To investigate the feasibility and efficacy of stapler partial haemorrhoidectomy combined with selective suture ligation for residuary haemorrhoids in the treatment of circular hemorrhoids.

Clinical data of 42 patients with circular hemorrhoids who underwent stapler partial haemorrhoidectomy combined with selective suture ligation for residuary haemorrhoids at Department of Anorectal Surgery in Huizhou Municipal Central Hospital from March 2016 to August 2017 were retrospectively analyzed. Observe and follow up the operation status, recovery time, short and long-term complications, curative effect and anal function.

The operations were successfully performed on all the patients. The operation time was (45.0±12.5)min. The postoperative hospital stay was (3.2±1.4)d and the postoperative return to normal working time was (12.5±5.8)d. There were 10 cases of obvious postoperative pain requiring analgesics, thirty-eight cases of anal bulging, four cases of urinary retention, one case of anal marginal edema, one case of perianal abscess, eight cases of transient sensory defecation incontinence, no cases of rectal perforation, rectovaginal fistula, massive anal hemorrhage and pelvic infection. The median follow-up time was 47 months, there were two cases of pain, four cases of anal papillary hypertrophy, one case of difficulty defecation, no long-term anal incontinence, no recurrence of prolapse and repeated severe bleeding.

Stapler partial haemorrhoidectomy combined with selective suture ligation for residuary haemorrhoids in the treatment of circular hemorrhoids is safe and feasible. The pain is relatively light, the recovery is quick, and the medium and long-term effects are satisfactory. Circular resection of partial pathological anal cushion will not cause long-term anal incontinence.