once the last stitch been placed the handel is turning a clockwise direction to release the suture now the prolapse can be lifted as previously described by pushing the sliding knot in the direction of the initial proximal stick and than securing it the new capacity with the rar precision probe can be carried out at several prolapse positions if necessary because the prolapse nghemorrhoidal cushions are secured in place in the rectum the result of the pro that street ms usually visible immediately there are method can must be considered equally effective for treating the symptoms of hemorrhoids as well as the prolapse the symptoms by means of the precise ligation and the prolapse by means of the new mucopexi