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Volume 8 Journal of Gastrointestinal & Digestive System
ISSN: 2161-069X Bariatric Surgery 2018 & Gastro 2018
March 15-16, 2018
JOINT EVENT
12th Global Gastroenterologists Meeting
3rd International Conference on Metabolic and Bariatric Surgery
&
March 15-16, 2018 Barcelona, Spain
Stapled hemorrhoidectomy: Pitfall and severe complications
Chung Hung Yeh
St. Martin De Porres Hospital, Taiwan
S tapled transanal mucosectomy, firstly aiming to treat rectal internal mucosal prolapse and obstructed defecation, is proposed
by Dr. Antonio Longo for the treatment of hemorrhoids. Subsequently called stapled hemorrhoidopexy or procedure
for prolapse and hemorrhoids (PPH), the technique gained a wide popularity due to the low postoperative pain. Almost all
studies, with a few exceptions, also found an early return to work. In 2005, the practice parameters of the ASCRS (American
Society of Colon and Rectal Surgeons) commended: Stapled hemorrhoidopexy is a new alternative available for individuals
with significant hemorrhoidal prolapse. Meanwhile, exceptionally rare but potentially devastating complications including
anovaginal fistula, substantial hemorrhage, fistula, retroperitoneal sepsis, rectal perforation have been reported. Even though
the documented adverse events happen scattered and presented as case-report, severe complications have been reported
world-wide. It did raise the concern about the safety of this new procedure. Performing the procedure with care and sharing the
experience with each other could help surgeons keep away from trouble. In Taiwan, we use stapled hemorrhoidopexy to treat
patients with prolapsed hemorrhoids since 2001. More than eight hundred cases of my patient accepted this treatment and no
severe complication has ever been encountered. We shall share our experiences of these new-adapted procedures, share a case
of retrorectal abscess referred from other hospital and discuss the tricks to improve the results and to avoid the complications.
J Gastrointest Dig Syst 2018, Volume 8
DOI: 10.4172/2161-069X-C1-065