{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T22:16:29Z","timestamp":1781734589902,"version":"3.54.5"},"reference-count":48,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2008,1,4]],"date-time":"2008-01-04T00:00:00Z","timestamp":1199404800000},"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":[[2008,1,14]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>This paper compares stapled haemorrhoidopexy with conventional haemorrhoidectomy for the treatment of haemorrhoids.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>An electronic literature search was undertaken to identify primary studies and systematic reviews. Results on efficacy and safety were analysed. A meta-analysis was conducted to examine long-term outcomes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Twenty-nine randomized clinical trials recruiting 2056 patients were identified. Meta-analysis showed that stapled haemorrhoidopexy was less painful than conventional haemorrhoidectomy. Stapled haemorrhoidopexy required a shorter inpatient stay (weighted mean difference (WMD) \u2212 0\u00b795 (95 per cent confidence interval (c.i.) \u2212 1\u00b732 to \u2212 0\u00b759) days; P &amp;lt; 0\u00b7001) and operating time (WMD \u2212 11\u00b742 (95 per cent c.i. \u2212 18\u00b726 to \u2212 4\u00b759) min; P = 0\u00b7001). It was also associated with a faster return to normal activities (WMD \u2212 11\u00b775 (95 per cent c.i. \u2212 21\u00b742 to \u2212 2\u00b708) days; P = 0\u00b7017). No significant difference was noted between the two techniques in terms of the total incidence of complications. Stapled haemorrhoidopexy was associated with a higher rate of recurrent disease (relative risk 2\u00b729 (95 per cent c.i. 1\u00b757 to 3\u00b733); P &amp;lt; 0\u00b7001).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Stapled haemorrhoidopexy offers some short-term benefits over conventional operation but the total complication rates are similar for both techniques. Stapled haemorrhoidopexy is associated with a higher rate of recurrent disease.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.6078","type":"journal-article","created":{"date-parts":[[2008,1,4]],"date-time":"2008-01-04T16:16:23Z","timestamp":1199463383000},"page":"147-160","source":"Crossref","is-referenced-by-count":162,"title":["Systematic review and meta-analysis of randomized controlled trials comparing stapled haemorrhoidopexy with conventional haemorrhoidectomy"],"prefix":"10.1093","volume":"95","author":[{"given":"W-J","family":"Shao","sequence":"first","affiliation":[{"name":"Department of Coloproctology, Nanjing TCM University Hospital, Nanjing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G-C H","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, Nanjing TCM University, Nanjing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Z H-K","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Medical Information Retrieval, Nanjing TCM University, Nanjing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B-L","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Coloproctology, Nanjing TCM University Hospital, Nanjing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G-D","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Coloproctology, Nanjing TCM University Hospital, Nanjing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y-Q","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Coloproctology, Nanjing TCM University Hospital, Nanjing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2008,1,4]]},"reference":[{"key":"2021070911171578500_bib1","volume-title":"The Cochrane Library","author":"Higgins","year":"2006"},{"key":"2021070911171578500_bib2","first-page":"38","article-title":"Development of the Cochrane Collaboration's CENTRAL Register of controlled clinical trials","volume":"25","author":"Dickersin","year":"2002","journal-title":"Eval Health Prof"},{"key":"2021070911171578500_bib3","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1136\/bmj.323.7303.42","article-title":"Systematic reviews in health care: assessing the quality of controlled clinical trials","volume":"323","author":"Juni","year":"2001","journal-title":"BMJ"},{"key":"2021070911171578500_bib4","doi-asserted-by":"crossref","first-page":"2598","DOI":"10.1001\/jama.1993.03510210084032","article-title":"Users' guides to the medical literature. 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