Hemorroidectomia Convencional Versus Hemorroidopexia Mecânica (PPH). Estudo Retrospectivo de 253 Casos Conventional Hemorrhoidectomy Versus Stapled Hemorrhoidopexy (PPH). A Retrospective Study of 253 Patients

ABSTRACT: The aim of this study was to r eview the experience of the Colopr octology Department of HSPM-SP in the treatmentof hemorrhoids. W e have retrospectively studied 253 patients submitted to the surgical treatment of hemorrhoids between 05/10/2004 and 12/31/2007. Patients were distributed in groups: Group 1) Conventional Hemorrhoidectomy (212); Group 2) StapledHemorrhoidopexy (41). Epidemiology, indications, results and complications were studied based on registers. From 253 patientsstudied, 170 were women, with a mean age of 50 years. Mean operating time was 52 minutes (25 -120) in group 1 and 31 minutes(20 – 65) in group 2 (p=0.0001). Mean time for ambulatory discharge was 10 and 6 weeks for groups 1 and 2 respectively (p=0.021).The overall complications totalized 28 cases in group 1 and 3 cases in group 2 (p>0,05). In consequence of these complications, 13cases in group 1, and 1 case in group 2 were submitted to a new surgical procedure. At this Department the most used techniquewas conventional hemorrhoidectomy. Stapled hemorrhoidopexy was associated with less operating time and a faster functionalrecovery (early ambulatory discharge). Hemorrhoidectomy was associated with more complications and recurrence, but withoutstatistical significance.Key words: Hemorrhoids, hemorrhoidectomy , hemorrhoidopexy , PPH, complications.