Background: Hemorrhoids is a common anorectal disease defined as the symptomatic enlargement and/or distal displacement of anal cushions. A surgical option would be considered in symptomatic patients with grade III & grade IV hemorrhoids and complicated grade II. The conventional surgical techniques such as Milligan- Morgan's open hemorrhoidectomy and Ferguson's closed hemorrhoidectomy were preferred choice for the treatment of these patients till the evolvement of stapled hemorrhoidopexy (SH) by Longo in 1998. In this study we presented our experience in managing these patients using the SH technique aiming to offer (Tips and Tricks) to improve the outcome of this technique and to evaluate its effectiveness in long term as a new procedure for patients with hemorrhoids.
Patients and methods: We operated upon 300 patients with symptomatic hemorrhoids who presented from June 2013 to June 2016.The procedure was done in Ain-Shams University hospitals and Dar el Hekma hospital. The gun used in all cases was the same (PPH 03, Ethicon Endo Surgery, Cincinnati, Ohio).
All patients were followed up after operation for 2 years.
Results: Our results were up to the expectations as shown by absence of major complications and minimal postoperative pain and bleeding. This outcome was due to standardization of the technique regardless of the surgeon, and addition of some tricks.
Conclusions: Stapled hemorrhoidopexy(SH) is a safe procedure, which takes less operative time, less hospital
stay, and with no major complications provided that the technique is conducted with vigilance and diligence.