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Medical AssistantHemorrhoid Surgery

Different Types Of Hemorrhoid Surgery

Hemorrhoids Surgery

Hemorrhoids, or piles or hemroids is a fairly common condition that results from the swelling of the blood vessels and the hemorrhoid tissue in the rectal and anal region. Hemorrhoids have been categorized into different types depending on the severity and hemorrhoid symptoms experiences by the patients. Accordingly the different levels may require different levels of treatment, the last option being hemorrhoid surgery.

Level 1

Level 1 hemorrhoid is the initial stage in which might bleed but does not become prolapsed.

Level 2

Level 2 hemorrhoids can become prolapsed but this condition is not accompanied with any bleeding. Also at this stage the hemorrhoids can be pushed back into the anal canal.

Level 3

Hemorrhoids which are at the level 3 cannot be pushed back to their original position easily, and need a medical procedure to do so.

Level 4

Level 4 hemorrhoids are generally prolapsed and the same as the one at level 3 except that it might contain blood clots. This stage is then called thrombosed hemorrhoid and may require hemorrhoid surgery.

Types of Surgery

Prolapsed hemorrhoids can be removed by surgery. This condition is different from external hemorrhoids and represents an advanced stage that needs immediate medical attention. Hemorrhoid surgery to remove this tissue is the best option at this stage to permanently remove it from the body. The alternative therapy option for hemorrhoids can be done before the hemorrhoids develop into prolapsed or thrombosed hemorrhoids. If your hemorrhoids have advanced beyond level 3 you need to explore the different hemorrhoid surgery options which are outlined below.

Milligan-Morgan Hemorrhoid Surgery

This technique, as the name suggests, was invented in Britain by Dr. Milligan and Dr. Morgan in the 1930s. This technique is the most popular techniques of hemorrhoid surgery. In this technique, three incisions are made in the hemorrhoid tissue. The cuts are made in a pear-shaped pattern. These incisions are then left open with small gaps in between which comprises of skin and mucous membrane.

This technique is used in hemorrhoid surgery for both types of hemorrhoids, internal and external, and has proven to be quite effective. So much so that it is called the “gold standard” technique among others when conducting hemorrhoid surgery.

Laser Hemroid Surgery

Laser technique is also used to remove hemorrhoids. This is a more advanced procedure in that it causes less pain and less healing time for the patient. High infrared laser is used to remove the hemorrhoid tissue, and thus is less complicated than other methods of hemorrhoid surgery.

A combination of the two procedures may be used in some cases to remove the hemorrhoid tissue. Even though laser surgery is less complicated it still has to be planned ahead of time.  Ask your doctor about the detail of the surgery and precautions to be taken after this hemorrhoid surgery is done.

Ferguson Surgical Method

This technique is similar to the Milligan-Morgan technique and was invented by Ferguson in 1952. The Ferguson technique is also a popular one since this is only slightly modified from the earlier technique. The man difference between the two is in the fact that in this case the incisions are closed partially or completely by stitching it up or by coagulation using a surgical device. The main drawback of this technique is that the sutures might break  and due to this the recovery time might be prolonged.

Procedure for Prolapse and Hemroids (PPH)

Procedure for Prolapse and Hemroids, or PPH , also known as Stapled Hemorrhoidectomy is a more recent technique used for hemorrhoid surgery to remove all types of hemorrhoids including bleeding hemorrhoids.

The PPH technique works by reducing the prolapsed of hemorrhoid tissue. This is done by cutting through the prolapsed tissue, and stapling down the rest of the prolapsed tissue.

The main advantage of PPH technique is that it is less painful and not as invasive as the other techniques. The two main disadvantages are that there is a risk of damaging the rectal walls during this procedure, and also there is a higher rate of recurrence associated with this technique than other hemorrhoid surgery techniques.

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