Stapled Hemorrhoidectomy


What is stapled hemorrhoidectomy?

Stapled hemorrhoidectomy is the newest surgical technique for treating hemorrhoids, and it has rapidly become the treatment of choice for third-degree hemorrhoids. Stapled hemorrhoidectomy is a misnomer since the surgery does not remove the hemorrhoids but, rather, the abnormally lax and expanded hemorrhoidal supporting tissue that has allowed the hemorrhoids to prolapse downward.

For stapled hemorrhoidectomy, a circular, hollow tube is inserted into the anal canal. Through this tube, a suture (a long thread) is placed, actually woven, circumferentially within the anal canal above the internal hemorrhoids. The ends of the suture are brought out of the anus through the hollow tube. The stapler (a disposable instrument with a circular stapling device at the end) is placed through the first hollow tube and the ends of the suture are pulled. Pulling the suture pulls the expanded hemorrhoidal supporting tissue into the jaws of the stapler. The hemorrhoidal cushions are pulled back up into their normal position within the anal canal. The stapler then is fired. When it fires, the stapler cuts off the circumferential ring of expanded hemorrhoidal tissue trapped within the stapler and at the same time staples together the upper and lower edges of the cut tissue.

Before your surgery:

  • Bring your medicine bottles or a list of your medicines when you see your caregiver. Tell your caregiver if you are allergic to any medicine. Tell your caregiver if you use any herbs, food supplements, or over-the-counter medicine.
  • You may need to take an antibiotic medicine before your surgery. This medicine helps kill bacteria (germs) that may cause an infection. Ask your caregiver if you need to take this kind of medicine.
  • You may need to have certain lab tests and x-rays done. Your caregiver may need to look inside your bowel and check your hemorrhoids using a special scope. This scope is a long bendable tube with a camera on its end. Ask your caregiver for more information about these tests and other tests that you may need. Write down the date, time, and location of each test.

After your surgery:

You will be taken to a room where you can rest until you are wake up. You may be allowed to go home. If you are staying in the hospital, you will be taken back to your room. Do not try to get out of bed until your caregiver says it is OK.

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