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Stapled versus Ferguson hemorrhoidectomy: is there any evidence-based information?

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International Journal of Colorectal Disease Aims and scope Submit manuscript

Abstract

Aims

The objective of this study was to compare the perioperative, short-term, and long-term outcomes of stapled hemorrhoidectomy with Ferguson hemorrhoidectomy.

Materials and methods

The present meta-analysis pooled the effects of outcomes of a total 926 patients treated with stapled or Ferguson hemorrhoidectomy in five out of 122 screened for retrieval randomized controlled trials using the fixed-effects or a random-effects model.

Results

Stapled hemorroidectomy was equivalent to the Ferguson procedure in comparisons pertaining to the following outcomes: hospital stay, postoperative hemorrhage requiring intervention, early postoperative bleeding <4 weeks, late postoperative bleeding <8 weeks, and the presence of anal pathology at 1 year follow-up. Stapled hemorrhoidectomy was superior with impact to operative time, pain visual analogue scale score at 24 h, urinary retention, and wound healing.

Conclusions

There is convincingly apparent evidence about the safety and efficacy of stapled hemorrhoidectomy in the comparison with the well-established Ferguson procedure.

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Authors and Affiliations

  1. Department of General and Abdominal Surgery, Johannes Gutenberg University Hospital, Mainz, Germany

    George Sgourakis, Georgios C. Sotiropoulos, Arnold Radtke, Andreas D. Rink & Hauke Lang

  2. 2nd Surgical Department and Surgical Oncology Unit of “Korgialenio-Benakio”, Red Cross Hospital, 11 Mantzarou str., Neo Psychiko, 15451, Athens, Greece

    George Sgourakis, Georgia Dedemadi, Ioannis Papanikolaou, Thalis Christofides & Constantine Karaliotas

Authors
  1. George Sgourakis
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  2. Georgios C. Sotiropoulos
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  3. Georgia Dedemadi
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  4. Arnold Radtke
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  5. Ioannis Papanikolaou
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  6. Thalis Christofides
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  7. Andreas D. Rink
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  8. Constantine Karaliotas
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  9. Hauke Lang
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Corresponding author

Correspondence to George Sgourakis.

Additional information

George Sgourakis and Georgios C. Sotiropoulos contributed equally.

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Sgourakis, G., Sotiropoulos, G.C., Dedemadi, G. et al. Stapled versus Ferguson hemorrhoidectomy: is there any evidence-based information?. Int J Colorectal Dis 23, 825–832 (2008). https://doi.org/10.1007/s00384-008-0502-4

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  • DOI: https://doi.org/10.1007/s00384-008-0502-4

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