Hemorrhoidal Circular Stapler accommodates to Ⅱ~Ⅳ internal hemorrhoids in PPH surgery, which is procedure for prolapase and hemorrhoids. The main principle is to circularly resect 15~20mm long rectal mucosa above the anus dentate line, and to do side-to-side anastomosis on mucosa at the same time. Rectal mucosa is shortened for 15~20mm, therefore the prolapsed anal cushion is pulled back into the rectal wall after side-to-side anastomosis to cure the disease. The main feature of PPH is the quick surgery, mild postoperative pain, and quick recovery, which is favored by surgeons and patients.

It has been found in recent years that the internal hemorrhoid of some patients is the accompanied symptom of obstructed defecation syndrome. Domestic and overseas anorectal surgeons use hemorrhoidal circular stapler to do Stapled Trans-anal Rectal Resection, STARR. Based on the judgement of clinical diagnosis and operative indication by surgeons, STARR could cure primary diseases of obstructed defecation syndrome, such as rectocele, intrarectal intussusception, rectal mucosal prolapse and other pathological changes on the lower rectal, which offers ideal clinical effects for both constipation and internal hemorrhoid.

According to the special demand for surgical devices in PPH and STARR, as well as the need of clinical surgeons, GoldenStapler completely modified the structure and property of Hemorrhoidal Circular Stapler, which includes 18 improvements, and successfully designed new Hemorrhoidal Circular Stapler that accommodates to both PPH and STARR.

For the clinical need of surgeons at domestic and international and the features of anus and rectum of human body, we developed PPH36. Compared with PPH03 in the medical device industry, the most important feature of our new product PPH36 is that cartridge housing increases by 11 times, and the diameter of anastomosis increases by 27%, making Hemorrhoidal Circular Stapler of GoldenStapler the optimum product in PPH and STARR surgery for clinical colorectal surgeons.

Flexibility
● The open staple height is 4.5mm, appealing to the suture for rectal mucosa and whole rectal tissue in PPH and STARR surgery.
● Magnified Green Indication Window, precisely adjusting the compression on tissue.
● Precisely adjusting the staple formation height according to the thickness of tissue.
● Devices with 32mm, 34mm or 36mm outer diameter are available for the specific clinical conditions.

Reliability
● Non-detachable central rod prevents the anvil falling into the coelenteron.
● Plastic cutting ring provides optimized tactical and audible responses during firing.
● Precisely controlling the compression on tissue, preventing squeezing injury due to the excessive compression on tissue.
● Transparent accessories with gap setting scales, offering clear operation guidance.
● With the safety device, firing is only allowed when the pointer is in the green window, avoiding the misfiring.
● Devices with 32mm outer diameter and 32 staples, 4 staples more than those of international brands, offering better suturing and hemostasis.

Effectiveness
● Tissue stopper design makes the purse drag tissue into the staple housing more deeply, facilitates to cut more tissue, and provides better effect for STARR.
● Longer cartridge reload and larger staple housing, containing more tissue.
● Smooth design of the staple housing edge makes it easier to drag cutting tissue into staple housing without burrs damage during dragging.
● Non-detachable central rod design ensures parallel closure, uniform closed staple height and better suturing and hemostasis.