Repair of anal stenosis using a prolapse and hemorrhoids (PPH) stapler procedure: A case report with excellent results

Abstract

ABSTRACT Introduction: Anal stenosis post stapled hemorrhoidectomy is a rare but serious complication of anorectal surgery. Stenosis is uncomfortable, where there is a narrowing of the anal canal. A loose fibrous tissue replaces healthy tissue due to stapler manipulations, causing pain at the time of defecation. Presentation of case: Here, we report the case of a 67-year-old male patient complaining of difficulties and pain when defecating. There was a history of stapler hemorrhoidectomy for 4th-grade hemorrhoids. On investigation, we found 3rd-degree anal stenosis. We performed repair of anal stenosis using a PPH Stapler No. 33. Defecation had improved by the fifth-day post-repair. Conclusion: The PPH Stapler technique has the potential to be a promising procedure to treat anal stenosis. Highlights:

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