SURGICAL TREATMENT OF POSTOPERATIVE COMPLCATIONS FOLLOWING PROCEDURE FOR PROLAPSED HEMORRHOIDS (PPH)

Haemorrhoids are very common among coloproctological pathologies, with about 50% of people experiencing them at sometime in their life in the industrial countries.The procedure of circular stapler prolaxectomy should have to be reserved just to the third degree haemorrhoid disease with mucosal prolapse, performing the anastomosis beyond the pectinate line of about 2 cm, according to the brand patent. We observed patients who have improperly undergone stapled procedures with moderate to severe complications. We want to stress that Milligan– Morgan procedure is the gold standard treatment for the haemorrhoid up to date. In those patients, where indication for stapler haemorrhoidectomy was correct ((%) and, however, showed early or late complications (rectal bleeding, substenosis and chronic pain) we proposed a type of operation with intention to resolve the symptomatology by breaking down the scar ring in two diametrically opposite lateral points. Considering patients number and significant complications detected in the indicated period, it is reasonable to think that in the most of cases there is an abuse in using stapler out of its real indications.