![]() Systematic reviews of randomized controlled trials followed by meta-analyses have demonstrated that the short-term outcomes results favor SH when compared to traditional excisional techniques In which its safety and early-term efficacy has been demonstrated. SH was studied in several randomized controlled trials In association, the mechanical anopexy would also cause an interruption of the vascular supply to the hemorrhoid cushions leading to a volume reduction of the hemorrhoid tissue. In this procedure, it is aimed at repositioning the prolapsed hemorrhoid tissue through a circular resection of the inner layers (mucosa, submucosa, and part of the muscularis propria). It represents a non-excisional approach for the surgical treatment of hemorrhoid disease. It has revolutionized the traditional surgical approach to hemorrhoid disease by introducing the concept of dealing with the rectal mucosal prolapse by resecting a mucosal cylinder above the dentate line through mechanical stapling ![]() Stapled hemorrhoidopexy (SH) was introduced in 1998Īs an alternative to excisional hemorrhoidectomy techniques. Although highly effective for long-lasting symptomatic control, excisional hemorrhoidectomy is associated with significant postoperative pain, which remains the most important postoperative complication and the leading cause for deferral of treatment. The Milligan-Morgan operation is currently the standard approach for hemorrhoid prolapse in Europe, while the Ferguson closed hemorrhoidectomy is the operation of choice in North America. Conventional excisional hemorrhoidectomy has proven to be very effective as a long-term alternative for hemorrhoid disease therapy.
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