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A Journal on Surgery

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


language: English

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.

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