How an operation to remove hemorrhoids: a description of the techniques with video

Unpleasant, and often very painful feelings, haunt people suffering from hemorrhoids.

Sometimes it is not necessary to do without surgery, therefore it is important to know some features of this process in order to be able to prepare for the procedure as best as possible.

What does modern medicine offer?

The main types of surgical interventions, actively used in modern medical practice, it is common to divide into several groups.

The main criteria are the goals and the technique of their implementation:

• removal of hemorrhoidal veins with simultaneous ligation of their vascular pedicles:
• stitching of the part of the hemorrhoidal node with the mucosa( the intervention refers to plastic surgery);
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• removal of hemorrhoids by laser;
• photocoagulation with infrared radiation;
• operations for Milligan-Morgan and Longo.

Plastic surgery is a way not only to get rid of pain and discomfort, but also to significantly reduce the rehabilitation period, but the treatment itself will take more time, as it is necessary to come to consultations with doctors until complete cure.

There are also several less common methods that are used, for example, in case of complication of the course of the disease and / or in neglected cases:

1. According to Sklifosovsky , the procedure involves bandaging the base of the node using a strong medical thread.
2. According to Martynov, the method also suggests bandaging the knot to prevent blood from flowing to the node, but excision is also performed.
3. The administration of the Whitehead is used if there is a complication of the course of the disease or it has occurred after the measures taken to get rid of hemorrhoids. Its essence lies in the following: an incision is made around the perimeter in the place of manifestation of the problem, then the affected part of the large intestine is extracted outward and cut off, after which the edges are gently sewn to the notch.

Before the appointment of an operation, the doctor will perform a complete examination, it will be necessary to pass the tests, only after this will be identified the type of intervention that will get rid of the disease.

Indications for surgical treatment of

Operations and special manipulations associated with the removal or cosmetology correction of hemorrhoids are prescribed in the following cases:

• deterioration - the transition of the disease from an easy stage to an average and severe after the course of treatment with drugs for 2-3 months;
• constant inflammation of the nodes( after each defecation);
• disease is accompanied not only by unpleasant sensations, but also by bleeding;
• found thrombosis in the hemorrhoids;
• presence of other diseases or pathologies of the rectum;
• revealed paraproctitis in chronic form;
• there are polyps.

Hemorrhoidectomy is an old and painful method of

This type of surgical intervention is used in the late stages of treatment of the disease or when there are obvious complications.

Video operations:

In addition to the usual scalpel, the surgeon uses modern equipment, based on ultrasound.

This approach has significantly reduced the traumatism and time of the operation itself.

It is performed under general anesthesia or spinal anesthesia for about 60 minutes. The wounds left after the intervention are tightened quickly, do not cause discomfort.

Surgery for Milligan-Morgan

This operation is performed to remove hemorrhoids, as shown in the video:

Milligan-Morgan hemorrhoidectomy is performed both at internal and external locations of hemorrhoids.

The peculiarity of the procedure is that it can be performed on 3-4 stages of the disease course, when there is an increase in the size of the nodes.

The main essence of the operation is removal of the node and sewing of the vascular pedicle. After disinfection of the place where the intervention will be performed, the specialist will perform the inspection using special means of magnification.

Important: doctors try to keep skin-mucous membranes. The duration of the procedure is about 35-40 minutes.

Places left after removal of nodes can be sewn up, but also left open to allow the healing process to proceed naturally.

The final stage of this operation is a tamponing, which lasts several days. Natural processes of the body, such as the escape of gases, are made with a special soft medical tube, which is inserted at the very end of the procedure.

Operation for Milligan-Morgan

In turn, for the operation of Milligan-Morgan there are a number of contraindications:

• infectious process in the body;
• chronic illness( exacerbation);
• oncology;
• Crohn's disease;
• pregnancy and lactation.

In addition, patients who are HIV-positive are not admitted to the operation. Children's age is not a direct contraindication, but the doctor conducts a thorough investigation of the whole organism, before giving permission for the procedure.

Longo intervention

Longhorse removal of the hemorrhoids:

This method is called in different clinics differently, for example, transanal resection or hemorrhoidopexy.

The essence of the operation is as follows: the rectal mucosa is removed. Together with this part, the knot itself is removed.

Sewing, which is necessary after the procedure, is produced by titanium brackets. As a result of the operation, complete removal of the node is not performed, less blood flow contributes to the decrease.

The peculiarity of the procedure is that during the intervention, not only knowledge and medical instruments are used, but also the equipment:

• anal channel expander;
• circulating stepper;
• thread welder.

Thanks to the technical improvement, the method shows itself as fast and reliable with a minimum percentage of complications.

Advantages of Longo's

Technique Any operation is performed to get rid of the cause of the disease. Longo's technique allows to completely restore the tissues and mucous membranes that are present in the anal canal, avoiding trauma.

The musculoskeletal system, which is present in the rectum, is also not damaged at all. This means that the patient will not experience discomfort, pain, and also suffer from uncontrolled defecation.

It is also important that the recovery period does not take 5 days, whereas the operation itself, which can be observed on video, does not last for 15 minutes.

It is very important to remember, choosing this method of getting rid of hemorrhoids, that complications in any form, it practically does not cause.

Contraindications to the application of the method

For all positive aspects of the operational impact of the Longo method, there are several disadvantages - the inability to calculate the long-term consequences, as well as the inability to remove nodes that are located outside.

Possible complications of

Of course, you need to know and what complications may occur after surgery, as 100% guarantee of their absence can not be given even by the most experienced specialists.

Among the most probable difficulties are:

• bleeding, including abundant;
• suppuration of the site of exposure;
• redness and inflammation;
• severe local pain;
• violation of mecheispuskaniya - especially often it manifests itself on the first day after the procedure;
• uncontrolled defecation;
• gas incontinence;
• narrowing of the channel.

It is for this reason that in the first day or two doctors are strongly recommended to comply with bed rest.

Personal hygiene is mandatory - it is best to use special antibacterial agents for this purpose.

From the second day it is allowed to eat lean broths and sour-milk products, for example, yoghurts. Kashi and boiled vegetables can be eaten on the third day after the operation.

A special ban is imposed on alcohol - up to 6 months. Additionally, the use of laxatives is recommended to avoid injury.

As an output of

The application of an operative method of treatment will allow for a short time to get rid of painful pains. All kinds of impact are produced quickly - not more than an hour and require a minimum of restraints from the person at the time of recovery, which takes several days.

After the operation, the patient does not experience in most cases any strangers that prevent him from living, resting and working, sensations.

Problems in most cases do not manifest themselves again. Occurring complications are not the norm, but the peculiarities of the human body, therefore they are an exception to the rules.

That's why you should not be afraid, you need to go to the doctors and take examinations to forget about hemorrhoids once and for all.