Приглашаю коллег, которые её практикуют или от неё отказались. Впечатления. Мнения.
Я - против этой операции.
Невзирая на заманчивые её плюсы (локальная анестезия, скорость процедуры, простота операции и сногсшибательный результат) - на самом деле всё не так. Осложнений не просто много, их до хрена! Помимо общеизвестных (перфорации, перианальные абсцессы, стенозы, рецидивы) надо отметить адские боли (это не передать, это надо видеть), которые снять можно - якобы - местным обкалыванием преднизолоном (советует сам автор).
Всё потому, что натягивать-обрезать нужно вслепую, полагаясь больше на интуицию.
Осложнения можно обсмаковать подробно, у меня много случаев есть
Добавлю как одно из осложнений и реальных судебных тяжб - скрепки. Пациенты не были предупреждены о торчащих из слизистой скрепках и это ограничило (или избавило на 2 года полностью) их сексуальную жизнь.
Ну и спецом для тебя, радость, последние новости:
Johnson & Johnson JNJ +0.54% has recalled more than 157,000 surgical stapler devices and accessories used in hemorrhoids treatment procedures due to potential malfunctions that pose a serious safety risk.
J&J's Ethicon Endo-Surgery division also has stopped selling one of the products in the U.S. "as part of a business decision," the company said.
The U.S. Food and Drug Administration said use of the recalled devices could cause serious adverse health consequences, including death. The agency assigned its most serious classification, Class 1, to the recall last week.
The recalled products are the Proximate PPH hemorrhoidal circular stapler and accessories, the Proximate HCS hemorrhoidal circular stapler and accessories, and the Transtar circular stapler procedure set.
The devices are used in colorectal procedures including those designed to cut off blood flow to hemorrhoids, which are swollen veins around the rectum or anus.
According to the FDA, the J&J products were recalled "due to difficulty firing the device which may result in incomplete firing stroke that may result in an incomplete staple formation.
"Failure to complete the firing stroke of the stapler can result in severe pain, sphincter dysfunction, rectal wall damage, sepsis, bleeding, and occlusion of the rectal canal," according to the FDA website. It can also cause splitting of rectal wall staple line and bleeding.
Ethicon Endo-Surgery said in a statement it initiated a voluntary recall Aug. 3 for specific production lots of the Proximate hemorrhoidal circular staples and accessories, "due to a potential firing issue that was uncovered in our quality review process."
The company said the root cause was a "lubrication process change" implemented in April 2011 that "could potentially impact force-to-fire of the device." The company has made improvements and resumed production of the PPH devices.
The affected products were manufactured and distributed between April 2011 and July 2012, according to the FDA.
The FDA has received some reports in recent months that Proximate and Transtar devices didn't fire properly or that staples didn't form properly, according to the FDA's Manufacturer and User Facility Device Experience online database. In some cases, patient bleeding or other complications were reported.
Ethicon Endo-Surgery advises customers or distributors with any remaining recalled product to discontinue use immediately and contact the company.
J&J said its Proximate HCS hemorrhoidal circular stapler and accessories with product code "PPH01" have been discontinued in the U.S. However, the Proximate PPH stapler remains available.
J&J has grappled with a series of product recalls and supply disruptions in connection with manufacturing-quality lapses over the past three years.
http://online.wsj.com/article/SB1000142 ... 21898.html
Сам эту методику никогда не применял (звучит как-то в советском стиле, типа: книгу эту не читал, но осуждаю!), на последнем съезде колопроктологов в Белгороде западноевропейский докладчик крайне негативно отзывался об операции Лонго. С гораздо большим успехом при геморрое применяем THD: нет боли, пациент ч/з сутки может уходить домой, результаты до 5 лет отличные.