%20--%3e%3csvg%20version='1.1'%20id='Ebene_1'%20xmlns='http://www.w3.org/2000/svg'%20xmlns:xlink='http://www.w3.org/1999/xlink'%20x='0px'%20y='0px'%20viewBox='0%200%20172%2042'%20style='enable-background:new%200%200%20172%2042;'%20xml:space='preserve'%3e%3cstyle%20type='text/css'%3e%20.st0{fill:%2300A97A;}%20%3c/style%3e%3cg%3e%3cg%3e%3cpath%20class='st0'%20d='M46.8,3.1c5.2,0,5.4,4.5,5.4,4.5c0,4.7-4,4.6-4,4.6c5.8,0,5.6,5.4,5.6,5.4c0,6.4-7.7,6.1-7.7,6.1H32.2%20c0,0,1.6-0.4,1.6-1.9V5.1c0-1.5-1.5-2-1.5-2H46.8z%20M40.4,6.6v13.4h3.9c0,0,3.4,0,3.2-2.9c0,0,0-2.4-6.3-5.1h2.5%20c0,0,2.7,0.1,2.7-2.8c0-2.7-2.9-2.7-2.9-2.7L40.4,6.6z'/%3e%3cpath%20class='st0'%20d='M14.5,3.1c5.2,0,5.4,4.5,5.4,4.5c0,4.7-4,4.6-4,4.6c5.8,0,5.6,5.4,5.6,5.4c0,6.4-7.7,6.1-7.7,6.1H0%20c0,0,1.6-0.4,1.6-1.9V5.1c0-1.5-1.5-2-1.5-2H14.5z%20M8.1,6.6v13.4H12c0,0,3.4,0,3.2-2.9c0,0,0-2.4-6.3-5.1h2.5c0,0,2.7,0.1,2.7-2.8%20c0-2.7-2.9-2.7-2.9-2.7L8.1,6.6z'/%3e%3cpath%20class='st0'%20d='M55.5,3.1c0,0,1.6,0.4,1.6,2v16.6c0,1.5-1.6,2-1.6,2h8.2v-17H67c0,0,3.1,0,3.1,3.2c0,3.2-2.8,3.3-2.8,3.3h-3%20c0,0,1.3,1.1,3,4.8c1.7,3.7,1.7,3.7,1.7,3.7c0,0,1.1,2.1,2.5,2.1h6.5c0,0-1.4-0.4-2.3-2.4c-0.9-2-0.7-1.6-1.8-4.3%20c-1.2-2.9-3.2-2.8-3.2-2.8s5.5-0.1,5.5-5.8c0-5.8-8.3-5.3-8.3-5.3H55.5z'/%3e%3cpath%20class='st0'%20d='M96.1,23.7h8.2c0,0-1.2-0.3-2.1-2.6c-0.9-2.4-5.7-15.8-5.7-15.8S96,3.1,94.2,3.1h-9.1c0,0,1.9,0.4,1.3,2%20c-0.3,0.9-2,5.3-3.4,9h-2.1c-1.4,0-1.6,1-2.1,2.3c-0.5,1.3-1.7,2.3-1.7,2.3c0.7-0.4,3.2-0.4,3.2-0.4l1.3,0l-0.4,1.1%20c0,0-1.2,3.2-2.2,4.2H85l2-5.3c0.5,0,0.9,0,1.2,0c1.4-0.1,1.9-0.9,2.2-1.9c0.4-1,1.7-2.6,1.7-2.6c-0.7,0.2-2.7,0.2-2.7,0.2h-1%20l2.1-5.6L96.1,23.7z'/%3e%3cpath%20class='st0'%20d='M102.4,3.1c0,0,1.6,0.4,1.6,2.1v11c0,0-0.4,7.8,9.8,7.8c10.2,0,9.9-7.4,9.9-7.4V5.2c0,0,0-2.1-1.9-2.1h-4.8%20c0,0,1.6,0.3,1.6,2.1v11.2c0,0,0.2,3.5-3.9,3.5c0,0-3.6,0.1-3.6-3.7v-11c0,0-0.1-2.1-1.9-2.1H102.4z'/%3e%3cpath%20class='st0'%20d='M126.2,3.1c0,0,1.6,0.3,1.6,2.2v16.3c0,1.7-1.6,2.1-1.6,2.1h6.5V12.9l8.3,9.1c0,0,1.1,1.6,3.5,1.6h3.1V5.4%20c0,0,0.2-2.3-1.9-2.3H141c0,0,1.5,0.4,1.5,2.1v8.7L133,3.1H126.2z'/%3e%3c/g%3e%3crect%20x='26.5'%20class='st0'%20width='0.8'%20height='26.2'/%3e%3c/g%3e%3cg%3e%3cg%3e%3cpath%20class='st0'%20d='M37.6,36.3c1,0.6,2.2,1.2,2.2,2.8c0,2.1-1.7,2.9-3.6,2.9c-1.1,0-2.1-0.3-2.4-0.3v-1.2%20c0.2,0.1,1.2,0.5,2.5,0.5c1.3,0,2.2-0.6,2.2-1.7c0-1.2-0.9-1.6-1.7-2.1l-0.9-0.5c-0.9-0.5-2.2-1.1-2.2-2.6c0-1.8,1.4-2.6,3.3-2.6%20c1,0,1.8,0.2,2.1,0.3v1.1c-0.3-0.1-1.1-0.4-2.2-0.4C35.7,32.4,35,33,35,34c0,0.9,0.9,1.4,1.7,1.8L37.6,36.3z'/%3e%3c/g%3e%3cpolygon%20class='st0'%20points='48.2,31.6%2048.2,36.1%2044,36.1%2044,31.6%2042.8,31.6%2042.8,41.8%2044,41.8%2044,37%2048.2,37%2048.2,41.8%2049.4,41.8%2049.4,31.6%20'/%3e%3cpath%20class='st0'%20d='M56,32.7L56,32.7l1.5,5h-3L56,32.7z%20M55.3,31.6l-3.3,10.2h1.2l1-3.2h3.6l1,3.2H60l-3.3-10.2H55.3z'/%3e%3cg%3e%3cpath%20class='st0'%20d='M63.9,32.6h0.9c1.2,0,2.6,0,2.6,1.7c0,1.7-1.4,2-2.8,2h-0.6V32.6z%20M62.8,41.8h1.2v-4.5H65%20c1.6,0,1.9,0.7,2.2,2.2l0.5,2.4h1.2L68.2,39c-0.2-1.1-0.4-1.9-1.8-2.3v0c0.9-0.2,2.1-0.7,2.1-2.6c0-2.5-2.6-2.6-3.3-2.6h-2.5V41.8%20z'/%3e%3c/g%3e%3crect%20x='72.1'%20y='31.6'%20class='st0'%20width='1.2'%20height='10.2'/%3e%3cpolygon%20class='st0'%20points='82.9,31.6%2082.9,40.3%2082.9,40.3%2078.7,31.6%2077.2,31.6%2077.2,41.8%2078.3,41.8%2078.3,33.2%2078.3,33.2%2082.5,41.8%2084,41.8%2084,31.6%20'/%3e%3cg%3e%3cpath%20class='st0'%20d='M94.4,41c-0.3,0.2-1.3,1-2.9,1c-3.2,0-4.1-2.6-4.1-5.6c0-2.6,1-4.9,3.8-4.9c2,0,3.3,1.2,3.3,2.9h-1.3%20c0-0.9-0.5-2-2-2c-2.1,0-2.6,2.1-2.6,4c0,2,0.3,4.6,2.7,4.6c1,0,1.7-0.4,1.9-0.6V37h-2.3v-1h3.5V41z'/%3e%3c/g%3e%3cpolygon%20class='st0'%20points='103.1,31.6%20103.1,41.8%20108.2,41.8%20108.2,40.9%20104.3,40.9%20104.3,37%20107.9,37%20107.9,36%20104.3,36%20104.3,32.6%20108.1,32.6%20108.1,31.6%20'/%3e%3cpolygon%20class='st0'%20points='116.4,31.6%20114.1,35.4%20111.9,31.6%20110.6,31.6%20113.5,36.5%20110.3,41.8%20111.5,41.8%20114.1,37.5%20116.7,41.8%20118,41.8%20114.8,36.5%20117.6,31.6%20'/%3e%3cg%3e%3cpath%20class='st0'%20d='M121.5,32.6h1c0.8,0,2.3,0,2.3,1.9c0,1.2-0.6,1.8-2.1,1.8h-1.2V32.6z%20M120.3,41.8h1.2v-4.6h1.2%20c1.9,0,3.2-0.8,3.2-2.8c0-2.8-2.4-2.8-3.2-2.8h-2.4V41.8z'/%3e%3c/g%3e%3cpolygon%20class='st0'%20points='128.8,31.6%20128.8,41.8%20133.9,41.8%20133.9,40.9%20130,40.9%20130,37%20133.6,37%20133.6,36%20130,36%20130,32.6%20133.7,32.6%20133.7,31.6%20'/%3e%3cg%3e%3cpath%20class='st0'%20d='M138.1,32.6h0.9c1.2,0,2.6,0,2.6,1.7c0,1.7-1.4,2-2.8,2h-0.6V32.6z%20M137,41.8h1.2v-4.5h1.1%20c1.6,0,1.9,0.7,2.2,2.2l0.5,2.4h1.2l-0.6-2.8c-0.2-1.1-0.4-1.9-1.8-2.3v0c0.9-0.2,2.1-0.7,2.1-2.6c0-2.5-2.6-2.6-3.3-2.6H137V41.8%20z'/%3e%3c/g%3e%3cpolygon%20class='st0'%20points='145,31.6%20145,32.6%20147.5,32.6%20147.5,41.8%20148.6,41.8%20148.6,32.6%20151.1,32.6%20151.1,31.6%20'/%3e%3crect%20x='153.5'%20y='31.6'%20class='st0'%20width='1.2'%20height='10.2'/%3e%3cg%3e%3cpath%20class='st0'%20d='M161.7,36.3c1,0.6,2.2,1.2,2.2,2.8c0,2.1-1.7,2.9-3.6,2.9c-1.1,0-2.1-0.3-2.4-0.3v-1.2%20c0.2,0.1,1.2,0.5,2.5,0.5c1.3,0,2.2-0.6,2.2-1.7c0-1.2-0.9-1.6-1.7-2.1l-0.9-0.5c-0.9-0.5-2.2-1.1-2.2-2.6c0-1.8,1.4-2.6,3.3-2.6%20c1,0,1.8,0.2,2.1,0.3v1.1c-0.3-0.1-1.1-0.4-2.2-0.4c-1.2,0-1.9,0.6-1.9,1.6c0,0.9,0.9,1.4,1.7,1.8L161.7,36.3z'/%3e%3c/g%3e%3cpolygon%20class='st0'%20points='166.9,31.6%20166.9,41.8%20172,41.8%20172,40.9%20168.1,40.9%20168.1,37%20171.7,37%20171.7,36%20168.1,36%20168.1,32.6%20171.9,32.6%20171.9,31.6%20'/%3e%3c/g%3e%3c/svg%3e)
%20--%3e%3csvg%20version='1.1'%20id='Ebene_1'%20xmlns='http://www.w3.org/2000/svg'%20xmlns:xlink='http://www.w3.org/1999/xlink'%20x='0px'%20y='0px'%20viewBox='0%200%20147.7%2026.2'%20style='enable-background:new%200%200%20147.7%2026.2;'%20xml:space='preserve'%3e%3cstyle%20type='text/css'%3e%20.st0{fill:%2300A97A;}%20%3c/style%3e%3cg%3e%3cg%3e%3cpath%20class='st0'%20d='M46.8,3.1c5.2,0,5.4,4.5,5.4,4.5c0,4.7-4,4.6-4,4.6c5.8,0,5.6,5.4,5.6,5.4c0,6.4-7.7,6.1-7.7,6.1H32.2%20c0,0,1.6-0.4,1.6-1.9V5.1c0-1.5-1.5-2-1.5-2H46.8z%20M40.4,6.6v13.4h3.9c0,0,3.4,0,3.2-2.9c0,0,0-2.4-6.3-5.1h2.5%20c0,0,2.7,0.1,2.7-2.8c0-2.7-2.9-2.7-2.9-2.7L40.4,6.6z'/%3e%3cpath%20class='st0'%20d='M14.5,3.1c5.2,0,5.4,4.5,5.4,4.5c0,4.7-4,4.6-4,4.6c5.8,0,5.6,5.4,5.6,5.4c0,6.4-7.7,6.1-7.7,6.1H0%20c0,0,1.6-0.4,1.6-1.9V5.1c0-1.5-1.5-2-1.5-2H14.5z%20M8.1,6.6v13.4H12c0,0,3.4,0,3.2-2.9c0,0,0-2.4-6.3-5.1h2.5c0,0,2.7,0.1,2.7-2.8%20c0-2.7-2.9-2.7-2.9-2.7L8.1,6.6z'/%3e%3cpath%20class='st0'%20d='M55.5,3.1c0,0,1.6,0.4,1.6,2v16.6c0,1.5-1.6,2-1.6,2h8.2v-17H67c0,0,3.1,0,3.1,3.2c0,3.2-2.8,3.3-2.8,3.3h-3%20c0,0,1.3,1.1,3,4.8c1.7,3.7,1.7,3.7,1.7,3.7c0,0,1.1,2.1,2.5,2.1h6.5c0,0-1.4-0.4-2.3-2.4c-0.9-2-0.7-1.6-1.8-4.3%20c-1.2-2.9-3.2-2.8-3.2-2.8s5.5-0.1,5.5-5.8c0-5.8-8.3-5.3-8.3-5.3H55.5z'/%3e%3cpath%20class='st0'%20d='M96.1,23.7h8.2c0,0-1.2-0.3-2.1-2.6c-0.9-2.4-5.7-15.8-5.7-15.8S96,3.1,94.2,3.1h-9.1c0,0,1.9,0.4,1.3,2%20c-0.3,0.9-2,5.3-3.4,9h-2.1c-1.4,0-1.6,1-2.1,2.3c-0.5,1.3-1.7,2.3-1.7,2.3c0.7-0.4,3.2-0.4,3.2-0.4l1.3,0l-0.4,1.1%20c0,0-1.2,3.2-2.2,4.2H85l2-5.3c0.5,0,0.9,0,1.2,0c1.4-0.1,1.9-0.9,2.2-1.9c0.4-1,1.7-2.6,1.7-2.6c-0.7,0.2-2.7,0.2-2.7,0.2h-1%20l2.1-5.6L96.1,23.7z'/%3e%3cpath%20class='st0'%20d='M102.4,3.1c0,0,1.6,0.4,1.6,2.1v11c0,0-0.4,7.8,9.8,7.8c10.2,0,9.9-7.4,9.9-7.4V5.2c0,0,0-2.1-1.9-2.1h-4.8%20c0,0,1.6,0.3,1.6,2.1v11.2c0,0,0.2,3.5-3.9,3.5c0,0-3.6,0.1-3.6-3.7v-11c0,0-0.1-2.1-1.9-2.1H102.4z'/%3e%3cpath%20class='st0'%20d='M126.2,3.1c0,0,1.6,0.3,1.6,2.2v16.3c0,1.7-1.6,2.1-1.6,2.1h6.5V12.9l8.3,9.1c0,0,1.1,1.6,3.5,1.6h3.1V5.4%20c0,0,0.2-2.3-1.9-2.3H141c0,0,1.5,0.4,1.5,2.1v8.7L133,3.1H126.2z'/%3e%3c/g%3e%3crect%20x='26.5'%20class='st0'%20width='0.8'%20height='26.2'/%3e%3c/g%3e%3c/svg%3e)
TST33 - Grapadora para terapia de selección de tejido
La hemorroidopexia con sutura mecánica circular (CSH), caracterizada por una incisión circular de la mucosa rectal1, es una técnica efectiva para el tratamiento del prolapso hemorroidal. Sin embargo, la incidencia de urgencias postoperatorias así como de estenosis del canal anal se sitúa en torno al 40%2 y 6%3 respectivamente. La escisión de grandes área de anodermo y mucosa rectal hemorroidal, sin preservar los puentes mucocutaneos adecuados, puede derivar en una mala cicatrización así como en una estenosis progresiva crónica2,4
Estas complicaciones parecen estar relacionadas con la mayor cantidad de grapas en la parte inferior del recto (zona muy sensible) y la naturaleza de la línea de grapado (circunferencia completa)5
