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Stapled Hemorrhoidopexy Treatment in India

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Dr. K R Vasudevan
Dr. K R Vasudevan

Director - Liver Transplant

CONSULTS AT

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EXPEREIENCE :
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Introduction

Hemorrhoids, commonly known as piles, affect millions of people worldwide. They can cause discomfort, pain, itching, and bleeding, significantly impacting the quality of life for those suffering from them. While conservative treatments like dietary modifications, fiber supplements, and topical ointments can provide relief in mild cases, more severe hemorrhoids may require surgical intervention. Stapled Hemorrhoidopexy, also known as PPH (Procedure for Prolapse and Hemorrhoids), is an innovative and minimally invasive surgical procedure that has gained popularity in recent years due to its effectiveness and quick recovery times. In this blog, we will explore the procedure, its benefits, and its potential risks.

Understanding Stapled Hemorrhoidopexy

Stapled Hemorrhoidopexy is a surgical technique primarily used to treat internal hemorrhoids that have prolapsed (protruded from the anus). Unlike traditional hemorrhoidectomy, which involves cutting and removing the hemorrhoidal tissue, stapled hemorrhoidopexy aims to correct the prolapse by reducing the blood flow to the hemorrhoids while simultaneously repositioning the tissue back into its original anatomical position.

The Procedure

  • Anesthesia: The patient is usually given general or regional anesthesia to ensure a pain-free experience during the procedure.
  • Insertion of the Stapler: A circular, hollow stapler is inserted into the anal canal, and the hemorrhoids are gently drawn into the device.
  • Stapling and Cutting: The stapler is fired, creating a circular "purse-string" of staples that both removes excess tissue and lifts the prolapsed hemorrhoidal tissue back into its original position, thereby restoring its blood supply.
  • Healing and Recovery: With time, the stapled tissue scars down, reducing the size of the hemorrhoids and providing relief from the associated symptoms.

Benefits of Stapled Hemorrhoidopexy

  • Minimally Invasive: Stapled Hemorrhoidopexy is less invasive than traditional hemorrhoidectomy, resulting in less pain, fewer complications, and a quicker recovery period.
  • Reduced Pain: Patients typically experience less postoperative pain compared to conventional surgery, as the nerve endings in the anus are less affected.
  • Shorter Hospital Stay: Most patients can return home on the same day as the procedure, reducing hospitalization costs and allowing for a faster return to normal activities.
  • Faster Recovery: Recovery time is significantly shorter with stapled hemorrhoidopexy, and patients can often resume their daily routines within a week or two.
  • Effective for Prolapsed Hemorrhoids: The procedure is particularly effective in treating prolapsed hemorrhoids, providing relief and preventing further complications.

Potential Risks and Complications

While stapled hemorrhoidopexy is generally safe, like any surgical procedure, it does carry some risks. These may include:

  • Bleeding: Some patients may experience minor bleeding, especially in the first few days after the procedure.
  • Infection: In rare cases, an infection may occur at the surgical site, necessitating medical attention.
  • Recurrence: Although the chances are relatively low, there is a possibility of hemorrhoids recurring over time.
  • Fecal Incontinence: In very rare instances, patients may experience difficulty controlling bowel movements after the procedure.

Conclusion

Stapled Hemorrhoidopexy is a valuable addition to the range of treatment options available for individuals suffering from hemorrhoids, particularly those with prolapsed internal hemorrhoids. Its minimally invasive nature, reduced postoperative pain, and faster recovery time make it an attractive alternative to traditional hemorrhoidectomy.

However, it's essential to remember that not all cases of hemorrhoids are the same, and what works for one person may not be suitable for another. If you are experiencing symptoms of hemorrhoids, it is crucial to consult a qualified healthcare professional who can assess your condition and recommend the most appropriate treatment approach tailored to your specific needs.

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FAQs

Stapled Hemorrhoidopexy is generally associated with less postoperative pain compared to traditional hemorrhoidectomy. The procedure is performed under anesthesia, which ensures that the patient does not feel any pain during the surgery. However, some patients may experience mild discomfort or pain during the recovery period, which can be managed with pain medications prescribed by the surgeon.
Recovery time varies from person to person, but most patients can expect to resume their daily activities within a week or two after the procedure. It is essential to follow the postoperative instructions provided by the surgeon to ensure a smooth and speedy recovery.
Stapled Hemorrhoidopexy is specifically designed to treat internal hemorrhoids that have prolapsed or protruded from the anus. It is not typically recommended for external hemorrhoids, as they are located outside the anus and have a different blood supply.
Patients may be advised to follow a soft and high-fiber diet in the days following the procedure to avoid straining during bowel movements. Drinking plenty of water and incorporating fiber-rich foods can help promote smooth bowel movements and prevent constipation.
Yes, Stapled Hemorrhoidopexy is often performed on an outpatient basis, meaning that patients can return home on the same day as the procedure. This is one of the advantages of the technique, as it reduces hospitalization costs and allows for a faster return to normal activities.
While Stapled Hemorrhoidopexy is considered safe, there are some potential risks, including minor bleeding, infection, and very rarely, fecal incontinence. However, these complications are relatively rare, and the overall risk is low when the procedure is performed by a skilled and experienced surgeon.
Stapled Hemorrhoidopexy has shown good effectiveness, especially in treating internal hemorrhoids with prolapse. Studies have indicated that it provides significant relief from symptoms and has a lower rate of complications compared to traditional hemorrhoidectomy. However, the success of the procedure may vary depending on individual factors and the severity of the hemorrhoids.

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