Hemorrhoids pp 297-302 | Cite as

Why and When I Do Prefer the Stapled Hemorrhoidopexy

  • Leonardo LenisaEmail author
Reference work entry
Part of the Coloproctology book series (COLOPROCT, volume 2)


Stapled anopexy can be considered in patients with hemorrhoidal symptoms refractory to conservative treatments as an effective surgical option. The ideal patient will present with prolapsed piles and the concurrence of internal rectal prolapse, either mucosal or full-thickness. Resection of the redundant rectal tissue at the anorectal junction and relocation of external hemorrhoids into the anal canal are the milestones of the procedure. Complications of the procedure have been extensively reported but are presently comparable to standard hemorrhoidectomy. The slightly higher tendency to recurrence described in the first era is now counterbalanced by the almost infinite availability of devices with all ranges of diameters and casing volumes, fulfilling surgeons’ willing and patients’ need of resection. Surgeon must be aware of the existence of a wide range of devices and must be confident with and properly trained to select them appropriately, according to patients’ characteristics and prolapse size.


  1. Boccasanta P, Venturi M, Roviaro G (2007) Stapled transanal rectal resection versus stapled anopexy in the cure of hemorrhoids associated with rectal prolapse. A randomized controlled trial. Int J Color Dis 22(3):245–251CrossRefGoogle Scholar
  2. Braini A, Narisetty P, Favero A, Calandra S, Calandra A, Caponnetto F, Digito F, Da Pozzo F, Marcotti E, Porebski E, Rovedo S, Terrosu G, Torricelli L, Stuto A (2013) Double PPH technique for hemorrhoidal prolapse: a multicentric, prospective, and nonrandomized trial. Surg Innov 20(6):553–558CrossRefPubMedGoogle Scholar
  3. Burch J, Epstein D, Baba-Akbari SA, Weatherly H, Jayne D, Fox D, Woolacott N (2009) Stapled haemorrhoidopexy for the treatment of haemorrhoids: a systematic review. Color Dis 11:233–244CrossRefGoogle Scholar
  4. Goligher JC (1984) Surgery of the anus, rectum and colon, 5th edn. Billiere Tindall, LondonGoogle Scholar
  5. Henry MM, Swash M (1985) Phisiology of fecal continence and defecation. Coloproctology and the pelvic floor. Butterworks, London, pp 42–61Google Scholar
  6. Longo A (1998) Treatment of haemorrhoid disease by reduction of mucosa and haemorrhoidal prolapse with circular suturing device: a new procedure. In: Proceedings of the 6th world congress of endoscopic surgery. Monduzzi Publishing Company, Bologna, pp 777–784Google Scholar
  7. Longo A, Lenisa L, Landolfi V (2009) Historical background: treatments for hemorrhoids and ODS prior to transanal stapling techniques, Chapter 1. In: Jayne D, Stuto A (eds) Transanal stapling techniques for anorectal prolapse. Springer-Verlag London Limited, LondonGoogle Scholar
  8. Naldini G, Martellucci J, Talento P, Caviglia A, Moraldi L, Rossi M (2009) New approach to large haemorrhoidal prolapse: double stapled haemorrhoidopexy. Int J Color Dis 24(12):1383–1387CrossRefGoogle Scholar
  9. Naldini G, Martellucci J, Rea R, Lucchini S, Schiano di Visconte M, Caviglia A, Menconi C, Ren D, He P, Mascagni D (2015) Tailored prolapse surgery for the treatment of haemorrhoids and obstructed defecation syndrome with a new dedicated device: TST STARR plus. Int J Color Dis 12:1723–1728CrossRefGoogle Scholar
  10. Porrett LJ, Porrett JK, Ho Y-H (2015) Documented complications of stapled hemorrhoidopexy: a systematic review. Int Surg 100:44–57CrossRefPubMedPubMedCentralGoogle Scholar
  11. Thomson WH (1975) The nature of haemorrhoids. Br J Surg 62:542–552CrossRefPubMedGoogle Scholar

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© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.General Surgery DepartmentHumanitas San Pio X HospitalMilanItaly

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