Stapled Haemorrhoidectomy (Piles)

Stapled haemorrhoidectomy, otherwise called stapled hemorrhoidopexy, is a surgery that includes the removal of abnormally enlarged haemorrhoidal tissue, followed by the repositioning of the rest of the haemorrhoidal tissue back to its normal anatomic position.

What Causes Haemorrhoids?

Possible causes of haemorrhoids are:

• Straining during a bowel movement
• Complications from chronic constipation
• Sitting for an extended period, especially on the toilet
• A family history of haemorrhoids

What are the Indications of Haemorrhoids?

Signs and manifestations of haemorrhoids may include:

• Painless bleeding amid faecal discharges
• Itching or irritation in your anal canal.
• Pain or distress
• Swelling around your rear-end
• Haemorrhoid indications often depend upon the location.
• A lump close to your rear-end, which might be sensitive or painful (might be a thrombosed haemorrhoid)

What Makes You a Candidate for Haemorrhoids Treatment?

The doctors will screen your symptoms and decide your treatment accordingly. You are a candidate for haemorrhoids treatments if you have:

• Pain or discomfort while sitting
• Pain during bowel movements
• Itching or irritation around the anal region
• Blood coming in your faeces
• Swelling around the anus
• Painful lumps near the anus

What Tests are Done Before Stapled Haemorrhoidectomy?

The specialist may ask you to go through a few tests which may give a glimpse of the severity of the condition. The tests used are:

• Sigmoidoscopy During a sigmoidoscopy, your doctor uses a little camera to analyse inner haemorrhoid. This small fibre-optic camera, called a sigmoidoscope, is fitted into a little tube and put inside your rectum. Using this test, your specialist gets a detailed look within your rectum.
• Digital Rectal Exam Your doctor examines your rectum physically during this diagnostic procedure. The examination is performed by wearing a glove and inserting a lubricated finger to feel the inside of the rectum.

How is Stapled Haemorrhoidectomy Conducted?

Stapled hemorrhoidectomy is the newest addition to the armamentarium of surgical internal haemorrhoid procedures. It has a few alias names, including Longo's procedure, the procedure for prolapse and haemorrhoids (PPH, Ethicon Endo-medical procedure, Inc., Cincinnati, OH), stapled circumferential mucosectomy, and round stapler haemorrhoidopexy.

Stapled hemorrhoidectomy is utilised in patients with grade III and IV haemorrhoids and the individuals who have gone through failed minimally invasive treatments. Amid stapled hemorrhoidectomy, a roundabout stapling device is utilised to remove a circumferential ring of extra haemorrhoid tissue, thereby placing haemorrhoids back to their usual position within the anal canal.

Stapling likewise blocks haemorrhoid blood supply. Studies have suggested that stapled hemorrhoidectomy results in less postoperative pain and shorter recuperation as compared to the regular medical procedure, yet a higher rate of recurrence. Recurrence of complications is like that of normal haemorrhoidectomy.

What is the Prognosis??

Haemorrhoids are normal tissues which only raise concern when they swell, end up kindled or bleed. The objective is to control haemorrhoids by balanced eating routine, exercise and hydration so that surgical intervention isn't required. If not taken care of properly, haemorrhoids are a lifelong condition.