To prevent the prolapse of the mucous membrane, more skin should be left than that in the past. The anus is sufficiently pulled out ; and as it is thick, a pair of forceps are applied deep and resection performed, leaving a margin to suture. Because the suture and needle are hooked deep and wide, hemostasis and suture are completed simultaneously. This modified procedure contributes to reduction in time and prevention of prolapse of the mucous membrane.
We have adopted this procedure in 204 of 318 patients of anal disturbances, and the inquires made to 83 of them indicated that the procedure gave rise to a better result in 88.3%, no change in 7.4% and a poor result in 4.3% of them a satisfactory result was attained by the procedure.
