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Rare complication after stapled hemorrhoidectomy


Authors: R. Šucha;  R. Duchoň;  D. Pinďák;  J. Dolník
Authors place of work: Klinika chirurgickej onkológie SZU a NOÚ, prednosta: Prof. MUDr. J. Pechan, CSc.
Published in the journal: Rozhl. Chir., 2013, roč. 92, č. 9, s. 506-508.
Category: Case Report

Summary

Statistics show that more than half of the population suffers from hemorrhoids at different clinical stages. Only a small percentage of them (5 to 10%) require surgical treatment. The gold standard is open hemorrhoidectomy (most commonly Milligan-Morgan operation). Circular stapled hemorrhoidopexy by Longo is an alternative to conventional hemorrhoidectomy. The main advantages of this procedure are: less postoperative pain, earlier return to work and to social life. The complication rate is similar to open hemorrhoidectomy. This method, however, also brings new kinds of complications, some of them potentially life-threatening. Our case report presents one of these rare complications.

Keywords:
stapled hemorrhoidectomy by Longo, stenosis, stricturoplasty


Zdroje

1. Jayaraman S, Colquhoun PHD, Malthaner RA. Stapled versus conventional surgery for hemorrhoids. Cochrane Database of Systematic Reviews 1 2009.

2. Pescatori M, Gagliardi G. Postoperative complications after procedure for prolapsed hemorrhoids (PPH) and stapled transanal rectal resection (STARR) procedures. Tech Coloproctol 2008;12:7–19.

3. Ganio E, Altomare DF, Milito G, Gabrielli F. Canuti Long-term outcome of a multicentre randomized clinical trial of stapled haemorrhoidopexy versus Milligan-Morgan haemorrhoidectomy. Br J Surg S 2007;94:1033–1037.

4. Ravo B, Amato A, Bianco V, Boccasanta P, Bottini C, Carriero A, et al. Complications after stapled hemorrhoidectomy: can they be prevented? Tech Coloproctol 2002;6:83–8.

5. Angelone G, Giardiello C, Prota C. Stapled hemorrhoidopexy. Complications and 2-year follow-up. Chir Ital 2006;58:753–760.

6. Pescatori M. PPH stapled hemorrhoidectomy-a cautionary note. Dis Colon Rectum 2003;46:131.

7. Brisinda G, et al. Surgical treatment of anal stenosis. World J Gastroenterol 2009;15:1921–1928.

Štítky
Surgery Orthopaedics Trauma surgery

Článok vyšiel v časopise

Perspectives in Surgery

Číslo 9

2013 Číslo 9
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