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BACKGROUND: Longo's technique of stapled haemorrhoidopexy has revolutionized management of symptomatic haemorrhoids. However, several problems have been identified in the original Longo's technique. In particular, recurrence of haemorrhoidal tissue has been found to be significantly higher. METHODS: An improved technique with key differences to address these shortcomings is described. The modified stapled haemorrhoidectomy procedure described is carried out without the circular anal dilator and includes the placement of a low purse string of 2-3 cm. CONCLUSION: This technique is proposed as an improvement to the current stapled haemorrhoidopexy.
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Ng et al. (2008) studied this question.
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