Hemorrhoidopexy with the HemorPex System

Transanal Doppler-guided hemorrhoidal artery ligation with mucopexy and hemorrhoidopexy with the HemorPex System (HPS) (ANGIOLOGICA B.M. S.r.l., Pavia, Italy) are minimally invasive non-excisional methods available to treat symptomatic hemorrhoids not responding to more conservative treatment. The HPS makes possible mucopexy and the ligature of superior hemorrhoidal artery branches, treating at the same time two important causes of hemorrhoids.