There are two classification of hemorrhoid treatment. It can be treated using non-surgical or traditional method or through surgical procedures. The doctor will determine what particular treatment most suited to an individual depending on the severity of the hemorrhoids. For worst condition, a surgical treatment is necessary.

One of the surgical procedures which can be used to remove hemorrhoids is the stapled hemorrhoidectomy. Some people may not be familiar with this procedure because of its many names. It is also called as PPH procedure or Procedure for Prolapse & Hemorrhoids. Other health specialists use the term Stapled Hemorrhoidopexy or Circumferential Mucosectomy.

The Procedure

The method uses a circular stapling device by excising a band of the prolapsed anal mucosa membrane. The device pulls the prolapsed tissue to allow the removal of the excess tissues and the remaining hemorrhoidal tissue is stapled. With this procedure, the hemorrhoidal tissue returns to its original anatomical position.

In stapled hemorrhoidectomy, a circular anal dilator is inserted into the anus. An anoscope is then introduced through the anal dilator. It is called a Purse-String Suture Anoscope which pushes back the prolapse into the rectal wall. Tissues that protrude in the anoscope window will be sutured. Once the anoscope is rotated, the purse-string suture will be made around the anal circumference.

A hemorrhoidal circular stapler is again introduced to complete the stapling process. The prolapsed mucous membrane will be captured into the casing of the stapling device through maneuvering of the stapler. Once the device is tightened, the titanium staples will be fired through the tissue. Excess tissues will be removed from the anal area by using a circular knife. The end of the suture will be knotted externally and the anoscope is again used to examine the staple line to check if bleeding is present.

The Benefits of Stapled Hemorrhoidectomy

This method is considered as less painful compared to other surgical treatment. After the procedure, hemorrhoid patients can return to their work or normal activities much faster. If treated with conventional techniques, a patient is required to stay in the hospital for several days. However, PPH or stapled hemorrhoidectomy will not require long stay in the hospital.

The Risks Involved

There has been low incidence of complications from this procedure. Reported complications include damage to the rectal wall due to the excessive muscles drawn into the device. Short-term of long-term dysfunction of the internal muscles of the sphincter could happen because of stretching. Pelvic sepsis can also happen just like in other surgical treatment. So proper monitoring of the doctor is recommended.

Stapled hemorrhoidectomy may not be successful in patients with very large confluent hemorrhoids. The doctor may experience some difficulty in inserting the stapling device in the anal area because of bulky tissues. The device may not be able to accommodate all prolapsed tissues. Continuous pain and the feeling of having a bowel movement can also happen. The incidence of recurrence and prolapse is higher in stapled hemorrhoids than in other conventional hemorrhoid surgery.

Trackback URI | Comments RSS