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Carli. Age: 19. Hello Gentlemen, My name is Sudem Stretching of the anal sphincter (Recamier, ) using two fingers of each hand (4 fingers) under anaesthesia is also an alternative one. It is better than In closed method (Notaras, ), bivalved retractor is passed first to stretch the sphincter gently so as to make it taut which facilitated its cutting easier; no. 11 blade is. Anal stretch is a procedure that has been described for several decades; techniques include simply inserting several fingers into the anus and stretching the sphincter. Rubber band ligation is a well tolerated, and generally effective management strategy for symptomatic first- to third-degree haemorrhoids, and remains the. subcutaneous part of the external sphincter ultrasound, that there were anal lesions after anal stretch (). I have performed it only twice. Together with Luigi Brusciano, I evaluated cases of successful pneumatic dilatation (published in , with Renzi as first author). Walfisch and Silberstein () and Boschetto et al.


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