[Rare complication after stapled hemorrhoidectomy]

Area of Science:

• Colorectal Surgery
• Surgical Innovation
• Patient Safety

Background:

• Hemorrhoids affect over 50% of the population, with 5-10% needing surgery.
• Open hemorrhoidectomy (e.g., Milligan-Morgan) is the standard surgical treatment.
• Circular stapled hemorrhoidopexy (Longo procedure) is an alternative with less pain and faster recovery.

Observation:

• The Longo procedure, while advantageous, can lead to unique complications.
• These complications, though rare, can be severe and life-threatening.
• This report focuses on one such uncommon adverse event.

Findings:

• Stapled hemorrhoidopexy shares a similar complication rate to open hemorrhoidectomy.
• New, potentially fatal complications are associated with the Longo procedure.
• The case report highlights a specific, rare complication of this technique.

Implications:

• Understanding rare complications of the Longo procedure is crucial for surgical safety.
• Enhanced vigilance and reporting of adverse events are needed for stapled hemorrhoidopexy.
• This case contributes to the literature on the risks of minimally invasive hemorrhoid treatments.