[Rectal stenosis after stapler hemorrhoidopexy].
We report a case of a 52-year-old woman with hemorrhoids submitted to Procedure for Prolapse and Hemorrhoids (PPH), i.e. stapled hemorrhoidopexy, using a modified Longo's technique (double purse string) to treat an associated rectocele and rectal prolapse; the STARR technique (Stapled Trans Anal Rectal Resection) was not yet codified. The post-operative course was uneventful and the patient is discharged in II p.o. day. In fifth post-operative day the patient came back with an unusual rectal stenosis due to the superior purse string. The stricture was easily resolved by 'opening' the purse string with a transanal approach in outpatient setting.
Mongardini
M
M
Prima Facoltà di Medicina e Chirurgia, Dipartimento di Scienze Chirurgiche, UOC Chirurgia Generale L, Università degli Studi "La Sapienza" di Roma.
Custureri
F
F
Schillaci
F
F
Leone
G
G
Cola
A
A
Fanello
G
G
Benedetti
F
F
Maturo
A
A
Pappalardo
G
G
D003251:Constriction, Pathologic / Q000209:etiology; D013505:Digestive System Surgical Procedures / Q000009:adverse effects; D005260:Female; D006484:Hemorrhoids / Q000601:surgery*; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology*; D008875:Middle Aged; D012002:Rectal Diseases / Q000209:etiology*; D017792:Surgical Stapling / Q000009:adverse effects*; D014656:Vascular Surgical Procedures / Q000009:adverse effects