The "winged" circular anal dilator in stapled hemorrhoidectomy.
Stapled hemorrhoidectomy is gaining popularity worldwide. One problem that is often encountered is difficulty with insertion of the circular anal dilator because of very protuberant and fatty buttocks and a narrow interischial tuberosity distance. We describe a modification of this device for easier introduction in such patients.
Department of Colorectal Surgery, Singapore General Hospital, Singapore, Singapore.
P
P
Mathur
T
T
Ho
R
R
Spalinger
F M H
FM
Chirurgie
F
F
Seow-Choen
D001003:Anal Canal / Q000601:surgery*; D004106:Dilatation / Q000379:methods; D004867:Equipment Design; D006484:Hemorrhoids / Q000601:surgery*; D006801:Humans; D013525:Surgical Instruments; D013537:Sutures