Procedure for prolapsing hemorrhoids PPH and stapled transanal rectal resection for obstructed defecation STARR carry low postoperative pain, but may be followed by unusual and severe postoperative complications. This review deals with the pathogenesis, prevention and treatment of adverse events that may occasionally be life threatening. Complications that are particular to these stapled procedures are rectovaginal fistula, chronic proctalgia, total rectal obliteration, rectal wall hematoma and perforation with pelvic sepsis often requiring a diverting stoma. A higher complication rate and worse results are expected after PPH for fourth-degree piles. However, if performed in selected cases by skilled specialists aware of the risks and associated diseases, some complications may be prevented. Stapled transanal mucosectomy, first experimented at our unit [ 1 ], aims to treating rectal internal mucosal prolapse and obstructed defecation. The technique was later proposed by Longo [ 2 ] for the treatment of hemorrhoids.
After Anal and Rectal Surgery | Patient Education | UCSF Medical Center
Stapled hemorrhoidectomy , also known as stapled hemorrhoidopexy , is a surgical procedure that involves the removal of abnormally enlarged hemorrhoidal tissue , followed by the repositioning of the remaining hemorrhoidal tissue back to its normal anatomic position. Severe cases of hemorrhoidal prolapse will normally require surgery. Hemorrhoids are amongst the most common anal disorders. Patients may complain of bleeding, prolapse , personal discomfort and minor anal leakage. Where traditional non-surgical measures such as rest, suppositories and dietary advice fail to improve the condition, there is then a choice of further treatments. Opinion on the best management for patients varies considerably. While many treatments for hemorrhoids may be performed without anesthetics , the lasting effect of these conservative therapies has been questioned.
After Anal and Rectal Surgery
Initial experience with stapled hemorrhoidopexy for treatment of hemorrhoids. Address for correspondence. By avoiding multiple excisions and suture lines in the perianal region, stapled hemorrhoidopexy is intended to offer less postoperative pain than with conventional techniques. Mean follow-up period was 20 months months.