Piles, also known as haemorrhoids, are one of the most painful and common anal diseases. Pile is a condition of swollen accumulation of tissue and blood vessels inside or outside the anus. This is mainly due to chronic diarrhoea, chronic constipation, pregnancy, lifting heavy objects, and strain during bowel movements.
Timely treatment is essential in healing piles otherwise, serious illnesses such as infection, extreme anal bleeding, faecal incontinence can occur. Piles affect daily activities and quality of life. A variety of surgical treatment options are available to treat haemorrhoids.
Stapler Piles Surgery is an advanced and popular choice for treating piles because it is a minimally invasive and painless operation. Many doctors prefer stapling surgery to pile treatment because it is the most advanced surgical technique in traditional surgery. Staple pile surgery is also known as stapled hemorrhoidectomy and is performed primarily to treat third and fourth-degree haemorrhoids.
This article provided by Dr Venu Gopal Pareek gives information about stapler surgery for piles.
What are haemorrhoids?
Haemorrhoids are defined as abnormally enlarged veins, mainly due to increased venous pressure inside or outside the anal sphincter. The anal canal is the last four inches where stool passes through as it moves out of the rectum. The anus is the opening of the anal canal to the outside.
Even though most people think that haemorrhoids are abnormal, they are in everyone. Only if the haemorrhoids get bigger can they cause problems and be considered abnormal or painful.
The piles’ treatment was developed by world-renowned colorectal surgeon Dr Antonio Longo, which is the stapling surgery. Currently, this procedure is the gold standard for treating Grade 3 and 4 piles. It uses a circular stapler device to “lift” or reposition prolapsed mucous membranes and reduce blood flow to internal haemorrhoids. These internal haemorrhoids then shrink over a few weeks.
What is stapled hemorrhoidectomy?
Stapled hemorrhoidectomy is a surgical technique used to treat haemorrhoids. It is the treatment of choice for third-degree haemorrhoids (haemorrhoids that protrude under pressure and are visible beyond the border of the anus on physical examination. Permanent or regular manual reduction is required). In a Stapled hemorrhoidectomy, the haemorrhoid is not removed; instead, the lax, loose and expanding hemorrhoidal support tissue is prolapsed down. As soon as the blood supply to the hemorrhoidal tissue is cut off, it heals, and the herniated mucous membrane is pulled upward.
In the stapled hemorrhoidectomy, around, hollow tube is inserted into the anal canal. An actual suture (long thread) is placed through this tube along the periphery of the anal canal over the internal haemorrhoid. The end of the suture is removed from the anus through a perforated tube. A stapler is a single-use tool with a round stapler at the end. It is passed through the first hollow tube, and the end of the suture is pulled out. Pulling the suture will pull haemorrhoid supporting tissue that extends into the staple jaw. The haemorrhoid is pulled into its normal position in the anal canal. The staples are then fired. When fired, the stapler cuts a peripheral ring of enlarged hemorrhoidal tissue trapped inside the stapler while securing the cut tissue’s upper and lower edges.
Who Are Good Candidates for Haemorrhoidectomy?
Stapled hemorrhoidectomy is usually performed for haemorrhoids of the third degree and four degrees of higher. However, it can be used to treat second-degree haemorrhoids (haemorrhoids that extend beyond the anus after a bowel movement or are strained but come back inside on their own).
Third-degree haemorrhoids can be pushed back into the anus with your fingers after a bowel movement. Fourth-degree haemorrhoids are always outside. If there are small external haemorrhoids causing problems in addition to internal haemorrhoids, the problem of external haemorrhoids may reduce after stapled hemorrhoidectomy. Another alternative is to perform a hemorrhoidectomy and cut off the outside of the haemorrhoid. If the external haemorrhoids are large, standard surgical hemorrhoidectomy may be needed to remove both internal and external haemorrhoids.
Quality of life after Stapler Surgery for piles
During a stapled hemorrhoidectomy, the arterial blood vessels moving in the enlarged hemorrhoidal tissue and nourishing them are cut, reducing blood flow to the hemorrhoidal vessels and reducing the size of the haemorrhoids.
Stapled hemorrhoidectomy is faster than traditional hemorrhoidectomy and takes about 30 minutes to complete with skilled hands. It is associated with much less pain than conventional hemorrhoidectomy, and patients usually return to work sooner.
How is staple surgery better than traditional hemorrhoidectomy?
The stapler operation is much less painful than traditional techniques. This is because in stapler surgery, the surgical area is above the sensitive part of the anal canal (ie above the dentate line. You feel the sensation below the dentate line). Traditional haemorrhoidectomy, which is performed with a scalpel and sutures, is performed under the dentate line, affecting very sensitive nerve endings and usually causes severe pain.
Benefits of surgery for stapler surgery
- Short operation time
- Minimal blood loss
- Fewer postoperative complications such as pain, bleeding
- Length of stay in hospital
- Get back to work early
Haemorrhoids are a troublesome and often embarrassing problem. In most cases, surgical treatment is not needed to solve the problem. However, they may need surgery for people with advanced haemorrhoids.
Traditional haemorrhoid surgery, although effective, is often excruciating. Stapled hemorrhoidectomy is an effective alternative that relieves pain. The procedure is done on an outpatient basis, and those who undergo the procedure must return to work and activities regularly within a few days.
Stapler piles operations do not have serious complications compared to other conventional procedures. Therefore, it is widely used by many surgeons. Many patients experience an improved quality of life after this stapler surgery. Patients must follow the doctor’s instructions carefully to avoid complications in returning home. For best Stapler Surgery For Piles, meet Dr Venu Gopal Pareek by booking your appointment at 091777 77715.
Dr. VenuGopalPareek is one of the best Bariatric Surgeon in Hyderabad. Trust us for all bariatric procedures like gastric bypass, sleeve gastrectomy, adjustable gastric band, and biliopancreatic diversion with duodenal switch. Also we are adept at with minimally invasive surgery (Laparoscopic surgery). Consult us for any surgical procedures which can be performed using Laparoscopy for faster recovery and reduced hemorrhaging/pain.