Best Hemorrhoid Treatment Surgeries and Procedures

By | January 31, 2018

Hemorrhoids are painful and swollen blood vessels in the anus. It can cause so much discomfort, bleeding or itching.

The formation of hemorrhoids can be caused by too much pressure on the blood vessels around the rectal or pelvic area. Some possible causes of hemorrhoids are constipation and diarrhea. Frequent or difficult bowel movement can cause stress on the pelvic floor area, which can lead to the development of hemorrhoids.

Hemorrhoid is also common in pregnant women. This is caused by the increasing pressure on the pelvic area as the baby grows bigger and heavier. Childbirth can also make hemorrhoids worse as the mother exerts a lot of pressure on the pelvic area.

There are two types of hemorrhoids such as internal hemorrhoids (inside the rectum) and external hemorrhoids (around the anus). You can have either of the two types or you can have them both at the same time. The symptoms may vary depending on the type of hemorrhoids .

Treatment of hemorrhoid depends on which type of hemorrhoid you have. The following are some of the most effective treatments and procedures for hemorrhoids,

Surgeries and Procedures To Treat Hemorrhoids

Bipolar Diathermy or Bipolar Electrotherapy

Bipolar diathermy is also known as bipolar electrotherapy, diathermy, BICAP coagulation or bipolar coagulation. It is a procedure which is best used for treatment of early stages of hemorrhoids.

Diathermy is one of the procedures to treat hemorrhoids. In this procedure, heat is produced with the use of a high frequency electric current. It uses about 300 KHz up to 3 MHz of electricity to activate nerves and muscles. This electric current is used to stimulate coagulation or to destroy body tissues.

One type of diathermy is the monopolar diathermy. It uses an electrical plate to produce and apply heat into the part of the body. The heat will let the bleeding blood vessels to coagulate and destroys the tissues.

Another type of diathermy is bipolar diathermy. It uses two electrodes which are held by forceps in which current passes through and onto the affected body part. The current comes from one electrode and returns into the other electrode. The electric current will heat the body tissue which will induce coagulation and degrading of tissues.

Cauterization

Cauterization is a procedure wherein chemicals or electricity is used to heat the affected tissues of the hemorrhoids and let it die.

During cauterization, heat is applied to the tissue to induce coagulation. It will lead to tissue death and sealing of blood vessels.

Cauterization is a more affordable and non-surgical way of treating hemorrhoids. It only needs a very short recovery period.

In electrocauterization, electric current is applied onto the tissue through a wire. It will run through the body and heat up the tissue. It will cause the tissue to degrade. The current will go back to the machine through a grounding pad. It is more preferred than chemical cauterization.

The only disadvantage of this procedure is that it may leave a hard scar. But this scar can act as a protection for the blood vessels and it may prevent future inflammations.

Stapled Hemorrhoidectomy

Stapled Hemorrhoidectomy is also known as stapled hemorrhoidopexy. This procedure involves the surgical removal of the swollen and protruded hemorrhoids and the repositioning of the remaining tissues back into its original position. This procedure is usually done to treat severe cases of hemorrhoids.

There are two newer versions of this surgery such as STARR or stapled transanal rectal resection and PPH or procedure for prolapse hemorrhoids.

In STARR, surgical stapler is used to remove the excess rectal or hemorrhoidal tissue. It only needs a few days of recovery time.

PPH is a procedure that uses a circular stapler to minimize the prolapsing hemorrhoids. It also requires only minimal recovery time.

Hemorrhoidolysis

Hemorrhoidolysis is also known as galvanic electrotherapy. In this procedure, electrode is used to shock each hemorrhoid to return to its normal state. This treatment is very fast. It can only require a single treatment for every hemorrhoid.

Injection Sclerotheraphy

Sclerotherapy is a procedure which gives more successful results than rubber band ligation. During sclerotherapy, phenol (a sclerosing agent) is injected into the hemorrhoid. This will cause the blood vessels to shrink and wither.

Laser Coagulation Surgery

Laser coagulation surgery is a procedure which uses a laser beam or electric current to excise and vaporize the hemorrhoids. The blood flow to the hemorrhoid is stopped which causes it to shrink.

It is a less invasive surgery and also less expensive. It also causes very minimal post-operative pain. It also needs less recovery time.

Rubber Band Ligation

Rubber band ligation is one of the recommended treatments for early stages of hemorrhoids. It is said to be 87% effective to cure hemorrhoids.

In this procedure, elastic rubber bands are placed onto the hemorrhoid to cut off its blood supply. It should be 1 cm above the dentate line. If it is placed too close to the dentate line, it will result to extreme pain. After 5 or 7 days, the hemorrhoid will wither and eventually fall off.

Transanal Hemorrhoidal Dearterialisation

Transanal Hemorrhoidal Dearterialisation is a procedure which is done to treat internal hemorrhoids.

In this semi-invasive procedure, an anoscope and doppler transducer is used to identify the hemorrhoidal arteries which feed blood to the hemorrhoids. After identifying the arteries, these are ligated to reduce the blood flow to the hemorrhoidal tissues. If there are prolapses, these are repositioned into original position.

This procedure causes very minimal pain after the operation.

Infrared Photocoagulation

Infrared photocoagulation is a procedure which uses an infrared device. The intense infrared beam will heat the hemorrhoid which will lead to coagulation. This will cut the blood supply into the hemorrhoids. The hemorrhoid will shrink and die.

Only one hemorrhoid can be treated at a time. It can only be used for small and medium-sized internal hemorrhoids.

This can be a painful procedure and also expensive.

Atomizing

Atomizing is a new procedure in treating hemorrhoids. It involves the vaporization of hemorrhoids. An atomizer is used to apply electric current into the tissues to let it vaporize.

Atomizing is a non-invasive procedure. It usually causes no pain during surgery. There is no possible recurrence of hemorrhoids after this treatment. It is also much affordable than hemorrhoidectomy.