Stapler Haemorrhoidectomy

Hemorrhoids is described as masses or clumps (“cushions”) of tissue within the anal canal that contain blood vessels and the surrounding, supporting tissue made up of muscle and elastic fibers. The anal canal is the last four centimetres through which stool passes as it goes from the rectum to the outside world. The anus is the opening of the anal canal to the outside world.

The procedure works by reducing the size of the haemorrhoids by removing the redundant (excess) lining of the bowel, lifting up the haemorrhoidal tissue back to its normal position and reducing their blood supply causing them to shrink.

The main advantage over the open procedure described above is that all of the ‘work’ of the operation is performed inside the anal canal, which is considerably less sensitive than the skin bearing area around the anus where the open procedure is performed. The other advantage of the operation is that it leaves the haemorrhoids behind, but in the correct position and much smaller. As mentioned at the beginning of this article, haemorrhoids are important in our bowel function when they work normally, and the operation aims to restore haemorrhoids to their normal size and position.

As the procedure is almost pain free it can be performed as a day-case operation in most cases and you can return to work considerably quicker than after an open procedure.

During the healing of the cut tissues around the staples, scar tissue forms, and this scar tissue anchors the hemorrhoidal cushions in their normal position higher in the anal canal. The staples are needed only until the tissue heals. They then fall off and pass in the stool unnoticed after several weeks. Stapled hemorrhoidectomy is designed primarily to treat internal hemorrhoids, but if external hemorrhoids are present, they may be reduced as well.

As with any surgical procedure, there are risks associated with stapler haemorroidectomy , If too much muscle tissue is drawn into the device, it can result in damage to the rectal wall, resulting in inflammation or infection. The internal muscle of the sphincter may be damaged, resulting in short-term dysfunction, such as severe pain or incontinence. the procedure offers Smaller incisions resulting in reduced pain and discomfort, Minimal scarring, Greater surgical precision, Fewer complications, Less blood loss and Reduced risk of infection which leads to Shorter hospital stays & faster recovery.

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