New
Technique for Hemorrhoidectomy
Hemorrhoids have been
an unwelcome problem for centuries. It has also been a misunderstood
problem. Hemorrhoids are actually the veins which drain our lower rectum
and anus. They can develop varicosities like the veins in our legs. With
time and persistent pressure they will eventually prolapse and become
inflamed. This will lead to multiple complaints such as bleeding, pain,
itching, prolapse and thrombosis.
Hemorrhoids are
classified by grades. Grade I is mild disease. Grade II will prolapse
but spontaneously reduce. Grade III will prolapse but will require
manual reduction. Grade IV are prolapsed and cannot be reduced.
Most hemorrhoidal
symptoms can be treated without surgical intervention. This includes
fiber supplementation, stool softeners, increased water consumption,
exercise, sitz baths and steroid ointments. However, when conservative
measures fail there are several options. Most grade II and some grade
III hemorrhoids can be successfully treated by hemorrhoidal banding
techniques. The majority of grade III and all grade IV disease must be
treated surgically.
Historically,
traditional hemorrhoid surgery has been feared because of the
significant postoperative pain. This no longer is the case. A device
called the PPH hemorrhoid stapler has been developed which has
revolutionized this procedure. This is a simple outpatient procedure
which produces excellent results with significantly less pain. The
patient can usually return to regular unrestricted activity in about 5
days. Thus far, our patients have raved about their results. They have
experienced far less discomfort than traditional hemorrhoid surgery and
returned to their everyday activities much quicker.
Every patient with
rectal prolapse or symptomatic prolapsing hemorrhoids should consider
being evaluated to see if they are a candidate for this new procedure.
Appointments can usually be made expeditiously with one of our surgeons
credentialed in this technique.
