title: Modified stapled haemorrhoidectomy: a suggested improved technique.
abstract: BACKGROUND
  Longo's technique of stapled haemorrhoidopexy has revolutionized management of symptomatic haemorrhoids. However, several problems have been identified in the original Longo's technique. In particular, recurrence of haemorrhoidal tissue has been found to be significantly higher.
  
  
  METHODS
  An improved technique with key differences to address these shortcomings is described. The modified stapled haemorrhoidectomy procedure described is carried out without the circular anal dilator and includes the placement of a low purse string of 2-3 cm.
  
  
  CONCLUSIONS
  This technique is proposed as an improvement to the current stapled haemorrhoidopexy.
authors.affiliation: Department of Colorectal Surgery, Singapore General Hospital, Singapore.
authors.forename: Kheng-Hong
authors.initials: KH
authors.lastname: Ng
authors.forename: Min-Hoe
authors.initials: MH
authors.lastname: Chew
authors.forename: Kong-Weng
authors.initials: KW
authors.lastname: Eu
mesh_terms: D006484:Hemorrhoids / Q000601:surgery*; D006801:Humans; D017792:Surgical Stapling / Q000379:methods*