Stapled Hemorrhoidopexy: Techniques and Results
Hemorrhoidal disease is one of the most frequent reasons for consultation found in the daily clinical practice of the colorectal surgeon. The clinical manifestation that most frequently forces the patient to consult is the rectal bleeding, and the diagnosis is performed by physical examination. The different treatment options are indicated according to the degree of hemorrhoidal prolapse.
There are many therapeutic options, ranging from conservative measures to invasive techniques. Among the surgical techniques, the most used techniques are those based on hemorrhoidectomy. However, in the 1990s, the technique of Longo or hemorrhoidopexy was described, based on the fact that correcting the anatomical situation of prolapsed hemorrhoidal plexus would be the ideal treatment for hemorrhoidal disease and not the radical excision of the plexus as had been done since ancient times.
The advantages of this procedure initially seemed clear: less postoperative pain, shorter hospital stay, less time to social reinsertion, among others. But with the development and implementation of the procedure, have appeared some problems and reviews that do not currently be implemented by all professionals.
The experience of our group with the technique of Longo is about 14 years and the results obtained are good. It can be affirmed that, with a good indication and performed by expert hands, it is an available technique for the treatment of hemorrhoidal pathology.
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