Original articleComplications of stapled hemorrhoidectomy: a French multicentric studyLes complications de la technique de Longo: étude multicentrique française
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Cited by (91)
Repair of anal stenosis using a prolapse and hemorrhoids (PPH) stapler procedure: A case report with excellent results
2020, International Journal of Surgery OpenCitation Excerpt :Hemorrhoidectomy is the most common cause of anal stenosis, with an incidence ranging from 1.5% to 3.8% [4]. In two retrospective studies, it was stated that the incidence of anal stenosis after PPH stapler was 8.8% and 1.6% [10,11]. Hemorrhoidectomy might strip a wide area of anoderm and rectal mucosa from the lining of the anal canal, leading to scarring and progressive chronic stricture formation making the anus less pliable.
Short- and long-term results of harmonic scalpel hemorrhoidectomy versus stapler hemorrhoidopexy in treatment of hemorrhoidal disease
2015, Asian Journal of SurgeryCitation Excerpt :Cheetham et al21 reported pain in 31% of patients who underwent SH; by contrast, Ravo et al,22 in their study encompassing 12 centers and including 1107 patients, reported severe pain in 5% of patients at postoperative Week 1. These findings concur with Oughriss et al's23 study, where early and late complications of the technique were investigated and the presence of severe pain was determined in 2.3% of cases. In a multicenter randomized clinical trial, Thaha et al24 compared SH and closed hemorrhoidectomy and defined “pain after defecation” as a special complication related to stapler use, although it was not demonstrated in following studies.
Ligation under vision in the management of symptomatic hemorrhoids: A preliminary experience
2015, Asian Journal of SurgeryCitation Excerpt :Many studies comparing SH with conventional hemorrhoidectomy have demonstrated SH to be less painful. However, it was less effective in preventing recurrence, more expensive, and liable to rare but severe complications such as rectal perforation, obstruction, retroperitoneal hematoma, Fournier's gangrene, and rectovaginal fistula.16–18 DGHAL is an effective, minimally invasive alternative procedure for the surgical treatment of HD.3–6,9,12,19
Longo procedure (stapled hemorrhoidopexy): Indications, results
2015, Journal de Chirurgie VisceraleCitation Excerpt :Urgency is seen in 5 to 31% of patients after SH [2,18,19] but this symptom is most often transitory and disappears within three months. Sever and sometimes fatal complications are the exception, but have been reported (gas gangrene, rectal perforation, rectovaginal fistula, pneumomediastinum, complete rectal stricture); similar complications are seen as well with conventional surgery or instrumental procedures [20,21]. In published series, SH has not been shown to cause anal continence but there are several theoretical risks for sphincter injury: the anal dilatation required to introduce the dilator and stapler, staple division in the anal canal at too low a level, inclusion of muscular fibers in the circular resection (more from the rectum than the internal sphincter) in 36 to 100% of the ring specimens analyzed.