Rectal stenosis after stapler hemorrhoidopexy

We report a case of a 52-year-old woman with hemorrhoids submitted to Procedure for Prolapse and Hemorrhoids (PPH), i.e. stapled hemorrhoidopexy, using a modified Longo's technique (double purse string) to treat an associated rectocele and rectal prolapse; the STARR technique (Stapled Trans Ana...

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Bibliographic Details
Published in:Il Giornale di chirurgia 2005-06, Vol.26 (6-7), p.275-277
Main Authors: Mongardini, M, Custureri, F, Schillaci, F, Leone, G, Cola, A, Fanello, G, Benedetti, F, Maturo, A, Pappalardo, G
Format: Article
Language:Italian
Subjects:
Constriction, Pathologic - etiology
Digestive System Surgical Procedures - adverse effects
Female
Hemorrhoids - surgery
Humans
Intestinal Obstruction - etiology
Middle Aged
Rectal Diseases - etiology
Surgical Stapling - adverse effects
Vascular Surgical Procedures - adverse effects
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Summary:We report a case of a 52-year-old woman with hemorrhoids submitted to Procedure for Prolapse and Hemorrhoids (PPH), i.e. stapled hemorrhoidopexy, using a modified Longo's technique (double purse string) to treat an associated rectocele and rectal prolapse; the STARR technique (Stapled Trans Anal Rectal Resection) was not yet codified. The post-operative course was uneventful and the patient is discharged in II p.o. day. In fifth post-operative day the patient came back with an unusual rectal stenosis due to the superior purse string. The stricture was easily resolved by 'opening' the purse string with a transanal approach in outpatient setting.
ISSN:0391-9005