HPS Purple Surgical

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HemorPex System (HPS)for the surgical treatment of haemorrhoidal disease

Cory Bros Ltd, 2 Chestnut House, Farm Close, Shenley, Herts WD7 9AD

Tel: 01923 839333 Fax: 01932 839444 email: [email protected] Website: www.corybros.co.uk

Bibliography:

Dennison AR, Paraskevopoulos JA, Kerrigan DD & Shorthouse AJ – Int J Surg Science, 1995

Goligher C – 1980; 4th Edition. Bailliere Tindall, London

Loder PB, Kamm MA, Nicholls RJ, Phillips RK – Br J Surg, 1994

Longo A – Rome, 1998

Code Description Pack Qty

Ordering Details:

CB7500 HemorPex System (HPS) 5/box

C O R -

H P S - 0 0 1 - 0 4 - 0 8

Cory Bros HemorPex System (HPS) – Clinical Data

• 1,112 cases perormed at San Martino Hospital, Genoa and Santa Rita Clinic, Cagliari• 719 patients ollowed up (12-36 month)

• 456 patients male, 263 emale with average age 47 years (range 20-87)

• 92% cases perormed under local anaesthesia

• 20 minute procedure duration (range 15-25)

• VAS used to assess post operative pain at each ollow up

• 95.5% patients judged post operative pain moderate to absent

• 96.5% patients discharged within 6 hours o surgery

• No signifcant complications

• 94% success rate (6% recurrence)

500

400

300

200

100

0

180

467

72

Grade II

N u m b e r o f P a t i e n t s

Grade III Grade IV



The HemorPex Systemfor the surgical treatment of haemorrhoidal disease



HemorPex System (HPS)

The Cory Bros HemorPex System (HPS) enables the simple,

quick, highly effective, pain free surgical treatment of haemorrhoidal

disease through de-arterializing haemorrhoidopexy

• Quick, simple, sae reproducible technique

• 94% success rate, or Grades II, III & IV, ater 3 years

•Immediate visualisation o results

•Indicated or all grades o haemorrhoid, particularly Grades II & III

•Virtually pain ree, with patients returning to normal activities immediately

•Complication ree

•Allows concurrent skin tag and/or polyp removal

•Procedure may be perormed using only local anaesthesia and mild sedation

(Midazolam 2.5mg)

Handle accepts Wol/Storz light lead ftting or

illumination o the anal canal and improved visualisation

Fixed body maintains contact with anoderma, with handle

turned towards the intergluteal urrow or simple orientation

Rotating wheel allows precise alignment o operative window

at the terminal branches o the superior haemorrhoid artery

Operative window allows precise placement o

sutures or ligation and mucosal repositioning

Introducer ensures atraumatic deviceinsertion and intra-operative rotation



Cory Bros HemorPex System (HPS) – Surgical Technique

The patient is placed in the dorsal lithotomy position.

Any type o anaesthesia is suitable, but in the majority o cases it is possible to perorm the

procedure without anaesthesia. Intra-venous sedation (Midazolam 2.5mg) is recommended.

The lubricated device is inserted into the anal

canal with the handle orientated towards the

intergluteal urrow, thus aligning the preset

positions o the operative window in the

1 – 3 – 5 – 7 – 9 – 11 clock ace positions i.e.

the positions o the 6 terminal branches o the

superior haemorrhoid artery.

Starting with the operative window at the level o the most voluminous

haemorrhoidal pedicle, sutures are placed to provide ligation and

immediate shrinkage o the pedicle.

Concurrently, sutures are placed to ensure the

re-positioning o prolapsed anal mucosa and

haemorrhoidal cushions.

Ater placing the introducer into the lumen o the HemorPex System (HPS) the rotationwheel is moved to the next preset terminal branch position and urther sutures are applied.

This process is repeated until all terminal branch regions requiring

treatment have been sutured.

The HemorPex System (HPS)for the surgical treatment of haemorrhoidal disease

HPS Purple Surgical

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