Ferguson hemoroidektomiye karşı stapler hemoroidopeksi: Randomize klinik çalışma
Küçük Resim Yok
Tarih
2008
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmada hemoroidal hastalığın cerrahi tedavisinde stapler hemoroideopeksi (SH) ile Ferguson hemorroidektomi (FH) tekniklerinin karşılaştırılması amaçlanmaktadır. Gereç ve Yöntem: Üçüncü veya 4. derecede hemoroidi olan 50 hasta randomize edilerek SH (n=25) ve FH (n=25) yöntemleri ile tedavi edildi. Operasyon süresi, hastanede kalış süresi, postoperatif ağrı, erken ve geç komplikasyonlar, hem profesyonel hem de sosyal olarak normal aktivitelerine dönüş zamanı ve nüks gelişimi yönünden değerlendirildi. Hastaların izlem süresi 1 yıldır. Bulgular: Operasyon süresi, hastanede kalış süresi, postoperatif ağrı, normal aktivitelerine dönüş zamanı ve nüks gelişimi SH grubunda belirgin olarak daha azdır. FH grubunda erken dönem komplikasyonlar daha sık görülmekle birlikte, erken ve geç komplikasyonlar yönünden istatistiki olarak fark yoktur. Sonuç: Bu bulgular gelecekte yapılan klinik çalışmalar ile doğrulanabilirse SH hemoroidal hastalığın tedavisinde altın standart olabilir.
Objective: The purpose of this study was to compare stapled hemorrhoidopexy (SH) with that of the Ferguson hemorrhoidectomy (FH) for the surgical treatment of hemorrhoidal disease. Material and Methods: Fifthy patients with grade III or IV haemorrhoids were randomized to undergo either the SH (n=25) or FH (n=25). Operative time, length of hospital stay, postoperative pain, early and late complications, time to return to normal daily activities (both professional and social) and recurrence were evaluated. Follow up was one year. Results: Operative time, postoperative pain, the time to return to normal activities and recurrence were significantly less for patients in SH group. In the FH group early complications were more frequent but not statistically significant and there were no statistically significant differences regarding the frequency of late complications. Conclusion: Provided further clinical trials confirm these findings, SH may become a future gold standard.
Objective: The purpose of this study was to compare stapled hemorrhoidopexy (SH) with that of the Ferguson hemorrhoidectomy (FH) for the surgical treatment of hemorrhoidal disease. Material and Methods: Fifthy patients with grade III or IV haemorrhoids were randomized to undergo either the SH (n=25) or FH (n=25). Operative time, length of hospital stay, postoperative pain, early and late complications, time to return to normal daily activities (both professional and social) and recurrence were evaluated. Follow up was one year. Results: Operative time, postoperative pain, the time to return to normal activities and recurrence were significantly less for patients in SH group. In the FH group early complications were more frequent but not statistically significant and there were no statistically significant differences regarding the frequency of late complications. Conclusion: Provided further clinical trials confirm these findings, SH may become a future gold standard.
Açıklama
Anahtar Kelimeler
Geriatri ve Gerontoloji, Hematoloji, Genel ve Dahili Tıp, Tıbbi Araştırmalar Deneysel, Ortopedi, Üroloji ve Nefroloji
Kaynak
Bakırköy Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
4
Sayı
2
