Modified stapled haemorrhoidectomy: a suggested improved technique.
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.
Ng
Kheng-Hong
KH
Department of Colorectal Surgery, Singapore General Hospital, Singapore.
Chew
Min-Hoe
MH
Eu
Kong-Weng
KW
D006484:Hemorrhoids / Q000601:surgery*; D006801:Humans; D017792:Surgical Stapling / Q000379:methods*