Modified stapled hemorrhoidopexy for lower postoperative stenosis: A five-year experience

Figure 1 Key surgical steps of modified stapled hemorrhoidectomy. A: A purse string suture was placed at the hemorrhoid tissue; B: A 33-mm circular stapler was inserted, closed, and fired; C: Bleeding was evaluated after creating the circular stapled anastomosis; D: After checking the bleeding status, we removed the staples at the 3- and 9-0’clock positions; E: Staples at the 3-o’clock were removed and a hemostatic suture was placed.

Figure 2 Details of the dimension of the Hirschman anoscope we used in our out-patient department. A: The assembled the length is 13.0 cm; B: The length of dilating part is 12.0 cm; C: The diameter of the dilating part is 2.2 cm.