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: http://www.hsric.nihr.ac.uk/search

English language abstract: An English language summary is available

Publication Type: Not Assigned

Country: England, United Kingdom

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: c.packer@bham.ac.uk

Contact Email: c.packer@bham.ac.uk

Copyright: NIHR Horizon Scanning Centre (NIHR HSC)