Verification of reducibility and, in the case of good reposition, intraoperative verification of the indication for stapled hemorrhoidopexy. Careful dilation of the anal sphincter.
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Review of the indication and dilation of the anal sphincter
![Review of the indication and dilation of the anal sphincter]()
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Purse-string suture
![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.
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Insertion of the stapler
![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
When closing the stapler, it is pressed 3-4 cm into the anal canal, ensuring that the distal magazi
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