Perioperative management - Stapled hemorrhoidopexy

• Third degree hemorrhoids (multi-segmental)
• isolated or in combination with completely reducible anal prolapse

• Acute inflammatory anal disease

• Proctological examination: Inspection, palpation, proctoscopy, rectoscopy

• None

Oral antegrade intestinal lavage or retrograde enema not mandatory; for personal reasons some surgeons prefer enemas.

General risks:

• Bleeding
• Thrombosis
• Embolism
• Pain

Special risks:

• Impaired continence due to scarring
• Sensory deficit with impaired continence
• Stenosis through scarring
• Partial suture dehiscence
• Inadequate wound healing
• Inflammatory changes
• Recurrence
• Remaining external piles