Partial stapled hemorrhoidopexy for second-degree symptomatic hemorrhoidal prolapse.

Each type of CAD is coupled to a specific anatomical presentation (see the images just below each CAD type). a Three-window dilator. b Two-window dilator. c Big C dilator Graph: Fig. This innovative shape allows selective rectal resection in which the purse-string suture passes through the redundant tissue that protrudes through the windows[[1]] (Fig. 2 Surgical procedure performed using the three-window dilator. a Evaluation of the prolapse after circular anal dilator placement. b Purse- string using 2/0 monofilament wire. c Firing using TST-33 Mega Window (Touchstone International Medical Science Co, Ltd, Suzhou, China). d Suture bridge between the staple line which needs to be cut. e Stitching the dog ear edges of the staple lines. f Specimen of the partial triple prolapsectomy Declarations Conflict of interest The authors declare that they have no conflict of interest. [Extracted from the article]