{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T14:30:21Z","timestamp":1789655421397,"version":"4.0.1"},"reference-count":44,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2007,5,22]],"date-time":"2007-05-22T00:00:00Z","timestamp":1179792000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2007,7,16]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Stapled haemorrhoidopexy is less painful than Milligan-Morgan haemorrhoidectomy, allowing an earlier return to working activities, but its long-term efficacy is not fully established. This study reports the long-term follow-up of a randomized clinical trial comparing the two techniques in 100 patients affected by third- and fourth-degree haemorrhoids.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>All patients were contacted and invited to attend the clinic to assess long-term functional outcome. The degree of continence and satisfaction were assessed by questionnaire. Anal manometry and anoscopy were performed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Eighty patients were available after a median follow-up of 87 months. No statistically significant differences were found between the two groups in terms of incontinence, stenosis, pain, bleeding, residual skin tags or recurrent prolapse. A tendency towards a higher recurrence rate was reported in patients with fourth-degree haemorrhoids, irrespective of the technique used. No significant changes in anal manometric values were found after surgery in either group.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Both techniques are effective in the long term.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.5677","type":"journal-article","created":{"date-parts":[[2007,5,27]],"date-time":"2007-05-27T01:00:29Z","timestamp":1180227629000},"page":"1033-1037","source":"Crossref","is-referenced-by-count":77,"title":["Long-term outcome of a multicentre randomized clinical trial of stapled haemorrhoidopexy <i>versus<\/i> Milligan\u2013Morgan haemorrhoidectomy"],"prefix":"10.1093","volume":"94","author":[{"given":"E","family":"Ganio","sequence":"first","affiliation":[{"name":"Department of Emergency and Organ Transplantation, Section of General Surgery and Liver Transplantation, University of Bari, Policlinico, Piazza G. Cesare 11, 70124 Bari, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D F","family":"Altomare","sequence":"additional","affiliation":[{"name":"Department of Emergency and Organ Transplantation, Section of General Surgery and Liver Transplantation, University of Bari, Policlinico, Piazza G. Cesare 11, 70124 Bari, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G","family":"Milito","sequence":"additional","affiliation":[{"name":"Department of Emergency and Organ Transplantation, Section of General Surgery and Liver Transplantation, University of Bari, Policlinico, Piazza G. Cesare 11, 70124 Bari, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F","family":"Gabrielli","sequence":"additional","affiliation":[{"name":"Department of Emergency and Organ Transplantation, Section of General Surgery and Liver Transplantation, University of Bari, Policlinico, Piazza G. Cesare 11, 70124 Bari, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Canuti","sequence":"additional","affiliation":[{"name":"Department of Emergency and Organ Transplantation, Section of General Surgery and Liver Transplantation, University of Bari, Policlinico, Piazza G. Cesare 11, 70124 Bari, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2007,5,22]]},"reference":[{"key":"2021070907292888900_bib1","first-page":"777","volume-title":"Treatment of hemorrhoids disease by reduction of mucosa and hemorrhoidal prolapse with circular suturing device: a new procedure","author":"Longo","year":"1998"},{"key":"2021070907292888900_bib2","doi-asserted-by":"crossref","first-page":"768","DOI":"10.1016\/S0140-6736(00)00086-6","article-title":"Early promise of stapling technique for haemorrhoidectomy","volume":"355","author":"Fazio","year":"2000","journal-title":"Lancet"},{"key":"2021070907292888900_bib3","doi-asserted-by":"crossref","first-page":"1437","DOI":"10.1007\/s10350-004-6446-z","article-title":"Objective comparison of stapled anopexy and open hemorrhoidectomy","volume":"45","author":"Wilson","year":"2002","journal-title":"Dis Colon Rectum"},{"key":"2021070907292888900_bib4","doi-asserted-by":"crossref","first-page":"1367","DOI":"10.1007\/s10350-004-6426-3","article-title":"Stapled rectal mucosectomy vs. closed hemorrhoidectomy: a randomized clinical trial","volume":"45","author":"Correa-Rovelo","year":"2002","journal-title":"Dis Colon Rectum"},{"key":"2021070907292888900_bib5","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1097\/01.sla.0000169570.64579.31","article-title":"Stapled hemorrhoidectomy versus Milligan\u2013Morgan hemorrhoidectomy: a prospective, randomized, multicenter trial with 2-year postoperative follow up","volume":"242","author":"Gravi\u00e8","year":"2005","journal-title":"Ann Surg"},{"key":"2021070907292888900_bib6","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1016\/j.amjsurg.2004.03.014","article-title":"Randomized controlled trial to compare the early and mid-term results of stapled versus open hemorrhoidectomy","volume":"189","author":"Bikhchandani","year":"2005","journal-title":"Am J Surg"},{"key":"2021070907292888900_bib7","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1016\/S0140-6736(99)08362-2","article-title":"Stapling procedure for haemorrhoids versus Milligan\u2013Morgan haemorrhoidectomy: randomised controlled trial","volume":"355","author":"Mehigan","year":"2000","journal-title":"Lancet"},{"key":"2021070907292888900_bib8","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1007\/s00268-002-6459-5","article-title":"Stapled and open hemorrhoidectomy: randomized controlled trial of early results","volume":"27","author":"Palimento","year":"2003","journal-title":"World J Surg"},{"key":"2021070907292888900_bib9","doi-asserted-by":"crossref","first-page":"1049","DOI":"10.1046\/j.0007-1323.2001.01830.x","article-title":"Randomized clinical trial of stapled versus Milligan\u2013Morgan haemorrhoidectomy","volume":"88","author":"Shalaby","year":"2001","journal-title":"Br J Surg"},{"key":"2021070907292888900_bib10","doi-asserted-by":"crossref","first-page":"1376","DOI":"10.1046\/j.1365-2168.2002.02237.x","article-title":"Randomized clinical trial of stapled haemorrhoidopexy versus conventional diathermy haemorrhoidectomy","volume":"89","author":"Ortiz","year":"2002","journal-title":"Br J Surg"},{"key":"2021070907292888900_bib11","doi-asserted-by":"crossref","first-page":"779","DOI":"10.1016\/S0140-6736(99)06122-X","article-title":"Circumferential mucosectomy (stapled haemorrhoidectomy) versus conventional haemorrhoidectomy: randomised controlled trial","volume":"355","author":"Rowsell","year":"2000","journal-title":"Lancet"},{"key":"2021070907292888900_bib12","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1007\/s10350-004-6502-8","article-title":"Day-case stapled (circular) vs. diathermy hemorrhoidectomy. 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