Abstract
Rectal lumen obliteration (RLO) is a rarely described, but fearful and potentially life-threating complication following stapled hemorrhoidopexy. Its management is not standardized and should take into account the time of recognition of the complication, the completeness of obliteration, and the integrity of the rectal wall. Here, we describe a case of complete RLO after stapled hemorrhoidopexy (the first case published to the best of our knowledge), successfully treated via an intra-abdominal approach with full rectal mobilization and recanalization of the rectum using a 31 mm EEA® stapler.
References
Jayaraman S, Colquhoun PH, Malthaner RA (2006) Stapled versus conventional surgery for hemorrhoids. Cochrane Database Syst Rev 18:CD005393
Jayaraman S, Colquhoun PH, Malthaner RA (2007) Stapled hemorrhoidopexy is associated with a higher long-term recurrence rate of internal hemorrhoids compared with conventional excisional hemorrhoid surgery. Dis Colon Rectum 50:1297–1305
Giuratrabocchetta S, Pecorella G, Stazi A, Tegon G, De Fazio M, Altomare DF (2013) Safety and short-term effectiveness of EEA stapler vs PPH stapler in the treatment of degree III haemorrhoids: prospective randomized controlled trial. Colorectal Dis 15:354–358
Longo A (1998) Treatment of hemorrhoids disease by reduction of mucosal and hemorroìdal prolapse with circular suturing device: a novel procedure. In: proceedings of the 6th World. Congress of Endoscopic Surgery, pp 777–784. Monduzzi Editor, Bologna
Pescatori M, Gagliardi G (2008) Postoperative complications after procedure for prolapsed hemorrhoids (PPH) and stapled transanal rectal resection (STARR) procedures. Tech Coloproctol 12:7–19
Cipriani S, Pescatori M (2002) Acute rectal obstruction after PPH stapled haemorrhoidectomy. Colorectal Dis 4:367–370
Brown S, Baraza W, Shorthouse A (2007) Total rectal lumen obliteration after stapled haemorrhoidopexy: a cautionary tale. Tech Coloproctol 11:357–358
Giordano P, Bradley BM, Peiris L (2008) Obliteration of the rectal lumen after stapled hemorrhoidopexy: report of a case. Dis Colon Rectum 51:1574–1576
Büyükaşik O, Hasdemir OA, Cöl C (2009) Rectal lumen obliteration from stapled hemorrhoidopexy: can it be prevented? Tech Coloproctol 13:333–335
Stukavec J, Horák L (2006) Complications of the longo procedure–rectal occlusion. Rozhl Chir 85:517–519
Conflict of interest
None.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Giannini, I., Ferrara, C., Fiore, A. et al. An original surgical approach to manage complete rectal lumen obliteration following stapled hemorrhoidopexy. Tech Coloproctol 18, 661–663 (2014). https://doi.org/10.1007/s10151-013-1115-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10151-013-1115-7