{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T08:35:55Z","timestamp":1769157355539,"version":"3.49.0"},"reference-count":7,"publisher":"S. Karger AG","issue":"5","license":[{"start":{"date-parts":[[2017,11,2]],"date-time":"2017-11-02T00:00:00Z","timestamp":1509580800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2017,11,2]],"date-time":"2017-11-02T00:00:00Z","timestamp":1509580800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dig Surg"],"published-print":{"date-parts":[[2018]]},"abstract":"<b><i>Background:<\/i><\/b> Stapled anopexy is a safe technique for the treatment of hemorrhoids but carries a higher risk of recurrence, which might be caused due to the limited volume of resected tissue. In this study, we investigated the introduction of a high-volume circular stapling device; in particular whether an increased amount of resected tissue could affect patients\u2019 short-term postoperative outcome. <b><i>Methods:<\/i><\/b> Between 2011 and 2015, stapled anopexy was performed for hemorrhoids and\/or anal prolapse in 141 patients (<i>n<\/i>\u00a0= 25 conventional PPH-3<sup>\u00a9<\/sup>-stapler versus <i>n<\/i>\u00a0= 116 high-volume CHEX<sup>\u00a9<\/sup>-stapler). In this prospectively collected dataset, operation details and short-term postoperative outcome were compared. <b><i>Results:<\/i><\/b> With the high-volume stapler, a significantly higher amount of tissue was resected: 9.8 g (range 6.2\u201311.4) vs. 6.4 g (range 4.9\u20138.8) with the conventional stapler, <i>p<\/i>\u00a0&#x3c; 0.01. Postoperative short-term outcome did not differ in terms of readmission and complication rates. In all 5 patients who underwent a redo operation for residual hemorrhoids or prolapse, the high-volume stapler was used in the primary operation. <b><i>Conclusion:<\/i><\/b> A high-volume stapling device for stapled anopexy was introduced safely with a significantly higher amount of resected tissue without a worse short-term outcome. However, it remains unclear whether higher stapling volumes may lead to improved long-term outcome with less reinterventions.<\/jats:p>","DOI":"10.1159\/000480355","type":"journal-article","created":{"date-parts":[[2017,11,2]],"date-time":"2017-11-02T22:03:34Z","timestamp":1509660214000},"page":"406-410","source":"Crossref","is-referenced-by-count":3,"title":["Implementation of a New High-Volume Circular Stapler in Stapled Anopexy for Hemorrhoidal Disease: Is Patient\u2019s Short-Term Outcome Affected by a Higher Volume of Resected Tissue?"],"prefix":"10.1159","volume":"35","author":[{"given":"Brechtje\u00a0A.","family":"Grotenhuis","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joost","family":"Nonner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eelco\u00a0J.R.","family":"de\u00a0Graaf","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pascal\u00a0G.","family":"Doornebosch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2017,11,2]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9913"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-006-0852-3"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2008.591"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD005393.pub2"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/2906145"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/710128"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31803-7"}],"container-title":["Digestive Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/480355","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/480355","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T16:53:45Z","timestamp":1745427225000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000480355"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,11,2]]},"references-count":7,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2018,8,21]]},"published-print":{"date-parts":[[2018,8,27]]}},"URL":"https:\/\/doi.org\/10.1159\/000480355","archive":["Portico"],"relation":{},"ISSN":["0253-4886","1421-9883"],"issn-type":[{"value":"0253-4886","type":"print"},{"value":"1421-9883","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,11,2]]}}}