Stapled Haemorrhoidectomy—Experience With Modified Anoscope

Abstract

Stapled haemorrhoidectomy (SH) is gradually becoming popular. Though it is a “patient friendly” procedure, it has not become the “gold standard”. About 15 % complication rate is reported. A perfect purse-string can avoid many of the complications. The author has made a semicircular hole in the anoscope, which has helped in taking the purse-string at proper depth and at proper distance from the dentate line. A total of 72 cases of SH are performed without any complication. Histopathological examination of donoughts in the first 20 cases shows excision up to the submucosa in 16 cases. Our modified anoscope helps in proper visualisation and proper pick up of the rectal wall for perfect purse-string suture and thus complications are avoided.