[Modified Pickrell's operation (author's transl)]

Two important modifications to the conventional technique employed have been applied by the author. The tendon of the right internal rectus is fixed to the anterior bundle of the levator ani, the tendon being placed as deeply as possible under the floor of the levator muscles. In this way, apart from the effect of circular tightening, there is a true "cigar cutter" effect by forward displacement of the posterior surface of the rectum.