Stapler Hemorrhoidopexy—Tips and Tricks

Introduction: Hemorrhoidal disease is a common anorectal condition encountered by general surgeons all over the globe. Stapled hemorrhoidopexy (SH) has emerged as a minimally invasive surgical technique for the treatment of symptomatic hemorrhoidal disease, offering an alternative to traditional excisional methods, which are associated with increased postoperative pain. This technique involves the use of a stapling device to remove the prolapsed hemorrhoidal tissue while simultaneously reestablishing the anatomical position of the hemorrhoids.1,2 This procedure is characterized by a shorter recovery time, reduced postoperative pain, and fewer complications compared to conventional hemorrhoidectomy when done meticulously in a selected group of patients. Recent studies have highlighted its effectiveness in managing symptomatic grade III hemorrhoids and grade II hemorrhoids refractory to medical management, with a focus on improving patient quality of life post-surgery.3 This video case report presents a comprehensive review of the surgical technique, its indications, and the advantages over traditional methods. We also discuss the potential risks and challenges, including the possibility of recurrence, and the current role of SH in the management of hemorrhoidal disease.4,5