Stapled Haemorrhoidectomy (Piles)

Piles, also known as haemorrhoids, can be a source of significant discomfort and distress for affected individuals. While conservative measures such as dietary changes and topical treatments may provide relief for mild cases, more severe or recurrent piles may require surgical intervention. Stapled haemorrhoidectomy, also known as stapled hemorrhoidopexy or procedure for prolapse and hemorrhoids (PPH), has emerged as a minimally invasive surgical option for the treatment of piles. In this article, we delve into the intricacies of stapled haemorrhoidectomy, exploring its benefits, procedure, and post-operative care to provide insights into this advanced approach for managing piles.

Understanding Piles:

Piles occur when the blood vessels in the anal canal become swollen and inflamed, resulting in bulges or lumps around the anus. Factors such as straining during bowel movements, chronic constipation or diarrhea, and prolonged sitting or standing can contribute to the development of piles. Common symptoms include rectal bleeding, itching, pain, and discomfort during bowel movements. While lifestyle modifications and conservative treatments may alleviate symptoms in some cases, persistent or severe piles may require surgical intervention to provide long-term relief.

Stapled Haemorrhoidectomy Procedure:

Stapled haemorrhoidectomy is a minimally invasive surgical technique designed to address internal piles by reducing prolapse and restoring normal anatomy of the anal canal. The procedure is typically performed under general or regional anesthesia and involves the following steps:

  1. Positioning: The patient is positioned in a lithotomy position, similar to that used for traditional hemorrhoidectomy procedures.

  2. Anal Dilatation: The anal canal is dilated using specialized instruments to facilitate access to the internal hemorrhoidal tissue.

  3. Circular Stapling: A circular stapling device, also known as a stapler, is inserted into the anal canal and positioned above the piles. The stapler is then fired, simultaneously excising excess tissue and repositioning the remaining hemorrhoidal tissue higher in the anal canal.

  4. Closure: The stapled line is designed to seal the excised tissue and promote healing. No external sutures are typically required.

Advantages of Stapled Haemorrhoidectomy:

Stapled haemorrhoidectomy offers several potential advantages over traditional hemorrhoidectomy techniques, including:

  • Minimally Invasive: Stapled haemorrhoidectomy is associated with less tissue trauma and post-operative pain compared to traditional open hemorrhoidectomy.

  • Faster Recovery: Patients undergoing stapled haemorrhoidectomy may experience shorter hospital stays and faster return to normal activities compared to open surgery.

  • Reduced Risk of Stenosis: The circular stapling technique used in stapled haemorrhoidectomy minimizes the risk of anal stenosis or narrowing compared to traditional excisional techniques.

Post-Operative Care and Recovery:

Following stapled haemorrhoidectomy, patients are typically advised to follow a soft diet, maintain adequate hydration, and avoid straining during bowel movements. Pain medication, stool softeners, and sitz baths may be prescribed to alleviate discomfort and promote healing. Most patients can expect to resume normal activities within a few days to weeks following surgery, depending on individual recovery and the extent of the procedure.

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