{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T01:14:52Z","timestamp":1778289292347,"version":"3.51.4"},"reference-count":54,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2012,3,15]],"date-time":"2012-03-15T00:00:00Z","timestamp":1331769600000},"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":[[2012,4,27]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Stapled haemorrhoidopexy is a well recognized alternative to haemorrhoidectomy, and is associated with reduced pain and earlier return to normal activity. This paper reports all published cases of life-threatening sepsis following stapled haemorrhoidopexy, identifies causative factors and makes recommendations.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A systematic review of the literature was performed by searching the major electronic databases. All relevant references were reviewed for possible inclusion. All references of the relevant articles were screened for any further articles that were not identified in the initial search.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>From 2000 to the present, 29 articles reporting complications in 40 patients were identified. Thirty-five patients underwent laparotomy with faecal diversion and a further patient was treated by low anterior resection. A specific complication was rectal perforation with peritonitis. Factors that led to life-threatening sepsis were identified in 30 patients. Despite surgical treatment and resuscitation, there were four deaths.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Severe sepsis can complicate stapled haemorrhoidopexy. Rectal perforation and peritonitis are a particular risk of this technique and the associated mortality rate is high.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.7833","type":"journal-article","created":{"date-parts":[[2012,3,15]],"date-time":"2012-03-15T10:53:51Z","timestamp":1331808831000},"page":"746-753","source":"Crossref","is-referenced-by-count":71,"title":["Rectal perforation with life-threatening peritonitis following stapled haemorrhoidopexy"],"prefix":"10.1093","volume":"99","author":[{"given":"J-L","family":"Faucheron","sequence":"first","affiliation":[{"name":"Colorectal Unit, Department of Surgery, University Hospital, Grenoble, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Voirin","sequence":"additional","affiliation":[{"name":"Colorectal Unit, Department of Surgery, University Hospital, Grenoble, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Abba","sequence":"additional","affiliation":[{"name":"Colorectal Unit, Department of Surgery, University Hospital, Grenoble, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2012,3,15]]},"reference":[{"key":"2021031605423622900_bib1","first-page":"777","volume-title":"Proceedings of the 6th World Congress of Endoscopic Surgery, Rome, Italy","author":"Longo","year":"1998"},{"key":"2021031605423622900_bib2","doi-asserted-by":"crossref","first-page":"1102","DOI":"10.1007\/BF02236713","article-title":"Treatment of external anorectal mucosal prolapse with circular stapler: an easy and effective new surgical technique","volume":"42","author":"Altomare","year":"1999","journal-title":"Dis Colon Rectum"},{"key":"2021031605423622900_bib3","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1046\/j.1463-1318.2000.00125.x","article-title":"A prospective evaluation of the introduction of circumferential stapled anoplasty in the management of hemorrhoids and mucosal prolapse","volume":"2","author":"Beattie","year":"2000","journal-title":"Colorectal Dis"},{"key":"2021031605423622900_bib4","doi-asserted-by":"crossref","first-page":"878","DOI":"10.1007\/s10350-006-0852-3","article-title":"Systematic review on the procedure for prolapse and hemorrhoids (stapled hemorrhoidopexy)","volume":"50","author":"Tjandra","year":"2007","journal-title":"Dis Colon Rectum"},{"key":"2021031605423622900_bib5","doi-asserted-by":"crossref","first-page":"1297","DOI":"10.1007\/s10350-007-0308-4","article-title":"Stapled hemorrhoidopexy is associated with a higher long-term recurrence rate of internal hemorrhoids compared with conventional excisional hemorrhoidal surgery","volume":"50","author":"Jayaraman","year":"2007","journal-title":"Dis Colon Rectum"},{"key":"2021031605423622900_bib6","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1007\/s00384-008-0611-0","article-title":"Stapled haemorrhoidopexy compared to Milligan\u2013Morgan and Ferguson haemorrhoidectomy: a systematic review","volume":"24","author":"Laughlan","year":"2009","journal-title":"Int J Colorectal Dis"},{"key":"2021031605423622900_bib7","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1002\/bjs.6078","article-title":"Systematic review and meta-analysis of randomized controlled trials comparing stapled haemorrhoidopexy with conventional haemorrhoidectomy","volume":"95","author":"Shao","year":"2008","journal-title":"Br J Surg"},{"key":"2021031605423622900_bib8","doi-asserted-by":"crossref","first-page":"W65","DOI":"10.7326\/0003-4819-151-4-200908180-00136","article-title":"The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration","volume":"151","author":"Liberati","year":"2009","journal-title":"Ann Intern Med"},{"key":"2021031605423622900_bib9","doi-asserted-by":"crossref","first-page":"810","DOI":"10.1016\/S0140-6736(00)02208-X","article-title":"Life threatening pelvic sepsis after stapled haemorrhoidectomy","volume":"355","author":"Molloy","year":"2000","journal-title":"Lancet"},{"key":"2021031605423622900_bib10","doi-asserted-by":"crossref","first-page":"1648","DOI":"10.1016\/S0140-6736(05)72554-X","article-title":"Haemorrhoid surgery revised","volume":"355","author":"Roos","year":"2000","journal-title":"Lancet"},{"key":"2021031605423622900_bib11","doi-asserted-by":"crossref","first-page":"2187","DOI":"10.1016\/S0140-6736(05)67258-3","article-title":"Pain after stapled haemorrhoidectomy","volume":"356","author":"Herold","year":"2000","journal-title":"Lancet"},{"key":"2021031605423622900_bib12","doi-asserted-by":"crossref","first-page":"1464","DOI":"10.1007\/s001040170012","article-title":"[Fournier gangrene as a rare complication after stapler hemorrhoidectomy. 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