[New surgical method in the treatment of severe hemorrhoidal bleeding caused by decompensated liver cirrhosis].

Authors used a new technique for haemorrhoid surgery performed with PPH (Procedure for Prolapse and Haemorrhoids) instrument to cure bleeding haemorrhoids caused by vascularly decompensated liver cirrhosis. Longo developed the special circular stapler in 1993. The 69 years old female patient underwent continuous medical treatment during the last 10 years due to liver cirrhosis developed as a result of chronic alcoholism. There were two haemorrhoidectomies in her previous history. Haemorrhoidal bleed was in the background of severe haematochesia in July 1999. She was transfused with 38 units of blood at Department of internal medicine. Because no result was expected by further conventional surgery, this new procedure was performed. After uneventful postoperative period the patient was discharged without any complaints. During six months follow-up there was no further bleeding and her quality of life is better.