The choice for a surgical procedure hemorrhoids can depend on several factors. Internal hemorrhoids are treated differently from external ones.
Surgical treatment of internal hemorrhoids.
These procedures are done to hemorrhoids in stages 1 and 2. The methods are performed in the healthcare provider's office.
The procedures can be as follows:
• Rubber band ligation - This is a simple and effective method for curing hemorrhoids . The blood supply to the hemorrhoid is cut off by placing a small rubber band at the base of the hemorrhoid unit. Eventually, the hemorrhoid dries up and drops off. Ligation id performed in a doctor's office and demands no special pre-medication.This is an outpatient procedure for second -stage internal hemorrhoids.
• Sclerotherapy - this is a method of injecting a solidifying agent into the stems of the internal hemorrhoids, aiming to interrupt blood circulation.The hemorrhoid then shrivels up and disappears.
• Infrared coagulation - This method is used to treat small hemorrhoids. The hemorrhoid is treated with infrared light in order to be cut off the blood circulation and dry up in the aftermath.
• Stapled hemorrhoidectomy - the procedure removes a ring of tissue from the anal canal. The cutting of the tissue cuts the hemorrhoids off the blood circulation and as a result they shrink.Then, the tissue ring is secured with staples which hold the tissue in place.
• Hemorrhoidectomy - this is a surgery for removing large and very painful internal hemorrhoids. It is the last resort in treatment of internal hemorrhoids.
Surgical treatment of external hemorrhoids.
External hemorrhoids are usually removed with surgery. It can be applied to second-stage hemorrhoids which have failed ligation treatment. Laser coagulation is used to stop the blood circulation from the external hemorrhoid and eventually the hemorrhoid drues up and falls off.
Getting ready for surgery.
Surgery will be done in hospital. First of all, you should inform the doctor for your health status. Tell him what kind of medication you are taking - this includes herbal remedies and food supplements.
Stop eating and drinking before midnight, the night before your surgery takes place. Stop smoking. Arrange for a member of the family or a friend to drive you home after the procedure.
After surgery.
After the procedure you will be taken to a rest area to recover from the anesthesia.Perhaps you may need to remain in hospital for the night or just leave the hospital the same day. You may have a slight bleeding, nausea and rectal discharge for a week after the surgery. The doctor will prescribe you pain-alleviating medication for the surgery wound and laxatives to ease bowel movement.
The risks that accompany surgical treatment of hemorrhoids.
As with any surgery, there are a couple of risks which are related to hemorroidectomy. A patient must consider the following:
- If too much muscle tissue is drawn, this can result in damage to the rectal wall. This may lead to inflammation or infection.
- The internal sphincter muscles may be damaged. The result may be a long-term or a short-term dysfunction such as severe pain and incontinence.
- Narrowing of the anal canal.
- Infection.
- Bleeding.
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