Wednesday, 1 February 2017

Surgical Technique for treating Haemorrhoids, Bleeding piles

 
           Surgical Technique for treating Haemorrhoids


Hemorrhoids are basically large blood vessels within the rectum. There are two different of hemorrhoids — one, internal hemorrhoids, and one other, external hemorrhoids. The external hemorrhoids are the kind of hemorrhoids that actually hang outside the anus. The internal hemorrhoids are the ones that are inside the anus. Both of them can cause a lot of pain, and both of them can cause bleeding.

Most common cause of hemorrhoids and hemorrhoidal pain is constipation. Basically, hemorrhoids are a cluster of blood vessels within the rectum, and their main function is, basically, to keep the anus closed, so that you don’t spill any stool out, and basically, keep the contents within the rectum encased. 

                       Symptoms of Haemorrhoids (Piles)

The most common symptoms of both internal and external haemorrhoids (piles) include:

• Bleeding during bowel movements. You might see streaks of bright red blood on toilet paper after you strain to have a bowel movement.

• Itching

• Rectal pain. It may be painful to clean the anal area

Internal hemorrhoids

• With internal hemorrhoids, you may see bright red streaks of blood on toilet paper or bright red blood in the toilet bowl after you have a normal bowel movement. You may see blood on the surface of the stool.

• Internal hemorrhoids often are small, swollen veins in the wall of the anal canal. But they can be large, sagging veins that bulge out of the anus all the time. They can be painful if they bulge out and are squeezed by the anal muscles.

External hemorrhoids

• External hemorrhoids can get irritated and clot under the skin, causing a hard painful lump. This is called a thrombosed, or clotted, hemorrhoid.


                      Treatment for Haemorrhoids (Piles)

Surgical haemorrhoidectomy is a similar procedure. It can be done when the number of haemorrhoids is less. The procedure is done under local anaesthesia. The surgeon inserts an instrument called anoscope into the anal canal. The instrument winds a rubber band at the base of the haemorrhoid. The blood supply to the haemorrhoid is cut causing it to shrink and fall off within a week's time. 1-2 haemorrhoids can be treated at a time.

Rubber band ligation Is another benign condition that affects the uterus. It is the second leading reason for hysterectomies. It occurs when endometrial tissue (the inside lining of the uterus) begins to grow on the outside of the uterus and on nearby organs. This condition may cause painful menstrual periods, abnormal vaginal bleeding and loss of fertility.

                           Stapled Haemorrhoidectomy for Piles

Stapled hemorrhoidectomy might be the newest surgical way of treating hemorrhoids, and contains quickly end up being the treating choice for third-degree hemorrhoids. Stapled hemorrhoidectomy is really a misnomer because the surgery doesn't take away the hemorrhoids but, rather, the unusually lax and extended hemorrhoidal supporting tissue which has permitted the hemorrhoids to prolapse downward. For stapled hemorrhoidectomy, a circular, hollow tube is introduced to the anal canal.

The stapler is a non-reusable instrument having a circular stapling device at the conclusion, is positioned with the first hollow tube and also the ends from the suture are pulled. Pulling the suture pulls the extended hemorrhoidal supporting tissue to the jaws from the stapler. The hemorrhoidal cushions are retracted up to their normal position inside the anal canal. 


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