Adaptation of the pursestring suture anoscope with a small hole in a case of stapled hemorrhoidectomy.
OBJECTIVE
Stapled hemorrhoidectomy has become more popular with the general surgeon, mainly because of reduced postoperative pain and shorter hospital stays. However, we have faced some complications caused by irregular pursestring suture of the rectal mucosa.


METHODS
To secure pursestring suture in the rectal mucosa layer, we placed a small hole in the Pursestring Suture Anoscope.


RESULTS
Since 2001, we have experienced more than 200 cases of stapled hemorrhoidectomy and in the last two years we have performed pursestring suture by using a Pursestring Suture Anoscope with a small hole in 60 cases. Rectal mucosa was resected without irregular defect in all the cases.


CONCLUSIONS
Stapled hemorrhoidectomy can be performed easily and safely with this modification.
Yamamoto
Joji
J
Department of Surgery, Chibanishi General Hospital, Matsudo-City, Chiba, Japan. jojiyamamotomd@yahoo.co.jp
Nagai
Motoki
M
Smith
T Barry
TB
Tamaki
Satoshi
S
Kubota
Tadao
T
Sasaki
Ken
K
Ohmori
Toshihiro
T
Maeda
Kiyotaka
K
D004867:Equipment Design; D006484:Hemorrhoids / Q000601:surgery*; D006801:Humans; D017792:Surgical Stapling / Q000295:instrumentation* / Q000379:methods