Dr Shao and colleagues conducted a systematic review and meta-analysis of randomized controlled trials comparing stapled hemorrhoidopexy with conventional hemorrhoidectomy
The research team compares stapled hemorrhoidopexy with conventional hemorrhoidectomy for the treatment of hemorrhoids.
The team undertook an electronic literature search to identify primary studies, and systematic reviews.
|The British Journal of Surgery
The researchers evaluated efficacy and safety of both interventions.
The research team identified 29 randomized clinical trials recruiting 2056 patients.
The team found that stapled hemorrhoidopexy was less painful than conventional hemorrhoidectomy.
Stapled hemorrhoidopexy required a shorter inpatient stay, and operating time.
The team observed that it was also associated with a faster return to normal activities.
No significant difference was noted between the 2 techniques in terms of the total incidence of complications.
The research team found that stapled hemorrhoidopexy was associated with a higher rate of recurrent disease.Dr Shaos' team concluded, "Stapled hemorrhoidopexy offers some short-term benefits over conventional operation but the total complication rates are similar for both techniques."
"Stapled hemorrhoidopexy is associated with a higher rate of recurrent disease."