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Of the 269 stapling patients, 23 had recurrences, compared with four of 268 surgical patients. The review showed that patients who had the stapling procedure were significantly more likely to have their hemorrhoids hemorrhoids come back than surgical patients. The studies were published between 1998 and May of this year, with patients followed as long as three years. The newly published review included seven trials with a total of 537 patients who had either hemorrhoid stapling or surgery. "I have seen many cases where patients with these severe hemorrhoids end up coming to us after having stapling because they are still having trouble," he says. The University of Texas Medical School associate professor of surgery tells WebMD he does not consider stapling an appropriate treatment for patients with very painful internal and external hemorrhoids. in the late 1990s, largely because it is viewed as a far less painful alternative to surgery.Įarly studies found stapling to be as effective as surgery, but colon and rectal surgeon David Thompson, MD, FACRC, says this is not his experience among patients with severe hemorrhoids. Hemorrhoid stapling has been growing in popularity since its introduction in the U.S. The new findings were published in the latest issue of The Cochrane Library. Now, a separate study shows the same to be true for hemorrhoid stapling.īoth research reviews were sponsored by The Cochrane Collaboration, an international, non-profit group that provides independent assessments of current medical practices. Surgical removal was once the only option for large hemorrhoids that could not be adequately managed with topical therapies, but newer treatment options include rubber bands and staples that choke off their blood supply.Ī review of the research, published last year, suggested surgery is a better long-term option for severe hemorrhoids than the banding procedure, known as rubber band ligation. About half of all Americans get them at some point. Once known as piles, hemorrhoids are one of the most common and least talked about medical complaints. 20, 2006 - An increasingly popular, nonsurgical treatment for hemorrhoids is not as effective in the long run as traditional surgery, a review of the research shows.
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