|Discussion in 'All Categories' started by Paramjeet Singh - Jul 3rd, 2012 9:29 am.|
|Hi,I just want to confirm whether an operation for Piles is good option or we can cure it by some medicine.I have been facing this problem from last 3-4 years.|
re: Piles by Dr J S Chowhan - Jul 5th, 2012 12:11 pm
Dr J S Chowhan
|Dear Paramjeet Singh
If the piles is creating problem for long time and medical treatment has not shown good result, surgery is the only option.
A haemorrhoidectomy is an operation to remove the haemorrhoids. It may be recommended if injections (sclerotherapy) or banding have not been effective, or if you have large haemorrhoids causing severe discomfort and pain. Haemorrhoidectomies are usually completed within general anaesthetic and painkilling medication which makes you unconscious.
A conventional haemorrhoidectomy involves gently opening the anus therefore the haemorrhoids could be cut out. It is a major operation and you will have to take a week or so off work while your wounds heal. You probably are experiencing significant pain following the operation, however, you will be presented painkillers to help. You might still have pain a few weeks following the procedure, which can also be controlled with painkillers. However, seek medical health advice for those who have pain that continues for extended.
Stapled hemorrhoidectomy is the newest surgical technique for treating hemorrhoids, and it has rapidly become the treatment of choice for third-degree hemorrhoids. Stapled hemorrhoidectomy is a misnomer since the surgery does not remove the hemorrhoids but, rather, the abnormally lax and expanded hemorrhoidal supporting tissue that has allowed the hemorrhoids to prolapse downward.
You can also think stapled hemorrhoidectomy, in which a circular, hollow tube is inserted into the anal canal. Through this stapler tube, a suture is placed, actually woven, circumferentially within the anal canal above the internal hemorrhoids. The ends of the suture are brought out of the anus through the hollow tube and passed though the stapler.
The stapler called PPH stapler is a disposable instrument with a circular stapling device at the end. It is placed through the first hollow tube and the ends of the suture are pulled.
Pulling the suture pulls the expanded hemorrhoidal supporting tissue into the jaws of the stapler as a purse string. The hemorrhoidal cushions are pulled back up into their normal position within the anal canal. The stapler then is fired and kept pressed for 20 seconds. When it fires, the stapler cuts off the circumferential ring of expanded hemorrhoidal tissue trapped within the stapler and at the same time staples together the upper and lower edges of the cut tissue.
So, in summary we will advice you that you should not be afraid from surgery and you should get your surgery done as soon as possible.
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