Hemorrhoids are accumulations of anorectal connective tissue, arteries and veins located both inside the anus and rectum and in the skin surrounding the anus. The symptoms of hemorrhoids may include itching, swelling or anal bleeding. When non-invasive treatments do not resolve the hemorrhoidal symptoms, a surgical approach, such as LigaSure, may be necessary.
During a surgical hemorrhoidectomy, the traditional surgical treatment for symptomatic hemorrhoids, the doctor removes hemorrhoids in an operating room using a scalpel and an electrocautery, a cauterization device. Your recovery from the procedure may include pain, bleeding and a lot of time without being able to go to work and perform other daily activities.
Surgical treatments and modern techniques have made the recovery period shorter and more tolerable. LigaSure is a device that uses the application of energy to destroy or remove hemorrhoids. The LigaSure device compresses the hemorrhoidal tissue, seals and then removes any redundant tissue. The reported advantages of LigaSure include less postoperative pain and the rapid resumption of normal activities. The LigaSure technique is best performed by a specialist experienced in the use of the device.
Your doctor may choose to use a harmonic scalpel in a manner similar to the LigaSure procedure. This procedure seals and cuts the hemorrhoidal tissue with a slightly different principle to obtain the same result, the destruction of the symptomatic tissue.
The procedure for prolapse and hemorrhoids, or PPH, involves the surgical stapling of the hemorrhoids. As with LigaSure, the recovery of PPH is faster and less painful than that of a traditional surgical hemorrhoidectomy. Other techniques, including infrared coagulation, rubber bands and Doppler-guided haemorrhoidal artery ligation have been used for many years and are also effective in the treatment of symptomatic hemorrhoidal tissue.
Researchers have conducted numerous studies examining the effectiveness of hemorrhoidal surgical techniques. As expected, the results have not produced a specific winner, each procedure has its pros and cons. If something is clear is that surgical interventions should always be performed by a specialist trained and experienced in the field of colon and rectal surgery. Always consult a colon and rectal specialist to discuss the treatment options available for the symptoms. Never self-diagnose. Your doctor will perform a thorough evaluation to rule out the possibility of a more serious illness.
Ask your doctor about your experience with any recommended technique, and make sure you are comfortable with the suggested treatment plan before starting any surgical procedure.
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