These two are the suggested mechanisms by which stapling treats hemorrhoids. The excision interrupts blood flow from the branches of the superior hemorrhoidal artery, thereby reducing vascular congestion. This technique involves simultaneous excision and stapling of the circumferential column of the mucosa and submucosa in the insensitive area above the dentate line, resulting in reduction of mucosal prolapse. Stapled hemorrhoidopexy proposed by Antonio Longo in 1993 is a novel approach for the treatment of prolapsed hemorrhoids and external mucosal prolapse. Considerable postoperative nursing care is needed, with a convalescence of at least 1 month. Patients experience postoperative pain because of the wide external wounds in the sensitive anoderm. It usually cures hemorrhoids, but excision of prolapsed hemorrhoids with conventional techniques (Milligan-Morgan open hemorrhoidectomy, Ferguson's closed hemorrhoidectomy) is a painful procedure. Surgical hemorrhoidopexy is reserved for prolapsing third- and fourth-degree hemorrhoids. Most symptomatic first- and second-degree hemorrhoids are successfully treated with a high-fiber diet supplemented with bulking agents such as Metamucil. Stapled hemorrhoidopexy: The Aga Khan University Hospital Experience.
How to cite this URL: Athar A, Chawla T, Turab P.
How to cite this article: Athar A, Chawla T, Turab P. Keywords: Hemorrhoids, stapled hemorrhoidopexy, high fiber diet, Milligan-Morgan open hemorrhoidectomy, Ferguson′s closed hemorrhoidectomy Conclusion: Stapled hemorrhoidopexy procedure was found safe, well tolerated by patients with minimal parenteral analgesic use and early discharge from the hospital. Minor local recurrence of hemorrhoids was seen in four patients and was managed by band ligation. Patients were followed-up for 24 (range, 2-48) months. The mean in-patient hospital stay was 1.3 (0-5) days. No significant postoperative morbidity was observed. All patients received oral analgesics alone after 24 h. The mean parenteral analgesic doses during the first 24 h were 2.1. The mean operative time was 35 (15-78) min. Results: Seventy-eight percent were males and the mean age was 45 (range 16-90) years. They were evaluated for postoperative morbidity, analgesic requirement, and recurrence. Methods: A sample of 140 patients with symptomatic second-, third-, and fourth-degree hemorrhoids and circumferential mucosal prolapse underwent stapled hemorrhoidopexy from July 2002 to July 2007. This study was carried out to evaluate the clinical outcome of stapled hemorrhoidopexy at The Aga Khan University Hospital. It does not accompany the pain that usually occurs after resection of the sensitive anoderm. Stapled hemorrhoidopexy: The Aga Khan University Hospital ExperienceĪli Athar 1, Tabish Chawla 1, Pishori Turab 2ġ Department of Surgery, Aga Khan University, Stadium Road, Karachi, Pakistan 2 Liaqat National Hospital & Medical College, Stadium Road, Karachi, PakistanĬlick here for correspondence address and email Date of Submissionīackground: Stapled hemorrhoidopexy for prolapsing hemorrhoids is conceptually different from excision hemorrhoidectomy.