After completely exposing the external prolapse attach the Lone Star retractor and expose the dentate line. Then a circular incision of the outer duplication of the rectal wall 1-2 cm above the dentate line is made under gentle traction at the tip of the prolapse with Allis clamps, so that the anastomosis is later proximal to the puborectal muscle.
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Inserting the anal retractor and incising the rectal wall
![Inserting the anal retractor and incising the rectal wall]()
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Transect the outer duplication of the rectal wall
Step by step, transect the rectal wall with bipolar scissors. At each exposed part of this incision
Step by step, transect the rectal wall with bipolar scissors. At each exposed part of this incision
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