Abstract PPH-stapler procedure for treatment of haemorrhoidal prolapse classified P4E4 is an important improvement, but may be followed by severe postoperative complications of which haemorrhage is one of the most serious early events. We report a case of double severe rectal bleeding following PPH-stapler procedure for haemorrhoidal disease classified P4E4 according to PATE 2000 (circumferential prolapse).
PPH-procedure is a technique for management of the haemorrhoidal disease. Postoperative complications may be serious and haemorrhage is the most important early complication.
Keywords: Haemorroidal disease, Bleeding, PPH procedure
PPH Stapler Notes 1. The instrument can only be operated by doctors who have received adequate training and get familiar with operation skills.
2. Be sure to check the sutured tissue for bleeding when the instrument is removed; if there is blood oozing, proper methods shall be adopted to stanch bleeding.
3. Please check the package carefully before use; it is prohibited to use if the package is damaged.
4. The product has been sterilized by ethylene oxide, and its validity period of sterilization is three years, so that please check whether the product is within the validity period. If the validity period expires, the product shall not be used.
5. The product is for single use only, so that it cannot be reused even with sterilization again.
6. Be sure to choose suitable specification of assembly according to the tissue thickness; too thick or too thin tissues many cause bad nail forming.