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Surgical
Hemorrhoid Treatments
Surgical procedures are
usually reserved for treating painful clots, hemorrhoids that bleed
constantly, acute, longstanding hemorrhoids that fail to respond to
other treatments. Used on third and fourth degree hemorrhoids and
patients who have serious problems with hemorrhoids skin
tags.
Surgery provides better
long term results but is more painful, expensive and recovery takes
longer, surgical complications are also more common.
The most commonly used
surgery types:
- Lord dilatation -
forceful dilation of the anal sphincter is used to stretch the anal
canal, and weaken the anal sphincter. It is done because the
increased sphincter pressure is the cause of hemorrhoids.
Dilatation is rarely used because it frequently causes damage to
the sphincter itself, which results in many patients becoming
incontinent and unable to control their bowel
movements.
- Hemorrhoidectomy - with
this treatment both the internal and external hemorrhoids are cut
out, the wounds may be sutured (closed technique) or left open to
heal (open technique).
In case of external hemorrhoids vein responsible is identified and
excised together with overlying skin and underlying veins to
prevent return in the same spot again.
Sometimes proctoplasty is also necessary, it removes prolapsed anal
lining higher in the anal canal.
Pain is severe, and sometimes complications like urinating
difficulty, delayed bleeding and infection can occur. Recovery is
usually 2 -4 weeks.
- Stapled
hemorrhoidectomy - is one of the latest hemorrhoid treatments, it
doesn't remove the hemorrhoids but it removes supporting tissue
which has caused prolapse in the first place.
It is much faster then traditional hemorrhoidectomy, causes less
pain and patients can return to work
earlier. Difficulty
with this treatment is that it can cause infection, bleeding,
anal fissures and narrowing of the anal
canal.
I hope that this article
has helped you in getting more information about hemorrhoids
surgery, hemorrhoids treatment and hemorrhoid surgery
types.
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