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Haemorhoids Surgery

Haemorhoids are enlarged rectal veins

Causes

  1. Constant straining
  2. Constipation
  3. Cirrhosis
  4. Consumption of ecosprin
  5. Pregnancy

Symptoms

  1. Bleeding per rectum
  2. Breathlessness due to severe blood loss
  3. Weakness
  4. Itching in anal region
  5. Burning sensation in anal region

Diagnosis

  1. Proctoscopy
  2. Colonoscopy to rule out cancer
  3. Blood test
  4. Cancer marker tests

Treatment

Early Hemorhoids or piles reduce on

  1. Increasing fibre in diet
  2. Walking
  3. Increasing fluid intake
  4. Preventing from straining
  5. Taking stool softeners
  6. After delivery in pregnant patients
  7. Stopping anti coagulants

In advanced cases

Surgery is the option

  1. Traditional open method is painful and is reserved for selected cases
    1. Stapler hemorhoidectomy
    2. Minimal pain
    3. Rapid recovery
    4. Disappearance of external component
  2. Pile banding for small to medium sized piles
    1. Requires no anesthesia
    2. Office procedure
    3. Same day discharge
    4. Can be repeated
    5. Painless
  3. DHAL

Procedure

Doppler Hemorhoidal artery ligation

It uses Doppler to pick the bleeding artery and suture it at the base

Minimally invasive

  1. Safe
  2. Can be used for prolapsing piles too
  3. Minimally painful

Stapler hemorhoidectomy

Advantages

  • Minimally invasive surgery
  • Less pain full
  • Rapid recovery

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