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The purpose of stapled hemorrhoidopexy is to treat prolapsed and circumferential hemorrhoids by taking excess tissue and placing it in its normal position while removing the blood supply of the hemorrhoids.
The preparation will include a physical examination, bowel preparation, fasting prior to the surgery, and an assessment of anesthesia. The patient should consult their physician regarding any medications that need to be discontinued prior to the procedure.
The stapler is used to remove a ring of excess tissue and return the hemorrhoids back to the anal canal. This procedure is performed under either general anesthesia or spinal anesthesia.
The time taken to complete stapled hemorrhoidopexy is approximately 30 minutes to 1 hour.
It includes less postoperative pain compared to traditional surgery, faster recovery, shorter hospital stay, minimal tissue removal, and early return to normal activities
Recovery is usually quick, with most patients returning to daily activities within a few days. Mild discomfort and swelling may initially occur and are managed with medications and dietary modifications.
Stapled hemorrhoidopexy (SH) is reported as a procedure with a high level of effectiveness, with average patient satisfaction rates of approximately 73-93%. However, recurrence rates can vary widely, from less than 1% to over 30%, depending on the follow-up interval and the severity of hemorrhoidal disease.
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