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  Global Journal of Surgery 2012, 3: 12
  Research Article
Role of stapled hemorrhoidopexy in treatment of hemorrhoids in portal hypertension patients: A preliminary experience
  Walid Galal Elshazly, Khaled said, Ahmed Hussen  
Surgical Department, Faculty of Medicine, University of Alexandria, Egypt
  The aim of this study was to assess patients with underlying liver disease who underwent stapled hemorrhoidopexy (SH) to treat third-degree hemorrhoids. Methods: Thirty patients with third-degree hemorrhoids co-morbid with liver cirrhosis enrolled in this prospective study. The patients underwent stapled hemorrhoidopexy with Proximate® PPH-03. Results: There was no procedure-related mortality or major complications except hemorrhage. Mean operative time was 36 minutes (28 to 50 minutes). Intraoperative blood loss was estimated with a mean of 122.75 ml (range, 50–210 ml). Five patients (16.67%) referred anal bleeding during postoperative days 5 to 7. None of these patients required a new surgery or blood transfusion. All patients received the procedure without symptom relapse except three (10%) who had mild bleeding with their symptoms subsiding conservatively. Conclusions: Our prospective data suggests that SH is a feasible and safe surgical modality for managing third-degree hemorrhoidal disease concomitant with liver disease.
  Stapled hemorrhoidopexy; Hemorrhoids; Liver cirrhosis  

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