Hemorrhoid Procedure

Conservative methods of medical treatment of hemorrhoids include changes in diet, lifestyle changes, and hydrotherapy which require a high degree of patient compliance to be effective. While the conservative treatment of hemorrhoids is ineffective, doctors are turning to other methods for the treatment of hemorrhoids. Some people need the following medical treatments for chronic or severe hemorrhoids.

Rubber band ligation: Sometimes called Baron ligation. The elastic bands are applied on a internal hemorrhoid to cut off its blood supply. In a few days, the withered hemorrhoid is sloughed off during normal bowel movements. Hemorrhoidolysis / Galvanic Electrotherapy: desiccation of the hemorrhoid by electrical current.

Agent sclerotherapy (injection therapy): sclerosant or hardening is injected into hemorrhoids. This causes the vein walls collapse and the hemorrhoids to shrivel. Cryosurgery: a frozen tip of a cryoprobe is used to destroy hemorrhoidal tissues. Rarely used more because of side effects.

Laser, infrared or coagulation BICAP: 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 United States.

Hemorrhoidectomy: a true surgical procedure to excise and remove hemorrhoids. Has possible correlation with incontinence problems later in life, in addition, many patients complain of pain during recovery is severe. For this reason, it is often recommended today for severe (grade IV) hemorrhoids.

Stapled Hemorrhoidectomy: Also called the procedure for prolapse and hemorrhoids, it is designed to resect soft tissue above the dentate line, which disrupts the flow of blood to the hemorrhoids. It is generally less painful than the complete elimination of hemorrhoids and also allows for faster recovery time. It is intended for hemorrhoids that fall or bleed and it is not helpful for painful outside conditions.

Enema: This practice is used to clean the rectum. If it is a simple procedure, it can be complicated by hemorrhoids, so in this case, it must be done by a doctor. In an enema, water is injected into the rectum and then flushed, cleaned the area.

Doppler guided hemorrhoidal artery ligation: surgery based solely on evidence for all grades of hemorrhoids. This is not cutting tissues or even a hospital stay, patients are usually back at work the same day. It is the best treatment for bleeding piles, the bleeding stops immediately.

HAL-RAR: To date, Doppler guided hemorrhoidal artery ligation was indicated for the management of grade II and grade III haemorrhoids, but with the availability of HAL Recto Anal repair management of prolapsed hemorrhoids without excision is possible.

Transanal hemorrhoidal dearterialization (THD-HP): THD-HP is a minimally invasive treatment for hemorrhoids and hemorrhoidal prolapse. THD uses Doppler ultrasound to pinpoint the inflow of arterial blood. With simple suture, these arteries are "tied off" and the prolapsed tissue is sutured in anatomical position without excision of tissue. THD is performed over the nerve bundles, or dentate line. For this reason, there is very little pain. THD is typically performed in an outpatient and was back to normal activities within days.

Procedure for prolapse and hemorrhoids (or PSP): Use a hemorrhoidal circular stapler, the procedure and the procedure for prolapsed hemorrhoids essentially "lifts up" or repositions the mucosa, or anal canal tissue, and reduces the blood flow to the internal hemorrhoids. These internal hemorrhoids then typically shrink within four to six weeks after the procedure.

The PPH procedure in less pain.