Stapled haemorrhoidectomy, also known as the Longo’s procedure or PPH (Procedure for Prolapse and Haemorrhoids), is a surgical technique that uses a specialised circular stapler to remove the diseased piles. The device removes the piles and seals the wound with a row of tiny staples. The stapled wound is located above the dentate line; therefore postoperative pain is reduced. The circular stapling technique results in the reduction of vascular supply to the haemorrhoids, circumferential excision of redundant rectal mucosa, reduction and fixation of prolapsed haemorrhoidal tissue and preservation of the anal transitional zone.
The stapled anastomosis often heals within 2 weeks. As compared to conventional haemorrhoidectomy, stapled haemorrhoidectomy is associated with less wound pain, earlier wound healing and faster recovery.