There is a new development in the field of surgical treatment of hemorrhoids. This is Stapled Hemorrhoidectomy. This is the newest surgical procedure for hemorrhoid treatment. The technique name is actually a misnomer because the surgery does not involve the removal of the hemorrhoids. Stapled Hemorrhoidectomy removes the expanded hemorrhoidal supporting tissue that has dragged the prolapsing cushions downward.
The technique involves a circular and hollow tube being inserted inside the anal canal. Then a suture or long thread is inserted through the tube and woven in a circular pattern within the anal canal above the internal hemorrhoids.
The ends of the long thread are pulled out via the hollow tube after putting the stapler through the first hollow tube. The stapler is a disposable device with a circular stapling mechanism at its end. Pulling on the suture results to a similar motion on the bulging hemorrhoidal supporting tissue bringing it into the stapler. The stapler is fired when the hemorrhoidal cushions are pulled to their normal position in the anal canal.
The fired stapler cuts off the circumferential ring of the bulging hemorrhoidal
tissue that is trapped inside the staper. The action staples together the
lower and upper edges of the cut tissue.
Stapled hemorrhoidectomy reduces the size of the hemorrhoids by decreasing the flow of blood to the vessels feeding the hemorrhoids.
This is affected by cutting the arterial blood vessels that supplies blood to the hemorrhoidal tissue. When the wound tissues surrounding the staples heal, scarring occurs and the scar tissue anchors the hemorrhoidal cushions in their normal position above the anal canal.
When the tissues are completely healed, the staples fall off on their own and then excreted together with the stool after several weeks unnoticed. This treatment is specifically-designed for the treatment of internal hemorrhoids. External hemorrhoids can also be treated using stapled hemorrhoidectomy.
Unlike the traditional hemorrhoidectomy, stapled hemorroidectomy takes only an approximate 30-minute operation. Obviously faster, this new procedure involves lesser pain and patients can return earlier to regular activities like work.
A minor post-operative experience is the feeling of fullness. This is the pressure within the rectum which usually disappears within several days. The complications of this surgical technique include infection, narrowing of the rectal or anal wall due to scarring, persistence of external or internal hemorrhoids, bleeding, and anal fissuring or the tearing of the anal canal lining. A rare complication is trauma to the rectal wall.
First used in Europe in the mid 1990s, Stapled Hemorrhoidectomy has enjoyed preference in recent years. As this procedure continues to be perfected and patients remain steadfast during follow-ups, stapled hemorrhoidectomy is destined to become a choice surgical procedure for symptomatic prolapsing hemorrhoids.
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