Stapled haemorrhoidectomy - horizon scanning review

Record ID 32001000995
Authors' objectives:

To summarise the current research evidence on the effectiveness of stapled haemorrhoidectomy.

Authors' recommendations: Stapled haemorrhoidectomy is under evaluation in the UK for 3rd and 4th degree haemorrhoids as a replacement for conventional haemorrhoidectomy. The procedure has been widely adopted within Europe and many surgeons are interested in being trained in this country. - Clinical impact: There is a need for additional multicentre randomised controlled trials with adequate follow-up to assess long-term complications, particularly stricture and recurrence of haemorrhoids. The target group to benefit from stapled haemorrhoidectomy also needs to be clear before widespread usage. - Service impact: Training of surgeons is required for effective use but the procedure is straightforward and easy to learn. Stapled haemorrhoidectomy seems to use a similar amount of theatre time but may be feasible as a day-case procedure. There is also a possibility for a reduced hospital stay if undertaken as an in-patient procedure. - Patient issues: Stapled haemorrhoidectomy appears to be a less painful procedure than conventional haemorrhoidectomy and may reduce the time spent before returning to normal activities. - Financial and overall NHS impact: The financial impact of this procedure is unknown as no cost effectiveness work has been carried out on this field. Stapled haemorrhoidectomy is a more expensive operation due to equipment costs but there may be potential for cost savings if it can be successfully performed as a day-case procedure.
Authors' methods: Overview
Project Status: Completed
Year Published: 2001
URL for published report:
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: England, United Kingdom
MeSH Terms
  • Surgical Stapling
  • Hemorrhoids
Organisation Name: NIHR Horizon Scanning Centre
Contact Address: The NIHR Horizon Scanning Centre, Department of Public Health, Epidemiology, and Biostatistics, School of Health and Population Sciences, University of Birmingham, 90 Vincent Drive, Edgbaston, Birmingham, B15 2SP. United Kingdom. Tel: +44 121 414 7831, Fax: +44 121 2269
Contact Name:
Contact Email:
Copyright: National Horizon Scanning Centre
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.