Hemorrhoidopexy with stapler technique

  1. Review of the indication and dilation of the anal sphincter

    Video
    Review of the indication and dilation of the anal sphincter

    Verification of reducibility and, in the case of good reposition, intraoperative verification of the indication for stapled hemorrhoidopexy. Careful dilation of the anal sphincter.

  2. Purse-string suture

    Video
    Purse-string suture

    With the PPH set (Procedure for Prolapse and Hemorrhoids), place a circular, submucosal purse-string suture just above the hemorrhoidal base, clearly proximal to the dentate line, preserving the musculature.

  3. Insertion of the stapler

    Video
    Insertion of the stapler

    Insertion of the fully opened circular stapler, tying and knotting of the thread below the pressure plate, digital examination of the anal canal and instrument position.

Resection of hemorrhoidal tissue

When closing the stapler, it is pressed 3-4 cm into the anal canal, ensuring that the distal magazi

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