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Modified stapled haemorrhoidectomy: a suggested improved technique.

Kheng-Hong Ng¹, Min-Hoe Chew, Kong-Weng Eu

¹Department of Colorectal Surgery, Singapore General Hospital, Singapore.

ANZ Journal of Surgery

|April 3, 2008

Summary

A modified stapled hemorrhoidectomy technique reduces recurrence rates. This improved procedure, avoiding a circular anal dilator and using a low purse string, enhances outcomes for symptomatic hemorrhoids.

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Area of Science:

Colorectal Surgery
Gastroenterology

Background:

Stapled hemorrhoidopexy (Longo's technique) revolutionized symptomatic hemorrhoid management.
Original Longo's technique has limitations, notably a high recurrence rate of hemorrhoidal tissue.

Purpose of the Study:

To describe a modified stapled hemorrhoidectomy technique.
To address shortcomings of the original Longo's technique, particularly recurrence rates.

Main Methods:

A modified stapled hemorrhoidectomy procedure is detailed.
Key modifications include omitting the circular anal dilator.
A low purse string (2-3 cm) is incorporated into the technique.

Main Results:

The modified technique aims to decrease the recurrence of hemorrhoidal tissue.

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Expected outcome is improved efficacy compared to the original procedure.

Conclusions:

The described modified stapled hemorrhoidectomy is proposed as an improvement.
This technique offers a potential solution to the recurrence issues seen with current stapled hemorrhoidopexy.