Stapled hemorrhoidopexy - general and visceral surgery

Check, whether the hemorrhoids can be reduced, and if so, intraoperatively verify the indication for stapled hemorrhoidopexy. Carefully dilate the anal sphincter.

With the PPH set (Procedure for Prolapse and Hemorrhoids), place a circular, submucous purse string suture just superior to the hemorrhoidal base, markedly proximal to the dentate line and sparing the muscles.

With the stapler fully opened, close and tie the purse string suture below the anvil. Digitally examine the anal canal and stapler position.