![]() Instead, it must be mended during an open wound treatment, which is painful and uncomfortable. This causes a wound on the rectum which cannot be sutured. The haemorrhoids are then pulled up into the body and the nodules shrink due to the restricted blood supply.ĭuring a standard procedure to remove haemorrhoids, known as a haemorrhoidectomy, the haemorrhoids are removed. This tightens and fixes the mucous membrane above the haemorrhoids. A circular strip of the mucous membrane above the haemorrhoids is removed with a stapler and the wound is immediately resutured within the same step. The procedure does not take place directly on the pain-sensitive haemorrhoids but rather above the haemorrhoids in the almost pain-insensitive rectum. It is carried out under general anaesthetic or with spinal anaesthesia. Nowadays, stapled haemorrhoidopexy surgery is preferred for larger or prolapsed haemorrhoids. Several partial treatments are usually required for this almost painless treatment method: they can be carried out on an outpatient basis. This involves destroying the haemorrhoid nodes either with heat (infra-red) or a special ablation fluid is injected into the haemorrhoids. The procedure can be carried out on an outpatient basis and there is virtually no pain.Īnother method is ablation. In the process, the blood flow is cut off and the haemorrhoids die off. This involves tying the haemorrhoids with a rubber band. The most frequent and easiest treatment for smaller haemorrhoids is rubber band ligature. How is the operation carried out? Haemorrhoid surgery ![]() Depending on the surgery used, the procedure will either be undertaken under general or regional anaesthetic (spinal anaesthesia). ![]() The patient should have an empty stomach as well. The colon is usually cleaned out before the procedure. All blood-thinning medication must be discontinued before the procedure takes place. ![]() Sometimes an ultrasound or a CT examination are also carried out.Īll the usual pre-operative assessments are required, such as a blood test, blood pressure measurement and an ECG. They usually include palpation and an anoscopy. What preparations are carried out before the procedure?ĭifferent examinations are carried out to clarify diseases of the anus. Procedures to remedy a colon prolapse or a disorder of the sphincter muscle are described in the chapter entitled surgery for faecal incontinence. Where possible, the sphincter muscle is preserved.Īnal fistulae (external protuberances), anal fissures (tears in the anus) or anal skin tags (mucous membrane folds on the anus) can be further reasons for smaller surgical procedures on the anus. The surgical treatment consists of the localised removal of the tumour. It causes almost no postoperative pain when the haemorrhoids are removed early.Īnal cancer, a rare tumour of the digestive tract, is a further indication for anal surgery. The stapled hemorrhoidopexy surgical method is preferred for larger haemorrhoids. Smaller haemorrhoids can be ablated or ligated with a rubber band. In the past, haemorrhoids were often completely removed nowadays, the procedure is rarely undertaken due to the severe post-operative pain. Surgical treatment of haemorrhoids is indicated if they cause severe, recurring complains and cannot be adequately treated with conservative therapy.
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