[Surgical treatment of hemorroids with rectal mucosal resection using a stapler].

OBJECTIVE

To analyze the results of Longo stapled mucosectomy for hemorrhoidal disease in a 1 to 3 years follow up.

PATIENTS AND METHODS

Clinical response and complications where analyzed in patients treated for grade II to IV non-complicated hemorrhoidal disease with Longo stapled hemorrhoidectomy.

RESULTS

In a 27 months period, 160 patients were treated (105 men and 55 women), mean age was 44.1 years (range: 24 to 72 years), and 110 patients had grade III hemorrhoid disease. Non procedure complications were noted, early complications were detected in 5% of patients and late complications were detected in 10% of patients. In a mean follow-up of 18.8 months, 82.5% of the patients remained asymptomatic and 94.4 of the patients reported a good satisfaction score. A second surgery was required in three patients because of recurrence.

CONCLUSION

Longo stapled mucosectomy is a safe treatment for non complicated hemorrhoid disease. In a 18 month follow up most patients were asymptomatic.