Clinical Application of Stapler to Treat Procedure for Prolapse and Hemorrhoids

Objective To discuss the application of PPH and factors of complication and countermeasure.Methods 40 cases of such Ⅲ～Ⅳ hemorrhoids patient in recent years who underwent this method were analyzed in clinical materials and follow-up materials retrospectively.Results The average operative time was 35 min,average hospitalized time was 2～4 days.The hemorrhoid had recovery with totalrectal mucosa.There were 5 cases with lower abdominal pain and 3 cases with slight incontinence and 1 case with perianal inflammation.There were no relapse and complication as stenosis or fistula after 3～6 months follow-up.2 cases had temporary blood stool.Conclusion The PPH might be a new technique to treat Ⅲ～Ⅳ hemorrhoid with easy,simple,safe,effective,short time,soon recovery and less pain characteristics.The key point to operate of this method was the level of 4～5 cm to anocutaneous line with total rectal mucosa and loop suture is important as well.