{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T21:22:51Z","timestamp":1740172971320,"version":"3.37.3"},"reference-count":22,"publisher":"Wiley","license":[{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Surgery Research and Practice"],"published-print":{"date-parts":[[2014]]},"abstract":"<jats:p>CPH34 HV, a high volume stapler, was tested in order to assess its safety and efficacy in reducing residual\/recurrent haemorrhoids. The clinical charts of 430 patients with third- to fourth-degree haemorrhoids undergoing SH in 2012-2013 were consecutively reviewed, excluding those with obstructed defecation (rectocele &gt;2\u2009cm; Wexner\u2019s score &gt;15). Follow-up was scheduled at six and 12 months. Rectal prolapse exceeding more than half of CAD was reported in 341 patients (79.3%); one technical failure was reported (0.2%) without any serious untoward effect; and 1.3 stitch\/patient (SD, 1.7) was required to achieve complete haemostasis. Doughnuts volume was higher (13.8\u2009mL; SD, 1.5) in patients with a large rectal prolapse than with smaller one (8.9\u2009mL; SD, 0.7) (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mrow><mml:mi>P<\/mml:mi><\/mml:mrow><\/mml:math>value &lt;0.05). Residual and recurrent haemorrhoids occurred in 8 of 430 patients (1.8%) and 5 of 254 patients (1.9%), respectively. A high index of patient satisfaction (visual analogue scale = 8.9; SD, 0.9) coupled with a persistent reduction of constipation scores (CSS = 5.0, SD, 2.2) was observed. The wider prolapse resection well correlated with a clear-cut reduction of haemorrhoidal relapse, a high index of patient satisfaction, and clinically relevant reduction of constipations scores coupled with satisfactory haemostatic properties of CPH34 HV.<\/jats:p>","DOI":"10.1155\/2014\/710128","type":"journal-article","created":{"date-parts":[[2014,6,16]],"date-time":"2014-06-16T17:38:52Z","timestamp":1402940332000},"page":"1-7","source":"Crossref","is-referenced-by-count":2,"title":["Residual Prolapse in Patients with III-IV Degree Haemorrhoids Undergoing Stapled Haemorrhoidopexy with CPH34 HV: Results of an Italian Multicentric Clinical Study"],"prefix":"10.1155","volume":"2014","author":[{"given":"Giuliano","family":"Reboa","sequence":"first","affiliation":[{"name":"Coloproctology Unit, Casa di Cura San Camillo, Forte dei Marmi, Lucca, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Gipponi","sequence":"additional","affiliation":[{"name":"General Surgery and Breast Unit, IRCCS \u201cSan Martino-IST\u201d, L.go R. 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