Every year nearly 40 000 hemorrhoidectomies are performed in Italy, France, and England, and nearly 320 000 hemorrhoidectomies are performed in the United States.1 The difference in hospital costs between 1-day conventional and stapler hemorrhoidectomy is nearly €800 (US $1130) (the cost of the stapler). This means that if in a year all hemorrhoidectomies in the United States were performed using the stapler technique, the annual hospital bill would be €256 million (US $361 million) more expensive.
Cariati A. Hospital Costs of Conventional and Stapled 1-Day Hemorrhoidectomy. Arch Surg. 2009;144(10):977–980. doi:10.1001/archsurg.2009.177