Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland
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Prolapsing haemorrhoids and rectal mucosal prolapse are commonly seen in colorectal practice. Conventional treatment of haemorrhoids and mucosal prolapse by variations of the ligation-excision technique can achieve good results in expert hands. However, post-operative complications are well recognized and may result in prolonged in-patient stay. The aim of this study was to evaluate prospectively a submucosal resection anoplasty technique using a circular stapling device in a consecutive series of patients requiring surgery for haemorrhoids or mucosal prolapse, and to assess the suitability of this technique for day case surgery. ⋯ Transanal stapled anoplasty achieves good functional results and patient satisfaction in the surgical management of haemorrhoids and mucosal prolapse. With careful surgical technique, strict attention to haemostasis and adequate post-operative analgesia this procedure can feasibly be carried out on a day case basis. Minor complications are similar to those of conventional surgery. Though longer-term follow up is required, no major complications were observed in this consecutive series.
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A chronically infected sacral wound requiring repeated shaving, cleansing and dressing after treatment of pilonidal sinus disrupts both work and social activity. ⋯ Prolonged delay in healing after surgical treatment of pilonidal sinus is avoidable.