Mucosal Flap Excision for Treatment of Remnant Prolapsed Hemorrhoids or Skin Tags After Stapled Hemorrhoidopexy

Abstract

Stapled hemorrhoidopexy may leave residual skin tags or external components following its use in large prolapsed piles. Excision of redundant mucosa above the dentate line and reconstitution to the staple line reduces these prolapsed elements. We describe a novel technique that removes residual skin tags and piles while remaining true to the spirit of stapled hemorrhoidopexy.