title: [Hemorrhoidopexy with a PPH 03 circular stapler initial experience].
abstract: BACKGROUND
  There are different surgical procedures for the treatment of advanced haemorrhoidal disease, being described by Milligan and Morgan as well as closed haemorrhoidectomy published by Ferguson. Haemorrhoidopexy with circular stapler was used since 1998 and nowadays is a widely accepted procedure and more institutes confirm its efficiency and safety.
  
  
  OBJECTIVE
  Initial one year experience is presented in patients selected for haemorrhoidopexy with stapler, evaluating post-operatory pain, early and delayed complications, day-in hospital stay and reintegration to daily activities.
  
  
  METHODS
  Patients operated with haemorrhoidopexy with circular Ethicon Endo Surgery Inc. PPH 03 33 mm (Cincinnati, OH) were included prospectively in the period between November 1st 2004 and October 30th 2005 in Mexico's ABC Medical Center.
  
  
  RESULTS
  Thirtynine patients were included in this study, of which 17 (44%) presented a III degree haemorrhoidal disease and 22 (56%) with IV degree. Post-operatory bleeding was observed in 3 patients (8%); post-operatory pain was evaluated with Mankoski scale. After day five, every patient reintegrated to its daily activities, and none required re-intervention.
  
  
  CONCLUSIONS
  Haemorrhoidopexy has shown to be a safe and effective procedure. If this technique was once questioned and controversial, today is recognized by the vast majority of colorectal surgeons.
authors.affiliation: Departamento de Cirugia. The American British Cowdray Center, I.A.P México, D.F. surgeryabc@yahoo.com
authors.forename: Gustavo
authors.initials: G
authors.lastname: Varela Gutiérrez
authors.forename: Evencio Marcos
authors.initials: EM
authors.lastname: Castañeda Ortiz
mesh_terms: D000328:Adult; D000368:Aged; D004867:Equipment Design; D005260:Female; D006484:Hemorrhoids / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D011446:Prospective Studies; D013528:Surgical Staplers