarly journals LONG TERM RESULTS AFTER STAPLED HEMORRHOIDOPEXY ALONE AND COMPLEMENTED BY EXCISIONAL HEMORRHOIDECTOMY: A RETROSPECTIVE COHORT STUDY

2016 ◽  
Vol 29 (3) ◽  
pp. 159-163 ◽  
Author(s):  
Sergio Eduardo Alonso ARAUJO ◽  
Lucas de Araujo HORCEL ◽  
Victor Edmond SEID ◽  
Alexandre Bruno BERTONCINI ◽  
Sidney KLAJNER
Keyword(s):  
Cohort Study ◽  
Surgical Excision ◽  
Stapled Hemorrhoidopexy ◽  
Long Term Results ◽  
External Hemorrhoid ◽  
Symptomatic Recurrence ◽  
Excisional Surgery ◽  
Symptom Recurrence

ABSTRACT Background: Stapled hemorrhoidopexy is associated with less postoperative pain and faster recovery. However, it may be associated with a greater risk of symptomatic recurrence. We hypothesized that undertaking a limited surgical excision of hemorrhoid disease after stapling may be a valid approach for selected patients. Aim: To compare long-term results after stapled hemorrhoidopexy with and without complementation with closed excisional technique. Method: In a retrospective uni-institutional cohort study, sixty-five (29 men) patients underwent stapled hemorrhoidopexy and 21 (13 men) underwent stapled hemorrhoidopexy with excision. The same surgeons operated on all cases. Patients underwent stapled hemorrhoidectomy associated with excisional surgery if symptoms attributable to external hemorrhoid piles were observed preoperatively, or if residual prolapse or bulky external disease was observed after the firing of the stapler. A closed excisional diathermy hemorrhoidectomy without vascular ligation was utilized in all complemented cases. All clinical variables were obtained from a questionnaire evaluation obtained through e-mail, telephone interview, or office follow-up. Results: The median duration of postoperative follow-up was 48.5 (6-40) months. Patients with grades 3 and 4 hemorrhoid disease were operated on more frequently using stapled hemorrhoidopexy complemented with excisional technique (95.2% vs. 55.4%, p=0.001). Regarding respectively stapled hemorrhoidopexy and stapled hemorrhoidopexy complemented with excision, there was no difference between the techniques in relation to symptom recurrence (43% and 33%, p=0.45) and median interval between surgery and symptom recurrence (30 (8-84) and 38.8 (8-65) months, p=0.80). Eight (12.3%) patients were re-operated after stapled hemorrhoidopexy and 2 (9.6%), after hemorrhoidopexy with excision (p=0.78). Patient distribution in both groups according to the degree of postoperative satisfaction was similar (p=0.97). Conclusion: Stapled hemorrhoidopexy combined with an excisional technique was effective for more advanced hemorrhoid disease. The combination may have prevented symptomatic recurrence associated to stapled hemorrhoidopexy alone.

scholarly journals Denosumab: A potential new treatment option for recurrent Aneurysmal Bone Cyst of the spine

SICOT-J ◽  
2019 ◽  
Vol 5 ◽  
pp. 10 ◽  
Author(s):  
Arvind G. Kulkarni ◽  
Ankit Patel
Keyword(s):  
Local Recurrence ◽  
Human Monoclonal Antibody ◽  
Bone Cyst ◽  
Surgical Excision ◽  
Long Term Results ◽  
Osteolytic Lesions ◽  
Short Period ◽  
New Treatment

ABCs are expansile osteolytic lesions typically containing blood-filled spaces separated by fibrous septae. Standard treatment includes surgical resection or curettage and packing; however, for some spinal lesions, the standard approach is not optimal. One therapeutic strategy is to treat spinal ABC with an agent that targets a pathway that is dysregulated in a disease with similar pathophysiology. Denosumab, a human monoclonal antibody to RANKL is effective in the treatment of GCT's. Spinal ABCs are a therapeutic challenge and local recurrence is a concern. We report a case of aggressive recurrent ABC of dorsal spine in a 14-year old female with progressive neurologic deficit who underwent surgical excision and decompression with a recurrence in a short period for which a decompression and fixation was done. She had a recurrence after an asymptomatic period of 6 months and neurologic worsening. Having ruled out use of embolization and radiotherapy, a remission was achieved by treatment with Denosumab using the regimen for GCTs for a duration of 6 months. Follow-up MRI and CT scans at 24 months following inception of Denosumab depicted complete resolution and no recurrence. We conclude that Denosumab can result in symptomatic and radiological improvement in the recurrent locally aggressive ABC and may be useful in selected cases. Long-term results are mandatory to confirm the efficacy of Denosumab and to evaluate local recurrence after stopping Denosumab.

Long-term Results After Stapled Hemorrhoidopexy: A Prospective Study With a 6-Year Follow-up

2011 ◽  
Vol 54 (5) ◽  
pp. 601-608 ◽  
Author(s):  
A. Ommer ◽  
Jakob Hinrichs ◽  
Horst Möllenberg ◽  
Babji Marla ◽  
Martin Karl Walz
Keyword(s):  
Prospective Study ◽  
Stapled Hemorrhoidopexy ◽  
Long Term Results ◽  
A Prospective Study

scholarly journals Correction to: Long-term results after stapled hemorrhoidopexy: a survey study with mean follow-up of 12 years

2018 ◽  
Vol 22 (9) ◽  
pp. 733-733
Author(s):  
A. Sturiale ◽  
B. Fabiani ◽  
C. Menconi ◽  
D. Cafaro ◽  
F. Fusco ◽  
...  
Keyword(s):  
Stapled Hemorrhoidopexy ◽  
Survey Study ◽  
Long Term Results

Long-Term Results After Stapled Hemorrhoidopexy: A 15-Year Follow-Up

2019 ◽  
Vol 43 (10) ◽  
pp. 2536-2543 ◽  
Author(s):  
Ralph Schneider ◽  
Pia Jäger ◽  
Andreas Ommer
Keyword(s):  
Stapled Hemorrhoidopexy ◽  
Long Term Results

Radial club hand treated with soft-tissue distraction and subsequent pin stabilization: mid- to long-term results

2020 ◽  
Vol 45 (7) ◽  
pp. 729-736
Author(s):  
Georges Pfister ◽  
Malo Le Hanneur ◽  
Manon Bachy ◽  
Franck Fitoussi
Keyword(s):  
Cohort Study ◽  
Soft Tissue ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Long Term Results ◽  
Percutaneous Pinning ◽  
Level Of Evidence ◽  
Hand Deformities

Radial club hand deformities are commonly treated with arthrolysis to allow centralization of the ulna. In this retrospective cohort study of 31 hands in 28 patients, we aimed to assess the outcomes of correction using progressive distraction and subsequent percutaneous pinning of the wrist with a corrective ulnar osteotomy. Mean follow-up time was 7 years (range 2 to 20). The angulation of the hand–forearm complex was decreased after each step of the procedure. Mean correction of the angulation was 64°, and the residual total forearm–hand angulation was 12° after completion of the surgery. At the time of bony maturity (four patients), all wrists had fused. Fifty-eight reoperations were required in 31 wrists because of pin migration or breakage, and in addition 18 secondary osteotomies of the ulna were performed. From this study we conclude that distraction and pinning provide satisfactory and stable realignment of the wrist to correct the deformity, but this treatment has drawbacks regarding the high number of reoperations and the loss of wrist mobility. Level of evidence: IV

Long-term results after stapled hemorrhoidopexy: a survey study with mean follow-up of 12 years

2018 ◽  
Vol 22 (9) ◽  
pp. 689-696 ◽  
Author(s):  
A. Sturiale ◽  
B. Fabiani ◽  
C. Menconi ◽  
D. Cafaro ◽  
F. Fusco ◽  
...  
Keyword(s):  
Stapled Hemorrhoidopexy ◽  
Survey Study ◽  
Long Term Results
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