Laparoscopic Surgery for Piles

Definition

Piles, medically known  as Haemorrhoids, is a condition in which the blood vessels in the anus and the rectum area become swollen. Sometimes the swelling is so much that the veins get stretched and irritated due to the bowel movements.

Description

The Hemorrhoids are of two types-

  1. Internal
  2. External

Hemorrhoids  Internal-These lie inside the rectum and usually don’t pain as there are not many nerve endings in them. The only indication might be bleeding in the area. They sometimes prolapse and hurt after prolapsing.

Hemorrhoids External –These usually lie within the anus and cause pain. If it prolapses, it can cause extreme pain and discomfort while passing stools. The condition may further lead to thrombosis, another condition which is very uncomfortable for the patient. Anal bleeding should be treated with seriousness as it can lead to colorectal cancer Hemorrhoid treatment is readily available at many clinics.

CONTRAINDICATIONS OF MINIMALLY INVASIVE PROCEDURE FOR HEMORRHOID

This  piles surgery may lead to problems such as

  1. Active sepsis– a condition in which the body reacts toxically to an infection which can cause damage to tissues and lead to death in extreme cases.
  2. Anal stenosis -a condition in which the anal canal is so narrowed down that it becomes difficult to pass the stools.
  3. Full-thickness rectal prolapse –The protrusion of the rectal wall outside the anus.
  4. Stapler Hemorrhoidectomy – ‘Minimally Invasive Procedure for Piles’ (MIPS)

This surgery is less painful than Stapled hemorrhoidopexy. It also helps in early recovery. The surgery is based on the principle that there are no nerve endings of the internal anal canal thus there are fewer chances of the sensation of pain. The mucosa above the pile mass is excised and stapled with the help of a smaller gun. This leads to rectification of the bleeding and prolapse. Then the pile mass is compressed into a cavity inside the stapler. This helps in cutting and sealing the pile mas. The wound in the anal mucosa is closed with a stapler, therefore, there is no need for dressing after the procedure.

What are the complications of Stapled Hemorrhoidectomy?

It is a simple and safe technique but may lead to the complications mentioned below-

  • Incontinence,
  • Hemorrhage,
  • Septic complications
  • Anal stenosis,
  • Fistula.

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HOW IT WORKS AND WHAT ARE THE BENEFITS OF STAPLED HEMORRHOIDOPEXY?

Stapled hemorrhoidopexy is a procedure which makes use of a special device to remove a  part of the tissue from the anal canal for piles treatment.  This leads to discontinuation of blood supply to the hemorrhoids, which makes them shrink. The tissue is secured with staples to keep them in place. This procedure is less painful and offers comfort in the form of a short hospital stay and long term treatment of the symptoms. The patient can return to his normal work schedule within a few days.Plies treatment is possible through surgery.

INDICATIONS

The symptoms of Hemorrhoids are given as under –

  • Bleeding from the anus or bleeding during bowel movement
  • Pain during bowel movements accompanied by tenderness
  • Formation of a   lump or swelling near the anus.
  • Itching in the anal area
  • Mucous discharge from the anal area
  • It is necessary that you see the doctor regarding your condition if you have rectal bleeding. It may be an indication of colon polyps, colitis or Crohn’s disease. If the Hemorrhoidal bleeding is excessive, it can cause anemia.

Piles surgery is of two types –

  • Stapled Hemorrhoidopexy
  • Stapler  Hemorrhoidectomy

CONTRAINDICATIONS OF MINIMALLY INVASIVE PROCEDURE FOR HEMORRHOID

These include

  • anal stenosis (narrowing of the anal canal)
  • Urinary retention
  • anal fissure ( a tear in the lining of the anus)
  • formation of skin tags
  • incontinence (loss of capability to hold urine in the bladder)
  • pseudopolyps (projecting masses of scar tissue  which develop due to ulcers)
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