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Hospital Costs of Conventional and Stapled 1-Day Hemorrhoidectomy—Reply
Pasquale Giordano, MD, FRCSEd, FRCS;
Gianpiero Gravante, MD;
Lauren Ovens, MBChB, MRCS;
Piero Nastro, MD, MRCS
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In reply
Dr Cariati's comments on the cost of stapled hemorrhoidpexy are certainly interesting, since in the current era of worldwide recession, the economic implications of any new technology and its impact on the health care system are extremely important. Our study, however, was not intended to be an economic evaluation of the 2 procedures, and therefore costs were not part of the parameters analyzed. However, when calculating the financial cost of any surgical treatment and, even more importantly, its overall societal costs, it is necessary to consider not only the added cost of any device required to carry out the procedure but also many other variables, such as operating room time, length of hospital stay, postoperative wound management, incidence of postoperative complications, time of postoperative recovery, and return to work. For this reason, . . . [Full Text of this Article] AUTHOR INFORMATION
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Long-term Outcomes of Stapled Hemorrhoidopexy vs Conventional Hemorrhoidectomy: A Meta-analysis of Randomized Controlled Trials
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