[Surgical treatment of hemorroids with rectal mucosal resection using a stapler].
OBJECTIVE
To analyze the results of Longo stapled mucosectomy for hemorrhoidal disease in a 1 to 3 years follow up.


METHODS
Clinical response and complications where analyzed in patients treated for grade II to IV non-complicated hemorrhoidal disease with Longo stapled hemorrhoidectomy.


RESULTS
In a 27 months period, 160 patients were treated (105 men and 55 women), mean age was 44.1 years (range: 24 to 72 years), and 110 patients had grade III hemorrhoid disease. Non procedure complications were noted, early complications were detected in 5% of patients and late complications were detected in 10% of patients. In a mean follow-up of 18.8 months, 82.5% of the patients remained asymptomatic and 94.4 of the patients reported a good satisfaction score. A second surgery was required in three patients because of recurrence.


CONCLUSIONS
Longo stapled mucosectomy is a safe treatment for non complicated hemorrhoid disease. In a 18 month follow up most patients were asymptomatic.
Correa-Rovelo
José Manuel
JM
Hospital Médica Sur, México, D.F. jcorrea@medicasur.org.mx
Tellez
Oscar
O
Moran
Segundo
S
Bahena-Aponte
Jesús Alberto
JA
Moreno
Cruz Antonio
CA
D000328:Adult; D000368:Aged; D013505:Digestive System Surgical Procedures; D005260:Female; D006484:Hemorrhoids / Q000601:surgery*; D006801:Humans; D007413:Intestinal Mucosa / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D012007:Rectum / Q000601:surgery*; D012086:Reoperation; D013537:Sutures