Surgery – Journal Article

This article explores the use of stapled hemorrhoidectomy in comparison to a traditional excision hemorrhoidectomy. The stapled hemorrhoidectomy uses a device that latches on to made around stitches just above the dentate line. With a single clamp, the device is able to remove existing hemorrhoids. In contrast, a tradition excision requires the surgeon to individual cut, remove, and stitch each hemorrhoid. Although the stapled hemorrhoidectomy provides an exciting new technique that is faster, this article explores the pros and cons of its use. It was found that the stapled hemorrhoidectomy presented with lower immediate  post-op complications such as recovery time, bleeding, pain, and constipation. However, stapled hemorrhoidectomy presented with greater recurrence rates on a longer timespan. The success of this method also depended entirely on the surgeon’s skill in tying a the stitch in a circumference above the dentate line for the device to attach to. Another important factor in comparing the two procedures is its financial cost for the patient. The stapled hemorrhoidectomy, on average, over three-hundred dollars more expensive than the traditional excision method. Therefore, the conclusion of this article still preferred the traditional excision method as it was more financially viable and produced stronger long-term outcomes. 

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