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Stapled hemorrhoidopexy - general and visceral surgery
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Verifying the indication and dilating the anal sphincter
Purse string suture
Inserting the stapler
Resecting the hemorrhoidal tissue
When the stapler is being closed, it is pulled 3-4 cm into the anal canal, thereby ensuring that the distal part of the cartridge is safely positioned proximal to the dentate line. The hyperplastic hemorrhoidal tissue is resected by triggering the stapler. Open the stapler just a few millimeters and gently remove the device. Inspect the resectate. In 50-60% of cases there will be tangentially transected fibers of the muscularis propria on the extraluminal aspect of the resectate.
Terminating the procedure