Transanalanopexy with HemorPex System (HPS) is effective in treating grade II and III Haemorrhoids: long term results

Haemorrhoidal disease is a common proctologic disorder. The HemorPex System (HPS) is an innovative surgical technique based on muco-haemorrhoidopexy without Doppler guidance. Purpose: The aim of this study is to evaluate the HemorPex System (HPS) efficacy on grade II and grade III haemorrhoidal patients. Methods: 100 patients affected by grade II and grade III haemorrhoidal disease were included in the study and operated by means of the HemorPex System (Angiologica, Italy) without Doppler support.The proposed procedure consists in the re-positioning of the haemorrhoidal cushions in their anatomical place by means of sutures applied circumferentially in the six supposed position of the superior haemorrhoidal artery terminal branches. These sutures determine a plication of the mucosa and could determine the closure of the terminal branches of the superior haemorrhoidal artery. A few parameters were compared preoperatively and postoperatively: pain, bleeding, prolapse and hygienic difficulties. Results: Operative time was 16 ± 5 minutes; pre-treatment observed symptoms improved considerably after the procedure: pain from 44,8% to 10,4%; bleeding from 56,7% to13,4%; prolapse from 44,8% to14,9% and hygienic difficulties from 23,8% to 0,4% . Conclusions: HemorPex System (HPS) is an innovative technique for the treatment of grade II and grade III haemorrhoidal disease. From the data collected in this study this technique depicts itself as a fast, low pain and economic approach to the haemorrhoidal disease which is also granted with good long term results.