Laparoscopic Surgery For Piles
Piles, medically known as Haemorrhoids, is a condition in which the blood vessels in the anus and the rectum area swell. This may cause the veins to stretch and irritate due to bowel movements.
Types of Haemorrhoids
Haemorrhoids are of two types:
- Internal
- External
Haemorrhoids Internal: These lie inside the rectum and usually do not pain as there are few nerve endings in them. The only indication might be bleeding in the area. They may prolapse and hurt after prolapsing.
Haemorrhoids 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 that is very uncomfortable for the patient. Anal bleeding should be treated with seriousness as it can lead to colorectal cancer.
Haemorrhoid treatment is readily available at many clinics.
Indications
The symptoms of Hemorrhoids are:
- 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
You must 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 anaemia.
Contraindications of Minimally Invasive Procedure for Haemorrhoid
This piles surgery may lead to problems such as
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.
Anal stenosis: A condition in which the anal canal narrows down so that it becomes difficult to pass the stools.
Full-thickness rectal prolapse: The protrusion of the rectal wall outside the anus.
Other contraindications may include:
- 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 that develop due to ulcers)
Surgery for Piles
Piles surgery is of two types:
- Stapled Haemorrhoidopexy
- Stapler Haemorrhoidectomy
Stapled Haemorrhoidopexy
Stapled haemorrhoidopexy is a procedure that makes use of a special device to remove a part of the tissue from the anal canal for piles treatment. This leads to the discontinuation of blood supply to the haemorrhoids, which makes them shrink. The tissue is secure 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.
Stapler Haemorrhoidectomy: Minimally Invasive Procedure For Piles’ (MIPS)
This surgery is less painful than Stapled haemorrhoidopexy. It also helps in early recovery. The surgery is based on the principle that there are no nerve endings in the internal anal canal thus there are fewer chances of the sensation of pain. The mucosa above the pile mass excise and stapled with the help of a smaller gun. This leads to the rectification of the bleeding and prolapse. Then the pile mass compresses into a cavity inside the stapler. This helps in cutting and sealing the pile mass. The wound in the anal mucosa closes 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
- Haemorrhage
- Septic complications
- Anal stenosis
- Fistula
