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A Journal on Surgery

Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index

Frequency: Bi-Monthly

ISSN 0394-9508

Online ISSN 1827-1782


Chirurgia 2009 October;22(5):217-9


Hemor-Pex System: results of the first 1000 cases

Iachino C., Saccone M., Milone L., Giordano G. F., Giordano M., Sias F.

1 Operative Unit of Day Surgery, San Martino University Hospital, Genoa, Italy
2 Deptartment of General Surgery, Columbia University, New York, NY, USA
3 Section of Proctology, Casa di Cura Villa Igea,Acqui Terme, Alessandria, Italy
4 Section of General Surgery, Chirurgia Generale, Casa di Cura Villa Santa Rita, Cagliari, Italy

Aim. The HemorPexSystem (HPS) is a new technique for hemorrhoids treatment consisting of the repositioning of hemorrhoidal cushions by means of sutures determining a lifting of anorectal mucosa, and the ligature of the branches of the superior hemorrhoidal artery. This procedure is performed on out-patients using a rotating dedicated anoscope (HPS). The aim of this study was to present the results and follow-up of more than 1 000 patients operated with this technique during three years (2003-2006).
Methods. The parameters analyzed were: postoperative pain, incidence of complications, recurrence of affections or symptoms, satisfaction degree. In 92% of cases the intervention was performed under local anesthesia and 96.5% of patients was discharged within six hours, only 3% of patients overnight.
Results. The immediate postoperative pain was absent in 5.3% of cases, light in 59.9%, medium with tenesmus in 30.3%, intense in 4.5 %. Modest hemorrhages were reported in postoperative between 5 and 15 days and 2% of patients had more important hemorrhage, not requiring surgery. In 6.4% of patients a real recurrence was present.
Conclusion. According to authors, HPS is a safe procedure, with a short learning curve for surgeons, able to reduce postoperative pain, applicable with local anesthesia, under ambulatory surgery, rapid, low cost, lacking of major complications, with rapid integration into working life.

language: English


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