{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T10:34:17Z","timestamp":1761561257866},"reference-count":34,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2008,6,14]],"date-time":"2008-06-14T00:00:00Z","timestamp":1213401600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2008,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This study was designed to review the results of circular stapled hemorrhoidopexy (CSH) in the management of second\u2010, third\u2010, and fourth\u2010degree hemorrhoidal disease. The medical records of 483 patients who had undergone circular stapled hemorrhoidopexy for symptomatic hemorrhoidal disease from June 2001 to September 2006 were evaluated. Data regarding complications, residual symptoms, and recurrence were collected. The study included 445 patients (283\u00a0men, 162women) between 22 and 74 years old (median age 39 years). This constituted 92% of all patients. Concomitant lateral internal sphincterotomy, skin tags\u2019 excision, and thrombus removal were done in 106 (24.0%), 83 (18.5%), and 20 (4.5%) patients, respectively. The median operating time was 24\u00a0minutes (10\u201345\u00a0minutes). The median hospital stay was 40 hours (11\u201372 hours). Complications during the first 24 hours were fecal urgency (25%), urinary retention (8%), and rectal bleeding (1%). Pruritus ani (21%), thrombosed external hemorrhoids (4%), staple line stenosis (2%), rectal bleeding (2%), anal fissure (1%), and persistent skin tags (3%) were the symptoms seen during the long\u2010term follow\u2010up. The median follow\u2010up was 23\u00a0months (6\u201370\u00a0months). The recurrence rate was 1%. Circular stapled hemorrhoidopexy can be safely performed with low recurrence and complication rates while offering a relatively painless postoperative period for the patient.<\/jats:p>","DOI":"10.1007\/s00268-008-9627-4","type":"journal-article","created":{"date-parts":[[2008,6,13]],"date-time":"2008-06-13T18:33:31Z","timestamp":1213382011000},"page":"1783-1788","source":"Crossref","is-referenced-by-count":6,"title":["Circular Stapled Hemorrhoidopexy: Experience of a Single Center with 445 Cases"],"prefix":"10.1002","volume":"32","author":[{"given":"Cihan","family":"Uras","sequence":"first","affiliation":[{"name":"Department of Surgery Cerrahpasa Medical School Istanbul University Istanbul Turkey"},{"name":"Department of Surgery Bakirk\u00f6y Acibadem Hospital Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bilgi","family":"Baca","sequence":"additional","affiliation":[{"name":"Department of Surgery Cerrahpasa Medical School Istanbul University Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deniz Eren","family":"Boler","sequence":"additional","affiliation":[{"name":"Department of Surgery Bakirk\u00f6y Acibadem Hospital Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2008,6,14]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(99)06122\u2010X"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(99)08362\u20102"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00384\u2010003\u20100547\u20103"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-002-6459-5"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.0007\u20101323.2001.01772.x"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463\u20101318.2004.00496.x"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(03)13106\u20106"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365\u20102168.2002.02237.x"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350\u2010004\u20106446\u2010z"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.137.3.337"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1463\u20101318.2003.00483.x"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20102002\u201021566"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010003\u20108151\u20108"},{"key":"e_1_2_6_15_2","unstructured":"LongoA(1998)Treatment of haemorrhoids disease by reduction of mucosa and haemorrhoidal prolapse with circular suturing device: a new procedure. 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