Hemorrhoids Surgery
Hemorrhoids (piles) arise from congestion of internal and / or external venous plexuses around the anus. Affected, depending on severity, into four grades. First-degree hemorrhoids bleed but do not prolapse outside the anal canal, the second degree prolapse outside the anal canal, usually during defecation, but retract spontaneously.
Hemorrhoids-third grade may need to manually back into position after rectal prolapse, and fourth degree hemorrhoids consist of prolapsed tissue that can not be replaced by hand and is usually strangulated or thrombosis.
Symptoms associated with the pain of hemorrhoids, bleeding, puritus ani (itching) and mucus discharge. As prolapse grade IV, the region where the equivalent of rectal anal skin (jagged line) is almost outside the anal canal and rectum permanently occupied the anal canal muscles.
For more detailed information on the application of the concepts of hemorrhoidal anatomy of the rectal surgery video for our Review: Anatomy of an incident and Hemorrhoids Get Real Player, an alternative approach to surgical treatment of hemorrhoids. By the sound of surgery for prolapse and hemorrhoids, it is worth taking a moment to explain some terms to verify the anatomy.
Traditional Surgery,In many cases hemorrhoidal disease can be done through dietary changes, current medications and a bathroom with hot water, to temporarily reduce the symptoms of pain and swelling treated. In addition, painless non-surgical methods of treatment available for the majority of our patients as an alternative to a permanent job.
In a certain percentage of cases, but surgery is necessary for the satisfactory long; Term relief. When using a greater degree prolapse, various surgical techniques to solve the problem.
Milligan-Morgan in the United Kingdom TechniqueDeveloped Drs Milligan and Morgan in 1937. The three major hemorrhoidal vessels cut. To avoid stenosis, Grace is three slices of pear, separated by bridges of skin and mucous membranes. This technique is the most popular and is considered the gold standard of comparison for most other surgical hemorrhoidectomy techniques.
Ferguson in the United States by Dr. Ferguson, 1952 TechniqueDeveloped. This is a modified technique of Milligan-Morgan (see above), where the cuts are fully or partially absorbable suture with a closed operation.
A hook is used to expose the hemorrhoidal tissue, which are then surgically removed. The remaining tissue is sutured or sealed, or through the coagulation effects of a surgical unit.
Given the high rate of suture breakage at bowel movement, the Ferguson technique offers no advantages in terms of healing (5-6 weeks), pain, or postoperative morbidity.
Conventional resection can be done as day cases hemorrhoid procedure. But to learn, because of poor postoperative care in the community and much pain after the procedure often requires a hospital (on average 3 days).
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