The Effect of Circular Stapler Design Used in Hemorrhoidopexy on Medical Outcomes in terms of Medical Engineering

Abstract

Aim: The aim of this study is to examine the advantages and disadvantages of the design of the circular stapler device by sharing our hemorrhoidectomy results with circular stapler, and to examine whether changes in the design of the circular stapler device have an effect on these complications.
 Material and Methods: This study which was planned as retrospective archive search and approved by the Etlik Zubeyde Hanim Gynecology Training and Research Hospital Medical Specialization Education Board (TUEK) with decision number 17 dated November 15, 2019. Moreover, cases with missing or unclear data weren't included to the study. Descriptive patterns were revealed by examining the records of the patients in terms of length of hospital stay, pain level according to Visual Analogue Scale (VAS: 1-10), bleeding and other complications. In terms of descriptive analyses, percentage and frequency values were evaluated with mean and standard deviations in continuous variables.
 Results: Between January 2014 and July 2018, a total number of 21 hemorrhoid cases were treated with circular stapler hemorrhoidopexy. All of the patients were in the young male age group (21-26), with a mean age of 23.5±1.2. The mean hospital stay was 1.95±0.75 (1-4) days. In the intraoperative period, anal bleeding was observed only in one patient. When the pain occurring in the first 24 hours after surgery was examined according to the VAS, there were 11 patients (52%) painless, 7 patients (33%) had mild pain, 2 patients (10%) were moderate pain and 1 patient (5%) was describing severe pain.
 Conclusion: The circular stapler is a surgical instrument that stands out with its specific engineering features, and when used in the correct position and in the correct manner, it is an advantageous surgical tool with low complication rates for the surgeon in advanced hemorrhoids and mucosal sagging.