Hemorrhoids surgery

Revision as of 17:14, 16 May 2013 by Ochuko Ajari (talk | contribs)
Jump to navigation Jump to search

Hemorrhoids Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Hemorrhoids from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

X Ray

CT

MRI

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Hemorrhoids surgery On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Hemorrhoids surgery

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Hemorrhoids surgery

CDC on Hemorrhoids surgery

Hemorrhoids surgery in the news

Blogs on Hemorrhoids surgery

Directions to Hospitals Treating Hemorrhoids

Risk calculators and risk factors for Hemorrhoids surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Surgery

Some people require the following medical treatments for chronic or severe hemorrhoids:

Rubber band ligation
sometimes called Baron ligation. Elastic bands are applied onto an internal hemorrhoid to cut off its blood supply.[1] Within several days, the withered hemorrhoid is sloughed off during normal bowel movement.
Hemorrhoidolysis/Galvanic Electrotherapy
desiccation of the hemorrhoid by electrical current.
Sclerotherapy (injection therapy)
sclerosant or hardening agent is injected into hemorrhoids. This causes the vein walls to collapse and the hemorrhoids to shrivel up.
Cryosurgery
a frozen tip of a cryoprobe is used to destroy hemorrhoidal tissues.[2] Rarely used anymore because of side effects.
Laser, infrared or BICAP coagulation
laser, infrared beam, or electricity is used to cauterize the affected tissues. Lasers are now much less popular. Infrared coagulation has been studied in comparison with RBL and found to be as effective in hemorrhoids up to grade III. These are the most readily available non-surgical procedures in the US.
Hemorrhoidectomy
a true surgical procedure to excise and remove hemorrhoids. Has possible correlation with incontinence issues later in life; in addition, many patients complain that pain during recovery is severe. For this reason is often now recommended only for severe (grade IV) hemorrhoids.
Stapled Hemorrhoidectomy
Also called the procedure for prolapse and hemorrhoids, it is designed to resect soft tissue proximal to the dentate line, which disrupts the blood flow to the hemorrhoids. It is generally less painful than complete removal of hemorrhoids and also allows for faster recovery times. It's meant for hemorrhoids that fall out or bleed and is not helpful for painful outside conditions.
Enema
This Practice is used to clean the rectum. While it is a simple procedure, it can be complicated by hemorrhoids, so in such cases, it should be done by a doctor. In an enema, water is injected into the rectum and then flushed out, cleaning the area.
Doppler Guided Hemorrhoidal Artery Ligation
The only evidence based surgery for all grades of hemorrhoids. It does not involve cutting tissues or even a stay at the hospital; patients are usually back to work on the same day. It is the best treatment for bleeding piles, as the bleeding stops immediately. [3]
RectoAnal Repair
Also known as mucopexy or mucosal lifting is used for managing prolapse of mucosa or hemorrhoids

References

  1. Longman RJ, Thomson WH (2006). "A prospective study of outcome from rubber band ligation of piles". Colorectal Dis. 8 (2): 145–8. doi:10.1111/j.1463-1318.2005.00873.x. PMID 16412076.
  2. MacLeod JH (1982). "In defense of cryotherapy for hemorrhoids. A modified method". Dis. Colon Rectum. 25 (4): 332–5. PMID 6979469.
  3. Scheyer M, Antonietti E, Rollinger G, Mall H, Arnold S (2006). "Doppler-guided hemorrhoidal artery ligation". Am. J. Surg. 191 (1): 89–93. doi:10.1016/j.amjsurg.2005.10.007. PMID 16399113.

Template:WH Template:WS