Abstract
We describe obliteration of the rectal lumen during stapled haemorrhoidopexy in a patient with marked mucosal prolapse. The complication was recognised immediately and continuity was restored by performing a limited Delorme’s procedure. The possible cause of this complication is explored and serves as a reminder that meticulous technique is required when performing stapled haemorrhoidopexy to prevent potentially disastrous complications.
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References
Nisar PJ, Acheson AG, Neal KR, Scholefield JH (2004) Stapled hemorrhoidopexy compared with conventional hemorrhoidectomy: systematic review of randomized, controlled trials. Dis Colon Rectum 47:1837–1845
Cipriani S, Pescatori M (2002) Acute rectal obstruction after PPH stapled haemorrhoidectomy. Colorectal Dis 4:367–370
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Brown, S., Baraza, W. & Shorthouse, A. Total rectal lumen obliteration after stapled haemorrhoidopexy: a cautionary tale. Tech Coloproctol 11, 357–358 (2007). https://doi.org/10.1007/s10151-007-0382-6
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DOI: https://doi.org/10.1007/s10151-007-0382-6