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Stapled mucosal prolapsectomy for haemorrhoidal prolapse with Lone Star Retractor System
A Carriero1, P Dal Borgo, F Pucciani
1Coloproctology Unit, General Surgery Unit, Sassuolo Hospital, Modena, Italy.
Techniques in Coloproctology
|January 17, 2002
Summary
This study introduces a modified stapled mucosal prolapsectomy for hemorrhoidal prolapse using the Lone Star Retractor. The technique simplifies the procedure and shows good clinical outcomes with low complication rates.
Area of Science:
- Colorectal Surgery
- Surgical Innovation
- Hemorrhoid Treatment
Background:
- Hemorrhoidal prolapse is a common condition requiring effective treatment.
- Traditional stapled mucosal prolapsectomy can be complex.
- Minimally invasive techniques are sought to improve patient outcomes.
Purpose of the Study:
- To present a novel variation of stapled mucosal prolapsectomy.
- To evaluate the efficacy and safety of using the Lone Star Retractor in this procedure.
- To highlight the technique's simplicity and usefulness.
Main Methods:
- A modified stapled mucosal prolapsectomy technique was employed.
- The Lone Star Retractor was utilized for complete eversion of the prolapse.
- No proctoscope was used, and anal sphincters were not stretched.
Main Results:
- The procedure was performed on 127 patients.
- Postoperative rectal bleeding occurred in 4.7% of cases.
- Faecal urgency was reported by 9.8%, and severe anal pain by 3.9%.
- No cases of faecal incontinence were observed.
Conclusions:
- This variation simplifies purse-string suture creation and device use.
- The technique achieves satisfactory clinical results with a favorable safety profile.
- The Lone Star Retractor facilitates a straightforward and effective hemorrhoidectomy.