Question 28
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A 40-year-old undergoes an emergency excisional hemorrhoidectomy for strangulated, prolapsing grade 4 internal hemorrhoids (Figure 1). Eight weeks following surgery, the patient report narrow caliber stools, tenesmus, and constipation (Figure 2). What operative technique could prevent the findings in Figure 2?
Figure 1
Physical examination before emergency hemorrhoidectomy
Figure 2
Physical examination 8 weeks after emergency hemorrhoidectomy
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