[Hemorrhoidopexy with a PPH 03 circular stapler initial experience]

Area of Science:

• Colorectal Surgery
• Surgical Innovation

Background:

• Advanced hemorrhoidal disease necessitates surgical intervention.
• Traditional procedures include Milligan and Morgan and Ferguson's closed hemorrhoidectomy.
• Stapled hemorrhoidopexy has gained acceptance since 1998 due to confirmed efficiency and safety.

Purpose of the Study:

• To evaluate the initial one-year experience with stapled hemorrhoidopexy.
• Assess outcomes including postoperative pain, complications, hospital stay, and return to daily activities.

Main Methods:

• Prospective study of patients undergoing stapled hemorrhoidopexy using the Ethicon PPH 03 stapler.
• Study conducted at ABC Medical Center, Mexico, from November 2004 to October 2005.
• Inclusion criteria focused on patients with advanced hemorrhoidal disease.

Main Results:

• Thirty-nine patients with Grade III (44%) and Grade IV (56%) hemorrhoids were included.
• Postoperative bleeding occurred in 8% of patients; pain was assessed using the Mankoski scale.
• All patients resumed daily activities by postoperative day five, with no re-interventions required.

Conclusions:

• Stapled hemorrhoidopexy is a safe and effective surgical option for advanced hemorrhoids.
• This technique, once controversial, is now widely recognized by colorectal surgeons.
• The procedure demonstrates favorable outcomes regarding pain, complications, and recovery time.