Residual staples as a possible cause of recurrent rectal bleeding after stapled haemorrhoidectomy

Inflammatory Polyps: A Cause of Late Bleeding in Stapled Hemorrhoidectomy

“…Quah et al 12 reported two cases of bleeding at 12 months after stapled hemorrhoidectomy. In both cases, bleeding was seen to occur from the area around several exposed staples.…”

Reinterventions After Complicated or Failed Stapled Hemorrhoidopexy

“…1 Retained staples caused bleeding in some cases, as reported by others. 15 Rectal obliteration causing acute intestinal ob- struction was easily managed simply by releasing a double pursestring entrapped by the staples. The question arises if retained staples detected at proctoscopy should be removed.…”

Agraffectomy after low rectal stapling procedures for hemorrhoids and rectocele

“…Quah et al reported the cases of 2 patients with persistent fresh rectal bleeding occurring more than 12 months after SHP. The staples were removed in the outpatient clinic using biopsy forceps after which no further bleeding was reported [31]. Drummond and Wright also observed this late occurrence in a patient presenting with intermittent bleeding 4 years after SHP.…”

“…The majority of publications describe digital examination for a palpable mass and procotoscopy for visualization of staples [6,31,32]. However, anal endosonography can also provide evidence of staples buried deep into the muscle, as described by de Nardi after STARR Procedure, which might lead to surgical exploration and transanal exposure of staples, followed by agraffectomy [26].…”