Hemorrhoidectomy method of treating a disease considered, constituting excision of hemorrhoids. Doctors aim to: to avoid, surgical intervention, because there are a lot of different technologies, by which the disease is treatable at any stage. However, there are rare cases, when the patient can help just a quick surgery.
Hemorrhoidectomy was performed for the first time in Milligan and Morgan 1935 year. These doctors were the first, who said this method of treatment of the disease. Therefore, it refers to this method of disposal of hemorrhoids Milligan Morgan. The clinics in many countries successfully held this operative intervention, helping people get rid of unpleasant disease.
When the operation is necessary?
Proctologist, examining patient, He is trying to find a cure, Avoids, operative intervention. As soon as the disease affects the body, there are many ways painless treatment. If you ask for help in a timely manner, the doctor will prescribe is not too traumatic way to cure hemorrhoids. When the patient is assigned to hemorrhoidectomy?
- In the early stages of the disease operative intervention is not assigned. During this period, the disease can be fought ointments, candles, various physiotherapy exercises, proper nutrition. Operation appointed Morgan, When nodules pronounced and removing them The ligation rings It is not suitable. The operation is also prescribed to patients with drop-down nodules, it usually happens at the end of the third stage of the disease and for the fourth.
- Surgery for hemorrhoids Milligan Morgan appointed as the people in the adulthood. Usually, the, who are over forty years. If we draw the operational intervention in younger patients, relapses. Their probability is quite high. Consequently, such patients, doctors try to apply invasive methods of treating a disease.
- Obstacle to the appointment surgery are all sorts of chronic diseases. for example, it is impossible for hemorrhoidectomy, If the patient suffers from Crohn's disease, if he is HIV-positive, if he found cancer. Also, this procedure is forbidden during pregnancy.
Preparation for surgery
If all the other manipulations of treatment of hemorrhoids It can be done at home, the operative intervention requires finding the patient in a hospital. Before the surgery the patient undergoes a comprehensive examination. His food intake is strictly analyzed and, if nessesary, adjusted. The doctor prescribes medication to a patient, which stabilize the work of his intestines. In this way, the patient is prepared for surgery.
In the case of the sudden appearance of an inflammatory process, or worsening disease, doctor directs all your actions on the lifting of the sharpening or inflammation. The day before surgery, he will conservative therapy special creams. Consequently, to surgical intervention was effective, We need to make, that there are no unforeseen complications.
Technique of the operation
Minimally invasive manipulations take place under the influence of the local freezing, removing nodules latex rings conducted without general anesthesia. Hemorrhoidectomy using anesthesia for this procedure. After the hemorrhoidectomy possible complications, eg, strong pain. Consequently, there is a combination of painkillers and anesthesia.
The very process of hemorrhoidectomy in duration does not take much time. The patient lies on the operating table. First fixed his feet, It is then processed by special means input into the colon. Often used as an antiseptic betadine. He does not provoke irritation, if we compare it with other antiseptics, made on alcohol.
Conducted by Milligan Morgan hemorrhoidectomy (equipment operation) quite simply and quickly:
- After exposure to the antiseptic anal passage widens.
- For nodules, which are arranged inside, the doctor inserts a special device (anoscope). He stares and studies, the condition of the nodules. In this initial assessment is analyzed, and the doctor decides, which nodules should be removed.
- The surgeon grasps the clamp with hemorrhoid, immediately blocked blood supply, as the artery can no longer feed the blood nodal education.
- When the blood supply unit stopped, it is cut, via its sterile thread sewn.
- In the formation of the legs, the node is ligated and the special thread.
- If you need to stop the bleeding and cauterize tissue, using electrocoagulation.
Possible complications after surgery
- Bleeding. Post-surgical sutures may be injured, with what and associated, anal bleeding. After surgery, sick for some time is still in the clinic under supervision of a specialist. If excessive bleeding vessels must ligation, carry blood, which is conducted further.
- Often after hemorrhoidectomy observed violation of urination and defecation. Doctors attribute this complication human psyche. The patient is under the influence of fear. And it is the fear of pain contributes to the appearance constipation. difficult urination men elderly, this is due to bladder catheterization.
- Complication after surgical intervention conducted is called narrowing of the anal passage, causing difficulty with defecation. Stenosis will cause anal fissures. In this case, you will need additional surgery, expanding the anal canal.
- relapses. According to the results of the research can be seen, that re-disease occurs in young people. The elderly no recurrence. However, the number of diseases return of five hundred percent.
- Another complication is the formation of fistulas. Fistula appears as inflamed as a result of introducing infections and urgent intervention of doctors.
- Hematoma may form in the soft tissues. They eliminate the conservative methods of treatment of disease. Sometimes used and surgical techniques, which allow you to remove the blood from the anus accumulated there.
- Elderly patients are found with urinary problems and incontinence. it, possibly, It is due to injury, supported by ligaments and muscles.
- Of infection observed infrequently, but, It requires urgent medical intervention.
The postoperative period
Discharged from hospital, sick for some time visiting the doctor, which oversees the state. Such control is necessary, in time to see the complications arising in the case of the need to take measures in time. Also conducted after surgical intervention is necessary to adjust the power, as in the postoperative period it promotes early recovery of the body.
average cost
Cost Milligan Morgan is available for each patient. Average, it is 18000-20000 rub.
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