A systematic review addressing reported complications of stapled hemorrhoidopexy was conducted. For success in this type of surgery it is essential to give adequate information to the … Additional articles were identified from the reference sections of all studies retrieved and reviewed for possible inclusion. with stapled hemorrhoidopexy looks at the long term recurrence rates and chronic pain as the primary objective and other late complications as the secondary objective. Even though the early complications after stapled hemorrhoidopexy are well documented, the late complications after stapled hemorrhoidopexy and their incidence are not widely described. A number of factors were identified that influence recurrence rates, and rates of recurrence were shown to be higher in patients with grade four hemorrhoidal disease.32 Articles also suggested that recurrence rates following stapled hemorrhoidopexy in 4th degree hemorrhoids can be up to 22%, in comparison to those of 3.6% in conventional hemorrhoidectomies.53 It is thought that this is secondary to the irreducibility of the prolapse precluding the lifting effect of the stapled hemorrhoidopexy.32,57 Technical characteristics of the procedure have also been shown to be implicated in the development of recurrent hemorrhoids, including the placement of the purse string, the level of the staple line, and the completeness of the mucosectomy ring.53 It was identified that patients who have recurrence following stapled hemorrhoidopexy were more likely to undergo re-interventional treatments, such as excisional hemorrhoidectomies, than patients who have initially undergone other methods of hemorrhoidectomy.32 Common reasons for re-intervention include persistent pain, postoperative bleeding secondary to recurrent piles, retained staples, and anal fissures.51. Both early and late complications unique to stapled hemorrhoidopexy were identified and assessed. Stapled hemorrhoidopexy has unique potential complications and is a less effective cure compared with hemorrhoidectomy. The technique has received enthu-siasm as it was claimed that it … PPH03 stapled hemorrhoidopexy: our experience, Circular stapled hemorrhoidopexy: experience of a single center with 445 cases, Randomized clinical trial of stapled haemorrhoidopexy versus conventional diathermy haemorrhoidectomy, Long-term outcome of a multicentre randomized clinical trial of stapled haemorrhoidopexy versus Milligan-Morgan haemorrhoidectomy, Stapled hemorrhoidectomy versus conventional hemorrhoidectomy for acute haemorrhoidal crisis, Stapled hemorrhoidopexy and Milligan-Morgan hemorrhoidectomy in the cure of fourth-degree hemorrhoids: long-term evaluation and clinical results, Retroperitoneal sepsis complicating stapled hemorrhoidectomy: report of a case and review of the literature, Life threatening sepsis and mortality following stapled hemorrhoidopexy, Pelvic sepsis after stapled hemorrhoidopexy, Pelvic sepsis after stapled hemorrhoidectomy, Rectal perforation, retropneumoperitoneum, and pneumomediastinum after stapling procedure for prolapsed hemorrhoids: report of a case and subsequent considerations, Life threatening pelvic sepsis after stapled haemorrhoidectomy, Delayed presentation of life-threatening perineal sepsis following stapled haemorrhoidectomy: a case report, Inflammatory polyps: a cause of late bleeding in stapled hemorrhoidectomy, Stapled rectal mucosectomy vs. closed hemorrhoidectomy: a randomized, clinical trial, Prospective, randomized trial comparing 3-versus 6-stitch purse-string suture in stapled hemorrhoidopexy, Hemorrhoidal stapler prolapsectomy vs. Milligan-Morgan hemorrhoidectomy: a long-term randomized trial, Stapled hemorrhoidopexy vs. diathermy excision for fourth-degree hemorrhoids: a randomized, clinical trial and review of the literature, Stapled hemorrhoidectomy with local anesthesia can be performed safely and cost-efficiently, Complications of stapled hemorrhoidectomy: a French multicentre study, A prospective, randomized, controlled multicenter trial comparing stapled hemorrhoidopexy and Ferguson hemorrhoidectomy: perioperative and one-year results, Complications and reoperations in stapled anopexy: learning by doing, Stapled hemorrhoidopexy: outcome assessment, Initial experience with stapled hemorrhoidopexy for treatment of hemorrhoids, Early and late (ten years) experience with circular stapler hemorrhoidectomy, Modern stapled Longo procedure vs. conventional Milligan-Morgan hemorrhoidectomy: a randomized controlled trial, Day-case stapled (circular) vs. diathermy hemorrhoidectomy: a randomized, controlled trial evaluating surgical and functional outcome, Long-term results after stapled haemorrhoidopexy for fourth-degree haemorrhoids: a prospective study with median follow-up of 6 years, Uncontrollable intra-abdominal bleeding necessitating low anterior resection of the rectum after stapled hemorrhoidopexy: report of a case, Pneumomediastinum after dilatation of anal stricture following stapled hemorrhoidopexy, Sepsis of abdominal origin with Longo's anopexy technique: a case study, Severe intra-abdominal bleeding following stapled mucosectomy due to enterocele: report of a case, Rectal perforation: a life-threatening complication of stapled hemorrhoidectomy: report of a case. 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