{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T14:30:45Z","timestamp":1773325845643,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2007,1,8]],"date-time":"2007-01-08T00:00:00Z","timestamp":1168214400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2007,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Objective\u2002<\/jats:bold> We have audited our 5\u2003years experience of circumferential\u2010stapled haemorrhoidopexy (PPH).<\/jats:p><jats:p><jats:bold>Method\u2002<\/jats:bold> A prospectively collected electronic data base of our 5\u2010year experience to September 2005 has been examined.<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> A total of 357 consecutive patients (220 \u2013 62% women, median age 46\u2003years; range 28\u201392) with symptomatic third\u2010 and fourth\u2010degree haemorrhoids (ratio 222:135) have undergone a stapled haemorrhoidopexy\/rectal mucosectomy. One hundred and thirty\u2010two (37%) had failed previous banding; 42 (12%) had undergone a Milligan\u2013Morgan haemorrhoidectomy in the past. All but one was performed under general anaesthetic. Mean duration of surgery was 15\u2003min (range 11\u201340); 299 (84%) were planned day cases (three patients were admitted overnight for pain relief (2) and retention of urine) and 57 were planned successful overnight stays. Reactive postoperative bleeding requiring a blood transfusion occurred in three patients (0.8%): one returned to theatre (0.2%). Three patients (0.8%) had a secondary haemorrhage requiring a hospital visit, one was admitted overnight. Four patients complaining of severe pain were managed in the community. Transient urgency was reported in 92 patients (26%); 58 (63%) were men, faecal impaction 4 (1.1%), minor staple line stenosis requiring dilatation 5 (1.4%), peri\u2010anal sepsis from an associated untreated chronic anal fissure 1 (0.2%). Normal work was resumed between 3 and 31\u2003days (median 7). Five patients re\u2010presented with recurrent symptoms between 14 &amp; 18\u2003months: further treatment comprised a repeat PPH in three (one was very painful), banding 1 and reassurance alone. A further patient re\u2010presented with minor soiling which responded to physiotherapy.<\/jats:p><jats:p><jats:bold>Conclusion\u2002<\/jats:bold> Stapled haemorrhoidopexy\/rectal mucosectomy is a safe, effective and predictable treatment of third\u2010 and fourth\u2010 degree haemorrhoids and in the majority of patients can be carried out on a day case basis.<\/jats:p>","DOI":"10.1111\/j.1463-1318.2006.01163.x","type":"journal-article","created":{"date-parts":[[2007,1,8]],"date-time":"2007-01-08T09:43:37Z","timestamp":1168249417000},"page":"352-356","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":37,"title":["EXPRESSION OF CONCERN: A prospective evaluation of stapled haemorrhoidopexy\/rectal mucosectomy in the management of 3rd and 4th degree haemorrhoids"],"prefix":"10.1111","volume":"9","author":[{"given":"S.","family":"Slawik","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N.","family":"Kenefick","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G. L.","family":"Greenslade","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. R.","family":"Dixon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2007,1,8]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02049865"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)88465-2"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.1997.02859.x"},{"key":"e_1_2_5_5_2","unstructured":"The Audit Commission.http:\/\/www.audit\u2010commission.gov.uk\/Products\/NATIONAL\u2010REPORT\/A9E075AF\u20107BCC\u20104529\u2010BA78\u2010F0D2F22034BC\/daysurgery.pdf"},{"key":"e_1_2_5_6_2","unstructured":"LongoA.(1988)Treatment of haemorrhoids disease by reduction of mucosal prolapse and haemorrhoidal prolapse with a circular suturing device: a new procedure. 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