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Haemorrhoids

Haemorrhoids are inflamed veins around the rectal area which can affect the anus and the rectum. These dilated, inflamed veins are also known as piles.  The small veins are a normal part of the rectal area and are only considered to be haemorrhoids when inflammation is detected or symptoms appear. Haemorrhoids can be internal, external or mixed.

Treatment depends on the patient's symptoms. The symptoms of haemorrhoids may be a sign of other diseases, therefore a thorough clinical history must be taken and the patient must have a full physical examination to rule out other causes of anal and rectal bleeding or pain.

Benefits of the operation

This operation is suitable for people with haemorrhoids who do not respond to hygiene and dietary measures or to pharmacological treatment.  It is also indicated for patients with severe bleeding (acute of chronic and persistent).

Medical-technical description

There are several possible surgical techniques for removing or reducing internal and external haemorrhoids:

  • Elastic ligature with rubber band: A rubber band is placed around the base of the haemorrhoids inside the rectum to cut off blood flow to the haemorrhoid. The haemorrhoids gradually shrink and then disappear within a few days.
  • Sclerotherapy: A chemical solution is injected around the blood vessel to shrink the haemorrhoid.
  • Electric or laser coagulation, or photocoagulation with infrared rays: These techniques use special appliances to burn the haemorrhoidal tissue.
  • Cryotherapy: Freezing of haemorrhoidal packets with protoxide of nitrogen.
  • Hemorrhoidectomy: This is a surgical procedure whereby the haemorroids are permanently removed. We use open haemorrhoidectomy according to the Milligan-Morgan technique, but using a Laser CO2 scalpel to dissect and remove the haemorrhoidal packets. This allows much more accurate dissection and has an anti-inflammatory effect that creates a shallow wound (1 mm as opposed to 1 cm possible with an electric scalpel). Post-operative pain is considerably reduced and wounds heal more quickly.

 

About the operation

A local anaesthetic is used to completely numb the area before cutting out the affected area. 

The operation takes approximately 30 minutes.  Patients generally stay in the clinic for one day.

Before the operation

  • You must not eat or drink for 12 before your operation.
  • You must stop taking drugs such as aspirin, anticoagulants, anti-inflammatories and vitamin E, one week before the surgery.
  • You must remove all metal objects during the operation (rings, bracelets, earrings, body piercings, etc).

Post-operative care

  • You will need to follow a special diet for a few weeks.
  • You will suffer pain and discomfort for between 7 and 14 days.
  • You will be ready to go back to work after 7-10 days.

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