STAPLER HEMORRHOIDECTOMY: A PRELIMINARY REPORT ON EL MINIA EXPERIENCE.

Background: Stapled hemorroidectomy is a new promising procedure in the surgical management of anorectal 
hemorrhoids. It seems to jump over the classic operative procedures by being much less painful. 
Methods: We operated upon 42 patients with 3rd and 4th degrees of hemorrhoids using the stapled technique described by Longo 1998. We reported the operative procedure, the difficulties if any, and the operative time. Postoperatively, we assessed the patients for pain, bleeding, discharges and incontinence. 
Results: In our series, no intraoperative difficulties or complications were encountered. Postoperatively, single dose of 
intramuscular sodium diclofenac was enough in all patients. No postoperative bleeding or incontinence was reported. Two cases reported to complain of soilage with mucoid discharge for few days that cessated spontaneously by the 10th day postoperatively. Constipation was practiced by 38% of the patients but was easily managed by the oral intake of Lactulose. 
Two patients developed mild bleeding per rectum which stopped spontaneously during the first week. Only one of our 
patients developed retention of urine. All patients received oral metronidazole postoperatively. 
Conclusion: Stapled hemorroidectomy seems to be a very promising tool in managing such painful and annoying 
disease. Its postoperative sequences are very acceptable by the patients and so as its results for the surgeon. It greatly 
minimizes the postoperative disability experienced after the classic operative treatment of the hemorrhoids.