|
External Prolapsed Hemorrhoids
Hemorrhoids - this disease is very unpleasant. As a rule, it is always accompanied by pains, bleeding, and at later stages hemorrhoidal boluses may prolapse. In the beginning of this disease the small bleeding arises during or right after the defecations process. Blood is usually of scarlet color, but escape of dark blood, sometimes with clots is also possible. At more late stages of hemorrhoids when the bleeding happens regularly, anemia is more likely to develop.
Proctologists use all spectrum of remedial measures in order to "kill" hemorrhoids, and these measures are heavily depend on the stage of the decease - from drugs to surgical operations. These techniques are well developed and widely approved, the risk is considered to be small.
Non-Operational Methods of Treatment
Worth mentioning but medicines are capable to remove symptoms only or to slow down the development of a disease. However, this problem can be solved by making direct impact on hemorrhoidal boluses. The choice of radical techniques depends on a stage of the disease, medical equipment, etc. Non-operational methods of treatment use instead of a scalpel every possible physical and chemical impact: light, warmth, radio waves, latex rings, sclerosing products, etc. All these methods share one goal: have the bolus necrotized by stopping blood circulation in it.
Radio-wave scalpel is considered to be one of the most merciful methods as it employs high powered radio waves to hit the boluses.
Laser coagulation is also used when treating hemorrhoids. Proctologists use carbonic or neodymium lasers. This is one of the easiest ways to cut a bolus and scar the tissue over.
Another friendly way is ligation by latex rings. Ligation is applied to prolapsed boluses. Bolus is bandaged at its bottom by latex rings. Without proper blood circulation, in 7-10 days the bolus falls off and is removed outside together with intestinal contents.
Surgical Methods
In the majority of countries general hemorrhoidectomy (surgical operation) is recommended to 17-21 % of patients, others are treated by minimally invasive methods of treatment.
Operation is recommended to young and middle aged patient in a good general condition who has excessive bleeding or suffer from constant prolapse of internal boluses. Morbidity is the most unpleasant aspects of surgical operation. The beginning of rectum is a very sensitive zone and seams after classical operation cause unpleasant sensations for a long period of time.
Another method is Longo's operation: this is when all rectum mucous membranes together with hemorrhoidal veins are removed. One of the advantages of this operation is that the probability of relapse is actually excluded.
Hemorrhoidectomy is performed within one day. Long-term results are very good, relapses occur quite rarely. Alongside with the use of traditional scalpel, hemorrhoidectomy can be performed with the help of electrocoagulation and the laser. The choice of hemorrhoidectomy technique depends on preferences of the surgeon and the availability of the equipment.
|
|
