TST33 – Hemorrhoidstapler
Cirkulär staplad hemorrhoidopexi (CSh), karakterierad av en cirkulär incision av den rektala mucosan,[1] är en effektiv teknik för behandling prolapsande hemorrhoider. Men å andra sidan så är incidensen av postoperativa akuta besvär och analstenos har rapporterats upp till 40 %[2] respektive 6 %,[3]. Avlägsnande av större delar av anoderm and hemorrhoidal rektal mucosa, utan att spara adekvata mukokutana bryggor så kan det leda till ärrbildning och progresssiv kronisk striktur.[3], [4] Dessa komplikationer kan bli relaterat till närvaron av för många staplers i det känsliga området i låga rektum samt designen på stapelraden[5]
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