{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,26]],"date-time":"2025-04-26T04:48:15Z","timestamp":1745642895714,"version":"3.37.3"},"reference-count":34,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2020,7,9]],"date-time":"2020-07-09T00:00:00Z","timestamp":1594252800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2020,7,9]],"date-time":"2020-07-09T00:00:00Z","timestamp":1594252800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2020,7,9]],"date-time":"2020-07-09T00:00:00Z","timestamp":1594252800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To know the influence of the stapled line height (SLH) in the recurrence rate and the postoperative disturbances in stapled anopexy (SA) for the treatment of hemorrhoids.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Simple randomized double\u2010blind controlled clinical trial. Randomization with closed\u2010envelope technique in two groups with two different SLH.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Colorectal Surgery Unit. Department of General Surgery. Hospital de Matar\u00f3 (Barcelona, Spain).<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>119 patients with the diagnosis of symptomatic third\u2010 and fourth\u2010grade hemorrhoids were included.<\/jats:p><\/jats:sec><jats:sec><jats:title>Intervention<\/jats:title><jats:p>SA was performed with two different SLH: group A, 4.5\u00a0cm (58 patients) and group B, 6\u00a0cm (61 patients) from the external anal verge. Postoperative disturbances were evaluated by a colorectal surgeon who was blind for the randomization and pain was measured (visual analogic scale) one week and 3\u00a0months after surgery. Mean operative time, number of hemostatic stitches performed and resected mucosal area were considered as well. Mean follow\u2010up was 11.05\u2009\u00b1\u20091.6 years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Differences between the operative time and resected mucosa\u2010submucosa area were not found. The patients of group A needed a significantly higher number of stitches for intraoperative bleeding control along the stapled line. We did not found differences between both groups in terms of postoperative pain neither anorectal disturbances. At the follow\u2010up, persistence of symptomatology was 10.41% in group A and 10.71% in group B, without statistically significance. Neither mortality nor undesirable effects occurred in the series.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>SLH do not influence the recurrence rate neither the postoperative evolution in SA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Trial registration<\/jats:title><jats:p>Clinical Trials NCT03383926.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-020-05676-y","type":"journal-article","created":{"date-parts":[[2020,7,9]],"date-time":"2020-07-09T15:10:46Z","timestamp":1594307446000},"page":"3936-3942","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Prospective Randomized Study on Stapled Anopexy Height and Its Influence on Recurrence for Hemorrhoidal Disease Treatment"],"prefix":"10.1002","volume":"44","author":[{"given":"Luis Antonio","family":"Hidalgo\u2010Grau","sequence":"first","affiliation":[{"name":"Colorectal Surgery Unit, Department of General and Digestive Hospital de Matar\u00f3 Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3462-399X","authenticated-orcid":false,"given":"Encarna","family":"Piedrafita\u2010Serra","sequence":"additional","affiliation":[{"name":"Colorectal Surgery Unit, Department of General and Digestive Hospital de Matar\u00f3 Barcelona Spain"},{"name":"Department of Surgery and Morphological Sciences Universitat Aut\u00f3noma de Barcelona Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neus","family":"Ruiz\u2010Edo","sequence":"additional","affiliation":[{"name":"Colorectal Surgery Unit, Department of General and Digestive Hospital de Matar\u00f3 Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Llorca\u2010Carde\u00f1osa","sequence":"additional","affiliation":[{"name":"Colorectal Surgery Unit, Department of General and Digestive Hospital de Matar\u00f3 Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adolfo","family":"Heredia\u2010Bud\u00f3","sequence":"additional","affiliation":[{"name":"Colorectal Surgery Unit, Department of General and Digestive Hospital de Matar\u00f3 Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oscar","family":"Estrada\u2010Ferrer","sequence":"additional","affiliation":[{"name":"Colorectal Surgery Unit, Department of General and Digestive Hospital de Matar\u00f3 Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xavier","family":"Su\u00f1ol\u2010Sala","sequence":"additional","affiliation":[{"name":"Colorectal Surgery Unit, Department of General and Digestive Hospital de Matar\u00f3 Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,7,9]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(00)88465\u20102"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02048023"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2012.06.035"},{"key":"e_1_2_7_5_1","unstructured":"LongoA(1998)Treatment of hemorrhoidal disease by decrease of mucosa and hemorrhoidal prolapse with a circular suturing device: anew procedureIn: Proceedings of the 6th World Congress of Endoscopic Surgery Rome"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800620710"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02555533"},{"key":"e_1_2_7_8_1","unstructured":"NICE.Interventional procedure overview of circular stapled haemorrhoidectomy(2003) In: Guidance"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463\u20101318.2008.01638.x"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2006.09.015"},{"key":"e_1_2_7_11_1","first-page":"98","volume-title":"Surgery of the anus, rectum and colon","author":"Goligher JC","year":"1984"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463\u20101318.2011.02751.x"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350\u2010005\u20100046\u20104"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ciresp.2015.12.008"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10151\u2010020\u201002149\u20101"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2008.591"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384\u2010004\u20100627\u2010z"},{"key":"e_1_2_7_18_1","first-page":"272","article-title":"Hemoperitoneum as severe and unusual complication in the stapler recto\u2010anopexy for hemorrhoidal prolapse. case report","volume":"32","author":"Racalbuto A","year":"2011","journal-title":"G Chir"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(00)02208\u2010X"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.4321\/S1130\u201001082012000700014"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.7833"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13304\u2010011\u20100077\u20104"},{"key":"e_1_2_7_23_1","first-page":"88","article-title":"Surgical anatomy of anal canal with special reference to surgical importance of internal sphincter and conjoint longitudinal muscle","volume":"19","author":"Morgan CN","year":"1956","journal-title":"Am Roy Coll Surg Engl"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-0-387-36374-5_1"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350\u2010006\u20100724\u2010x"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445\u20102197.2012.06179.x"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350\u2010004\u20106693\u2010z"},{"issue":"2","key":"e_1_2_7_28_1","first-page":"143","article-title":"Stapled haemorrhoidopexy: correlation among histology, intraoperative morphology and interindividual anatomic variability in muco\u2010haemorrhoidal prolapse","volume":"85","author":"Luglio G","year":"2014","journal-title":"Ann Ital Chir"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384\u2010015\u20102354\u2010z"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(00)02632\u20105"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000001770"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10151\u2010006\u20100302\u20101"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.12677"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384\u2010017\u20102908\u20103"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v19.i29.4799"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-020-05676-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00268-020-05676-y\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-020-05676-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-020-05676-y","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,23]],"date-time":"2023-12-23T16:14:13Z","timestamp":1703348053000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-020-05676-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,9]]},"references-count":34,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2020,11]]}},"alternative-id":["10.1007\/s00268-020-05676-y"],"URL":"https:\/\/doi.org\/10.1007\/s00268-020-05676-y","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"type":"print","value":"0364-2313"},{"type":"electronic","value":"1432-2323"}],"subject":[],"published":{"date-parts":[[2020,7,9]]},"assertion":[{"value":"9 July 2020","order":1,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with Ethical Standards"}},{"value":"The authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}