RESUMEN
Background– The use of circular staplers in the treatment of hemorrhoidal disease is known as a simple procedure, with low morbidity, less post–treatment pain and with the same efficacy when compared to the classical hemorrhoidectomy. Aim– Analyze the operative technique, intra–operative and immediate postoperative complications and late results in 100 patients treated for hemorrhoid disease by stapling technique. Patients and Methods– The group included 53 males and 47females with mean age of 49.8 years, operated during the period June 2015 to June 2017 in the Tertiary Care Centre– SKNMC and GH. Results– The majority of patients (78%) were discharged on the first post–operative day. Eight patients required supplementary analgesia and were given intramuscular diclofenac sodium and four of them received intramuscular tramadol. The postoperative follow–up displayed: recurrence of prolapse, five cases (5%); anal sub–stenosis, two cases (2%); anal fissure, one case (1%); persistent pain, two cases (2%). Seven reoperations were performed: one due to bleeding, one due to sub–stenosis and five due to recurrence of hemorrhoidal prolapse and persistence of symptoms. Conclusion– Stapling is simple to accomplish, has low postoperative pain and rate of complications.