![]() One year follow-up or longer 11% of patients had remaining or recurrent prolapse, the reintervention rate is about 10%. Bowel habits should have returned to a normal pattern without urgency. After this surgical procedure, the need to manually reduce prolapse will have been cured in approximately 90% of patients and the overall preoperative symptoms will be much reduced in the great majority. In lithotomy position and spinal anesthesia and after taking all aseptic precautions, the procedure of stapled hemorrhoidectomy was performed according to Longo’s technique. Stapled hemorrhoidopexy is performed for grade III and IV, for grade II in case of major bleeding. The grading system described by Goligher, is the most commonly used and is based on objective findings and patient history. His aim was not excision of the hemorrhoidal tissue but rather restoring anatomical and physiological aspects of the hemorrhoidal plexus. His technique presented a new notion for treating hemorrhoids as he proposed circumferential rectal mucosectomy that results in mucosal lifting (anopexy). In 1998, Longo proposed a procedure for hemorrhoidectomy with minimal postoperative pain, no perianal wound requiring postoperative wound care and a relatively short operative time. Open hemorrhoidectomy, as described by Milligan, has been accepted worldwide as the best choice for treatment of symptomatic hemorrhoids. Apparently severe looking hemorrhoids can cause relatively few symptoms. There is no correlation between specific symptoms and anatomic grading. The common symptoms are: bleeding, prolapse, pain, discharge, itching and hampered anal hygiene. Abstract: Haemorrhoidal disease affect between 4.4% and 36.4% of the general population.
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