Stapled hemorrhoidopexy
Stapled hemorrhoidopexy is a surgical procedure used to treat hemorrhoids. It is also known as stapled hemorrhoidectomy, or circumferential mucosectomy.
Overview
Stapled hemorrhoidopexy was first described in 1998 by Antonio Longo. The procedure involves the removal of abnormally enlarged hemorrhoidal tissue, followed by the repositioning of the remaining hemorrhoidal tissue back to its normal anatomical position.
Procedure
The procedure is performed under general anesthesia or spinal anesthesia. A circular stapling device is used to excise a ring of excess hemorrhoidal tissue, thereby lifting the hemorrhoids back to their normal position within the anal canal. This also cuts off the blood supply to the hemorrhoids, causing them to shrink over the following days and weeks.
Advantages
Stapled hemorrhoidopexy is associated with less pain than traditional hemorrhoidectomy and patients usually return more quickly to their normal activities.
Risks
Like all surgical procedures, stapled hemorrhoidopexy is associated with certain risks. These include bleeding, infection, anal fissure, or anal stenosis (narrowing of the anal canal). In rare cases, serious complications such as rectal perforation or sepsis can occur.
See also
References
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Contributors: Prab R. Tumpati, MD