World J Gastrointest Surg 8(9):614–620īehboo R, Zanella S, Ruffolo C, Vafai M, Marino F, Scarpa M (2011) Stapled haemorrhoidopexy: extent of tissue excision and clinical implications in the early postoperative period. This process is experimental and the keywords may be updated as the learning algorithm improves.Īlbuquerque A (2016) Rubber band ligation of hemorrhoids: a guide for complications. These keywords were added by machine and not by the authors. For this reason, I am trying to write in an objective way about the pros and cons of the procedure, explaining its rationale. In fact, a careful selection of patients can lead to a good outcome with a reduction of recurrence rate and risk of complications. So, in my opinion, the stapled surgery is a good surgical option when performed by expert surgeons and especially with right indications. For this reason also literature has undergone these currents of thought, becoming unreliable for those who would have a clear and unequivocal view of this procedure. Surgeons in favor have always emphasized the advantages over the traditional excisional surgery (less pain at rest and on defecation, earlier return to bowel function and normal activities, etc.) while surgeons opposed to the procedure have always documented its limits and severe complications. Stapled hemorrhoidopexy has always been a hotly debated topic among surgeons in favor and against this kind of procedure.
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