After palpation of the anal canal, inspection and confirmation of the indication follow. Careful insertion of the anal retractor.
Tip: If the sphincter is very tight, gentle dilation should be performed before inserting the retractor.
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Inspection and confirmation of the indication
![Inspection and confirmation of the indication]()
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Preparation of the hemorrhoidal cushion
The hemorrhoidal cushion is grasped with a Kocher clamp and luxated outward. Using the electrocaute
The hemorrhoidal cushion is grasped with a Kocher clamp and luxated outward. Using the electrocaute
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