Stapled Haemorrhoidopexy

Department of General and Vascular Surgery, Ceynowa Hospital, Wejherowo, Poland
Hemorrhoidal disease is one of the most common anorectal disorders which have accompanied mankind since the down of civilized world. The prevalence of this condition in adults worldwide is estimated to be 5%, but the actual number of people suffering from the disease may be significantly higher as patients are often reluctant to seek medical help because of embarrassment or the fear of discomfort, and pain associated with the treatment. Some studies emphasize that up to 90% of patients may complain of hemorrhoidal symptoms at least once in their lifetime.
In 1998 A. Longo has introduced a novel surgical technique as an alternative for treatment of grade III and IV hemorrhoids. It uses circular stapler to excise circumferential band of excessive rectal mucosa and submucosa proximal to the dentate line. This procedure not only lifts the prolapsed hemorrhoidal tissue by removing the redundant mucosa, but also reduces blood supply by stapling off the terminal branches of the superior hemorrhoidal artery. Since this technique avoids highly innervated anoderm, Stapled Hemorrhoidopexy (SH) has been found to be associated with lesser postoperative pain and consequently earlier mobilization and return to work, in comparison to conventional hemorrhoidectomy.