Advertisement

Hemorrhoids pp 303-309 | Cite as

Technical Tips and Tricks of Stapled Hemorrhoidopexy

  • Jonathan R. L. Wild
  • David G. Jayne
Reference work entry
Part of the Coloproctology book series (COLOPROCT, volume 2)

Abstract

Stapled hemorrhoidopexy is an established technique for treating symptomatic prolapsing hemorrhoids. It is a safe procedure with benefits including less postoperative pain compared to conventional open hemorrhoidectomy, although increased rates of recurrence in the longer term. The key to success is meticulous surgical technique. We describe a technique for stapled hemorrhoidopexy that has proven to produce reliable results and reduce the risk of complications.

References

  1. Allegra G (1990) Particular experience with mechanical sutures: circular stapler for hemorrhoidectomy. GIORN Chir 11(3):95–97Google Scholar
  2. Burch J, Epstein D, Baba-Akbari A (2008) Stapled haemorrhoidectomy (haemorrhoidopexy) for the treatment of haemorrhoids: a systematic review and economic evaluation. Health Technol Assess 12:iii–107CrossRefPubMedGoogle Scholar
  3. Longo A (1998) Treatment of hemorrhoidal disease by reduction of mucosa and hemorrhoidal prolapse with a circular suturing device: a new procedure. In: Sixth world congress of endoscopic surgery, Rome, Italy. Monduzzi Publishing Co., Bologna, pp 777–784Google Scholar
  4. Simillis C, Thoukididou SN, Slesser AAP, Rasheed S, Tan E, Tekkis PP (2015) Systematic review and network meta-analysis comparing clinical outcomes and effectiveness of surgical treatments for haemorrhoids. Br J Surg 102:1603–1618CrossRefPubMedGoogle Scholar
  5. Watson AJ, Hudson J, Wood J, Kilonzo M, Brown SR, McDonald A, Norrie J, Bruhn H, Cook JA, eTHoS Study Group (2016) Comparison of stapled haemorrhoidopexy with traditional excisional surgery for haemorrhoidal disease (eTHoS): a pragmatic, multicentre, randomised controlled trial. Lancet 388(10058):2375–2385CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Leeds Teaching Hospitals NHS TrustLeedsUK
  2. 2.University of LeedsLeedsUK

Personalised recommendations