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PPH AND BIOLOGICAL GLUE IN PATIENTS WITH HIGH RISK OF BLEEDING IN STAPLED HEMORRHOIDOPEXY

BACKGROUND: Stapled hemorrhoidopexy is a common treatment for grade 3 hemorrhoids. Patients with conditions that increase the risk of bleeding, as cardiac stents usage with clopidogrel bissulfate and liver cirrhosis, should receive an extra care in surgical procedures due to the high risk of bleedin...

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Autores principales: PIROLLA, Eduardo Henrique, PIROLLA, Fernanda Junqueira Cesar, RIBEIRO, Felipe Piccarone Gonçalves
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Colégio Brasileiro de Cirurgia Digestiva 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5543790/
https://www.ncbi.nlm.nih.gov/pubmed/29257847
http://dx.doi.org/10.1590/0102-6720201700020009
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author PIROLLA, Eduardo Henrique
PIROLLA, Fernanda Junqueira Cesar
RIBEIRO, Felipe Piccarone Gonçalves
author_facet PIROLLA, Eduardo Henrique
PIROLLA, Fernanda Junqueira Cesar
RIBEIRO, Felipe Piccarone Gonçalves
author_sort PIROLLA, Eduardo Henrique
collection PubMed
description BACKGROUND: Stapled hemorrhoidopexy is a common treatment for grade 3 hemorrhoids. Patients with conditions that increase the risk of bleeding, as cardiac stents usage with clopidogrel bissulfate and liver cirrhosis, should receive an extra care in surgical procedures due to the high risk of bleeding. For this reason and for patients with third degree hemorrhoids we propose the use of stapled hemorrhoidopexy followed by the use of biological glue. AIM: Assess surgical outcomes in patients with hemorrhoids and high risk of bleeding submitted to stapled hemorrhoidopexy followed by biological glue. METHODS: Between 2005 and 2015, 22 patients were analyzed, in a retrospective cohort study. RESULTS: From 22 patients submitted to stapled hemorrhoidopexy followed by the use of biological glue, only one (4.5%) presented bleeding in the surgical postoperative. Patients do not have any other complications and pain in the postoperative period. The median (IQR) operation duration was 55 (12) min and the median (IQR) length of hospital stay after surgery was 3 (2) days. CONCLUSION: Patients with high risk of bleeding submitted to stapled hemorrhoidopexy followed by the use of biological glue presented very low rates of bleeding in the postoperative period.
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spelling pubmed-55437902017-08-15 PPH AND BIOLOGICAL GLUE IN PATIENTS WITH HIGH RISK OF BLEEDING IN STAPLED HEMORRHOIDOPEXY PIROLLA, Eduardo Henrique PIROLLA, Fernanda Junqueira Cesar RIBEIRO, Felipe Piccarone Gonçalves Arq Bras Cir Dig Original Article BACKGROUND: Stapled hemorrhoidopexy is a common treatment for grade 3 hemorrhoids. Patients with conditions that increase the risk of bleeding, as cardiac stents usage with clopidogrel bissulfate and liver cirrhosis, should receive an extra care in surgical procedures due to the high risk of bleeding. For this reason and for patients with third degree hemorrhoids we propose the use of stapled hemorrhoidopexy followed by the use of biological glue. AIM: Assess surgical outcomes in patients with hemorrhoids and high risk of bleeding submitted to stapled hemorrhoidopexy followed by biological glue. METHODS: Between 2005 and 2015, 22 patients were analyzed, in a retrospective cohort study. RESULTS: From 22 patients submitted to stapled hemorrhoidopexy followed by the use of biological glue, only one (4.5%) presented bleeding in the surgical postoperative. Patients do not have any other complications and pain in the postoperative period. The median (IQR) operation duration was 55 (12) min and the median (IQR) length of hospital stay after surgery was 3 (2) days. CONCLUSION: Patients with high risk of bleeding submitted to stapled hemorrhoidopexy followed by the use of biological glue presented very low rates of bleeding in the postoperative period. Colégio Brasileiro de Cirurgia Digestiva 2017 /pmc/articles/PMC5543790/ /pubmed/29257847 http://dx.doi.org/10.1590/0102-6720201700020009 Text en http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License
spellingShingle Original Article
PIROLLA, Eduardo Henrique
PIROLLA, Fernanda Junqueira Cesar
RIBEIRO, Felipe Piccarone Gonçalves
PPH AND BIOLOGICAL GLUE IN PATIENTS WITH HIGH RISK OF BLEEDING IN STAPLED HEMORRHOIDOPEXY
title PPH AND BIOLOGICAL GLUE IN PATIENTS WITH HIGH RISK OF BLEEDING IN STAPLED HEMORRHOIDOPEXY
title_full PPH AND BIOLOGICAL GLUE IN PATIENTS WITH HIGH RISK OF BLEEDING IN STAPLED HEMORRHOIDOPEXY
title_fullStr PPH AND BIOLOGICAL GLUE IN PATIENTS WITH HIGH RISK OF BLEEDING IN STAPLED HEMORRHOIDOPEXY
title_full_unstemmed PPH AND BIOLOGICAL GLUE IN PATIENTS WITH HIGH RISK OF BLEEDING IN STAPLED HEMORRHOIDOPEXY
title_short PPH AND BIOLOGICAL GLUE IN PATIENTS WITH HIGH RISK OF BLEEDING IN STAPLED HEMORRHOIDOPEXY
title_sort pph and biological glue in patients with high risk of bleeding in stapled hemorrhoidopexy
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5543790/
https://www.ncbi.nlm.nih.gov/pubmed/29257847
http://dx.doi.org/10.1590/0102-6720201700020009
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