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The possible explanation was the anal cushion was suspended and raised during the RPH therapy, and the blood flow of the hemorrhoidal artery was blocked, the hemorrhoidal tissues could be tied tightly using the suture threads with elastic loops to minimize the area of the wound

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Neurologa 32(8):533539 Hsieh YC, Mounsey RB, Teismann P (2011) MPP(+)-induced toxicity in the presence of dopamine is mediated by COX-2 through oxidative stress