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This is a new operation that is now gaining ground in Europe and the USA as
the surgical treatment of choice for haemorrhoids.
A specially designed circular stapler knife (ETHICON) is used. The stapler cuts
a ring of anal mucosa with part of the haemorrhoids but the most important part
is the subsequent stapling of the anal canal which “lifts up” the prolapsing
mucosa (including the haemorrhoids). Over a period of a few weeks fibrotic
scar develops under the mucosa and prevents further prolapse and distention
of haemorrhoids.
Several studies have shown that Stapled Haemorrhoidectomy has exactly the
same effectiveness as excisional haemorrhoidectomy but also one additional
great advantage: there is much less post-operative pain. This results in quicker
return of the patient to work and normal activities, usually 3 – 7 days.
Of course there is no procedure without complications and we have to mention
that in rare cases after stapled haemorrhoidectomy there can be a sensation
of urgency which some patients will find annoying. Similar complications as in
excisional haemorrhoidectomy can also occur, i.e. bleeding or sepsis.
Any operation has only 80% long term success rate. This means that if there is
no concurrent change in diet and lifestyle there is a 20% chance of recurrence
within 5 years.
At King's College Hospital our Department of Colorectal Surgery has extensive
experience with Stapled Haemorrhoidectomy and we organise and run the
"Stapled Haemorrhoidectomy Course" to teach surgeons from all over the UK
how to perform the procedure.
©COPYRIGHT OF www.bowel-health.com contents by Dr. Savvas
Papagrigoriadis. All rights reserved.
the surgical treatment of choice for haemorrhoids.
A specially designed circular stapler knife (ETHICON) is used. The stapler cuts
a ring of anal mucosa with part of the haemorrhoids but the most important part
is the subsequent stapling of the anal canal which “lifts up” the prolapsing
mucosa (including the haemorrhoids). Over a period of a few weeks fibrotic
scar develops under the mucosa and prevents further prolapse and distention
of haemorrhoids.
Several studies have shown that Stapled Haemorrhoidectomy has exactly the
same effectiveness as excisional haemorrhoidectomy but also one additional
great advantage: there is much less post-operative pain. This results in quicker
return of the patient to work and normal activities, usually 3 – 7 days.
Of course there is no procedure without complications and we have to mention
that in rare cases after stapled haemorrhoidectomy there can be a sensation
of urgency which some patients will find annoying. Similar complications as in
excisional haemorrhoidectomy can also occur, i.e. bleeding or sepsis.
Any operation has only 80% long term success rate. This means that if there is
no concurrent change in diet and lifestyle there is a 20% chance of recurrence
within 5 years.
At King's College Hospital our Department of Colorectal Surgery has extensive
experience with Stapled Haemorrhoidectomy and we organise and run the
"Stapled Haemorrhoidectomy Course" to teach surgeons from all over the UK
how to perform the procedure.
©COPYRIGHT OF www.bowel-health.com contents by Dr. Savvas
Papagrigoriadis. All rights reserved.
The PPH Stapler
(Ethicon Endosurgery)
for stapled
haemorrhoidectomy
(Ethicon Endosurgery)
for stapled
haemorrhoidectomy
Stapled Haemorrhoidectomy (PPH)