Hemorrhoids Treatment

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Stapled? What Does That Mean?

The newest treatment method for hemorrhoids is stapled hemorrhoidectomy. Stapled hemorrhoidectomy is a surgery that does not remove the hemorrhoids but, rather, the unusually lax and extended hemorrhoidal supporting tissue that has allowed the hemorrhoids to prolapse downward.

Stapled hemorrhoidectomy is done by inserting a circular, hollow tube into the anal canal. This tube is used in weaving a suture circumferentially aligned with the anal canal above the internal hemorrhoids.

Through the hollow tube, the suture’s ends are brought out of the anus. The first hollow tube is used to pull the stapler where the ends of the suture are pulled. The extended hemorrhoidal supporting tissues are then pulled into the jaws of the stapler.

The hemorrhoidal cushions are pulled back up to resume their normal position within the anal canal. Afterwards, the stapler is fired cutting off the circumferential ring of expanded hemorrhoidal tissue ensnared within the stapler and at the same time attaches together the upper and lower edges of the cut tissue.

During the procedure, the arterial blood vessels traveling within the expanded hemorrhoidal tissue and feeds the hemorrhoidal vessels are cut, consequently reducing the flow of blood to the hemorrhoidal vessels and decreasing the size of the hemorrhoids.

As the cut tissue around the staples heal, scar tissues are formed. This tissue secures hemorrhoidal cushions in their normal position elevated in the anal canal. The staples are needed only until the tissue heals.

Afterwards, they fall off and pass in the stool They then fall off and pass in the stool unseen after several weeks. The procedure is designed for internal hemorrhoids treatment but in the presence of external hemorrhoids they are likewise reduced.

Stapled hemorrhoidectomy is a quicker procedure than traditional hemorrhoidectomy, requiring about half an hour. The pain is lesser compared to traditional hemorrhoidectomy and patients go back to work earlier. There is pressure within the rectum as if there is a need to defecate but is usually gone within several days.

The side effects of stapled hemorrhoidectomy include bleeding, infection, fissures in the anal area, narrowing of the anal or rectal wall due to scarring, persistence of internal or external hemorrhoids, and, rarely, pain to the rectal wall.

Stapled hemorrhoidectomy was initially used in Europe in the mid 1990’s and has been increasingly used worldwide in recent years. If more experience and patient follow-ups continue to produce good results, stapled hemorrhoidectomy is likely to become the foundation of surgical therapy for symptomatic, prolapsing hemorrhoids.

Hemroids