MARKING THE NEEDLE HOLDER AND THE DISSECTING FORCEPS WHILE TAKING PURSE STRING SUTURE IN STAPLER ANOPEXY, EASES TO HAVE A UNIFORM DONOUGHT HEIGHT. - A RANDOMISED PROSPECTIVE STUDY IN 62 CASES.

Dr Biswarup Bose, Dr. Sumanta Kumar Ghosh

Abstract


INTRODUCTION
The first transanal stapling technique for the treatment of anorectal
prolapse was presented at the 2nd World Congress of Coloproctology
in Rome in 1998 by Dr. Antonio Longo [1] . He described a novel
technique for the surgical correction of prolapsing hemorrhoids,
originally referred to as procedure for prolapse and hemorrhoids (PPH)
and more recently as stapled hemorrhoidopexy/Anopexy. Stapled
Anopexy(SA) is presently a standard method of treating Grade III and
IV Haemorrhoids. Unlike Milligan Morgan and Ferguson method of
Hemorrhoidectomy, it causes less postoperative pain and hospital stay
with early recovery and early return to work. 2 Although a [ ] source of
controversy in the early years, it has subsequently been subjected to
critical appraisal and has provoked many randomised clinical trials,
meta-analyses, and more recently in 2007 a favourable review from the
National Institute for Health and Clinical Excellence (NICE) [3]


Keywords


Stapled anopexy, purse string suture, marking of needle holder and dissecting forceps, skin marker pen, incomplete donought.

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