title: An original surgical approach to manage complete rectal lumen obliteration following stapled hemorrhoidopexy.
abstract: Rectal lumen obliteration (RLO) is a rarely described, but fearful and potentially life-threating complication following stapled hemorrhoidopexy. Its management is not standardized and should take into account the time of recognition of the complication, the completeness of obliteration, and the integrity of the rectal wall. Here, we describe a case of complete RLO after stapled hemorrhoidopexy (the first case published to the best of our knowledge), successfully treated via an intra-abdominal approach with full rectal mobilization and recanalization of the rectum using a 31 mm EEA(®) stapler.
authors: Department of Emergency and Organ Transplantation (DETO), Azienda Ospedaliero-Universitaria Policlinico, "Aldo Moro" University Hospital, Piazza G Cesare 11, 70124, Bari, Italy.
authors: I
authors: I
authors: Giannini
authors: C
authors: C
authors: Ferrara
authors: A
authors: A
authors: Fiore
authors: U
authors: U
authors: Falagario
authors: M
authors: M
authors: De Fazio
authors: M
authors: M
authors: Di Lena
authors: D F
authors: DF
authors: Altomare
mesh_terms: D000368:Aged; D005500:Follow-Up Studies; D061865:Hemorrhoidectomy / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D006484:Hemorrhoids / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D007813:Laparotomy / Q000379:methods; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery; D011859:Radiography; D012007:Rectum / Q000601:surgery*; D012086:Reoperation / Q000379:methods; D018570:Risk Assessment; D012720:Severity of Illness Index; D017792:Surgical Stapling / Q000009:adverse effects* / Q000379:methods; D016896:Treatment Outcome