Perioperative management - Hemorrhoidopexy with stapler technique

• Hemorrhoids 3° (multi-segmental)
• isolated or in combination with completely reducible anal prolapse

• acute inflammatory anal diseases

• Proctological examination: inspection, palpation, proctoscopy, rectoscopy

• none

An orthograde bowel lavage or a retrograde enema is not necessary; however, some surgeons prefer an enema for personal reasons.

General Risks:

• Bleeding
• Thrombosis
• Embolism
• Pain

Specific Risks:

• Incontinence due to scar formation
• Sensory deficit with incontinence
• Stenosis due to scar formation
• Partial dehiscence of the suture
• Insufficient wound healing
• Inflammatory changes
• Recurrence
• Remaining external nodes