• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Strategic Plan, 2020-2023
    • Committees
      • Descriptions and Video Updates
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • COVID-19 Announcements
    • SAGES 2020 Meeting Information
    • 2021 Scientific Session Call For Abstracts
    • 2021 Emerging Technology Session Call For Abstracts
    • 2018 Prevent BDI Consensus Conference
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • Leadership Development and Health Policy Conference Videos
      • SAGES Quality Summit Meeting
      • SAGES 2019
      • SAGES 2018
      • SAGES 2017
      • SAGES 2016
      • SAGES 2015
      • SAGES 2014
      • SAGES 2013
    • Related Meetings Calendar
  • Membership
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • COVID-19 Annoucements
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • Troubleshooting Guides
  • Education
    • SAGES.TV Video Library
    • Virtual Hernia Clinic
    • The SAGES Safe Cholecystectomy Program
    • The Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • The SAGES HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Endorsed Courses
    • SAGES Robotics Fellows Courses
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Educational Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES Quality Initiative
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • SAGES Research Opportunities
    • SAGES Endorsed Courses
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
    • Fellowship Certification
  • Search
    • COVID-19 Announcements
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Blog
    • All Blog Posts
    • COVID-19
    • Notes from the Battlefield
    • A (Positive) Way Forward
    • President Posts
  • Log In

Comparison of Results and Complications of Stapled Hemorrhoidopexy Performed With the Ethicon and Covidien Staplers

Rebekah Kim, MD, Andrea Ferrara, Mark Soliman, Robert Stevens, Samuel Dejesus, Paul Williamson, Joseph Gallagher, Jay Macgregor, Kiyanda Baldwin. Colon and Rectal Clinic of Orlando, Orlando Health

 

Purpose : Two staplers (Ethicon Proximate Hemorrhoidal Circular Stapler and Covidien EEA Hemorrhoid & Prolapse Stapler Set) are currently available for stapled hemorrhoidectomy in the United States. Our aim was to compare the results of both devices by experienced Colon and Rectal Surgeons.

Methods : Retrospective analysis of the initial forty consecutive patients that underwent Ethicon hemorroidopexy in 2003 were compared to our initial experience using the Covidien device in 2010. In addition, forty patients who underwent hemorrhoidopexy with the Ethicon device in 2010 were studied due to the learning curve when the procedure was first introduced. All operations were performed by 5 board certified Colon and Rectal Surgeons. Complications were characterized into early (<2 weeks), and late (>2 weeks) after the initial surgery. Data regarding readmission, hemorrhoid grade, patient age and sex, as well as ancillary procedures at the time of stapled hemorrhoidopexy were compared.

Results : One hundred and twenty charts were reviewed (74 male [63%], 46 female [37%], mean age 48.7 [21-82]). Eleven (9%) had Grade II, 108 patients (90%) had Grade III, and 1 (0.8%) had Grade IV internal hemorrhoids. Early complications (<2 weeks) and ancillary procedures are listed (Table). Two weeks after surgery, 1 patient (2.5%) in each of the groups complained of anal pain. In the early Ethicon group 1 patient (2.5%) complained of fecal incontinence, and 4 (10%) presented with fissure-in-ano. In the late Ethicon group, 1 patient (2.5%) presented with a fissure-in-ano, and 2 (5%) presented with a thrombosed external hemorrhoid requiring excision. The early Covidien group had 1 patient (2.5%) with complaints of constipation, and 1 (2.5%) with a thrombosed external hemorrhoid requiring excision. The late Ethicon and Early Covidien groups both had ancillary procedures such as excision of anal skin tags in addition to the stapled hemorrhoidopexy at time of surgery.

  Early Ethicon (n=40) Late Ethicon (n=40) Early Covidien (n=40)
EARLY (<2 weeks)      
Stapler misfire 0 0 0
Bleeding 1 (2.5%) 1 (2.5%) 0
Urinary retention 3 (7.5%) 0 2 (5%)
Excessive pain 5 (12.5%) 1 (2.5%) 3 (7.5%)
Thrombosed ext hemorrhoids 2 (5%) 0 2 (5%)
Abscess/fistula 0 1 (2.5%) 0
Fissure-in-ano 1 (2.5%) 0 0
TOTAL 12 (30%) 3 (15%) 5 (20%)
       
ANCILLARY PROCEDURES (AP) 0 12 (30%) 15 (37.5%)
Excision of skin tag – 8 (20%) 7 (17.5%)
External hemorrhoidectomy – 3 (7.5%) 5 (12.5%)
Fissure cauterization – 0 1 (2.5%)
Excision of papilla – 1 (2.5%) 2 (5%)
NUMBER OF PATIENTS WITH ANCILLARY PROCEDURES N/A 0 5 (12.5%)
       

Conclusions : In our initial experience with both the Ethicon and Covidien devices, the rates of early and late complications are similar. The rates of complications in the early and late Ethicon groups show a slightly decreased rate of urinary retention and pain requiring readmission among patients, however neither were statistically significant. The increasing excision of skin tags and external hemorrhoids during stapled hemorrhoidopexy may decrease the rate of recurrence.
 


Session Number: Poster – Poster Presentations
Program Number: P128
View Poster

Post Views: 894

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2012 abstract archive

Our Mission

Innovate, educate and collaborate to improve patient care.

Recently, on SAGES…

Free SAGES Webinar: Lessons from COVID on Living and Thriving as Surgeons

SAGES recognizes that the COVID-19 pandemic has had a big impact on surgical practice and in surgeon wellness. SAGES’ Reimagining the Practice of Surgery Taskforce will present “Finding the Opportunities: Lessons from COVID and How We Live and Thrive as Surgeons”  to look at ways in which innovative leadership at various levels may help transform […]

Daniel Herron, MD

An opportunity to slow down and appreciate the small joys in life

Dan Herron, MD shares insights with Dana Telem, MD on lessons learned from COVID-19 Fear, anxiety and uncertainty has dominated the first half of 2020. Never before have we, as healthcare providers, been asked to do so much with so little—whether it’s resources like personal protective equipment, dusting off skills related to critical care, or […]

covid testing stock

Notes from the Battlefield – May 14, 2020

Coronavirus Global Surgical Collaborative (CVGSC)* An initiative sponsored by SAGES in collaboration with EAES, AEC, KSELS, and ELSA A group of surgical leaders from affected countries have joined to discuss what they are learning during this Covid-19 Global crisis. The following is a brief summary of what they feel may be useful information to disseminate to the surgical […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
webmaster@sages.org
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Newsletter Subscription

  • This field is for validation purposes and should be left unchanged.

Important Links

SAGES 2020 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

[footer_backtotop] · Log in

Copyright © 2021 Society of American Gastrointestinal and Endoscopic Surgeons · Legal
· Managed by BSC Management, Inc