Hemorrhoidopexy with stapler technique

Anatomy Perioperative management Technique Complications Evidence Total Video

Review of the indication and dilation of the anal sphincter

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

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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.
Insertion of the stapler

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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.