In what cases need surgical treatment of hemorrhoids?

first symptoms the disease can go unnoticed, Of particular concern since they do not cause. Often people notice who settled in the body hemorrhoids Only on the third or fourth stage its development. In such cases conservative treatment do not lead to the desired result. The patient's condition deteriorates, and doctors recommend more drastic measures, in particular surgical treatment of hemorrhoids.

Indisputable indication for surgery is considered loss of nodules, a large discharge of blood, which can lead to anemia. Also operative methods of hemorrhoid treatment prescribed to people, suffering from recurrent exacerbations of inflammatory processes. In all these cases operative intervention leads to a positive result, which persists for a long time.

removal of hemorrhoids surgery

As already explained above, surgery for hemorrhoids is appointed to third and fourth stage the disease, when the nodules have already unmanageable self into, when abundant and difficult ostanavlivaemy bleeding, when pain reach a critical level.

There are two types of surgery:

• hemorrhoidectomy.
• Operation method of Longo.

hemorrhoidectomy

There are three types of hemorrhoidectomy:

• open;
• submucosa;
• closed.

open hemorrhoidectomy. Of all the types of operations it is most productive. Such an operation can be carried out by means of a scalpel, working on ultrasound, laser, electrocautery. In the course of its implementation removes all nodules, certain part of the mucosa of the anus and the colon excised. After that occurs mucosa binding to underlying tissues. The length of the operation is forty minutes.

The recovery period will take about a month. Still in hospital, the patient will feel a little discomfort, pain symptoms, as the wound for some time will be open and the healing process is slow. To dull the pain, prescribe analgesic agents. When the process of urination becomes normal, the patient will need a plentiful drink. laxative pills prescribed to ease defecation. AND, of course, an important moment in the recovery period is considered to be dieting.

After this type of surgery there is a high degree of risk of various complications. Therefore, doctors prescribe it, as little as possible.

Closed hemorrhoidectomy. Its principle of holding such, like open. After excision of nodules are wound, who immediately sutured. The recovery process is moving faster. The patient does not experience in the postoperative period of strong pain.

submucosa hemorrhoidectomy. Surgical removal of hemorrhoids in this case is directed to a very large nodules. The doctor makes an incision of mucous, nodal education deleted, leaving, wherein, leg. The recovery period accompanied by a weak painful sensations. The patient recovered quickly enough.

Any of the above surgical interventions accompanied anesthesia using. Usually, hemorrhoidectomy appointed patients older than forty-five years, since younger people are observed cases of return. The recovery period lasts about a month, exercise is strictly contraindicated at this time. To avoid any difficulties with defecation process, it is necessary to eat soft porridge.

hemorrhoid treatment method using Longo

Hemorrhoid treatment operative by the method involves excision Longo portion mucosa and pulling up of nodules. Do not cut nodules. Instrument in this surgical intervention is something like a stapler. This apparatus sews ends mucosa brackets titanium. Nodules do not get enough food in the form of blood, so how come it was too little. they dry, forming tiny scars. Surgical intervention lasts about twenty minutes.

Advantages of this method of disease treatment

1. The inner side of the colon is not damaged. anus orifice is reduced and takes the same form.
2. The recovery period does not last long, proceeds without any complications and severe pain. In the clinic, the patient spends a couple of days.
3. Coming out of the clinic, the patient can immediately return to normal activities. Return to work, he can after five days. The return of the disease is almost not observed.
4. Surgical intervention is effected by local freezing. Restrictions for this operation is not.

Knowledge, necessary patient, reshivshemusya to surgery

• Go through consultation with a doctor. Make, that all other methods, except for surgery, will be useless. Learn more about the doctor, who will perform the operation, his qualifications. Read reviews about it. Talk with neighbors in the ward. Do not forget, the law allows you to change doctors, if you have any doubts.
• Discuss with your doctor all the details you waiting for surgery. The doctor will tell, why you need surgery, what could be the risk of complications, predict, what will happen to the patient in the postoperative period. do not hesitate, ask, remove doubts and anxiety, think about the upcoming operation.
• Surgical intervention is carried out in any hospital, but, better to be operated by a doctor - proctologist in a special clinic. Proctologist like a jeweler in his work, and an operation to remove hemorrhoids in need of skilled hands. If the patient is an acute manifestation of the disease, better this time to wait. Operated more reliably at the time of lull disease.
• On the stage worsening surgery goes harder, high risk of postoperative complications, the results are not always encouraging. Consequently, experienced specialist not take up operation in the acute stage of hemorrhoids. It is necessary before surgery to remove inflammation of medical methods.
• As a result of the operation, all previously working functions should stay in the same working condition. So, eg, If after the intervention, rectum can not hold stool, or, on the contrary it will not be able to produce, why it was such an operation. Consequently, that there was no such complications, the doctor is trying to keep the mucosa intact. Prior to the surgery, the doctor must examine the patient's body, especially its structure, the nature of the disease and choose the best option of surgery.

Preparation for surgery

the patient should be before the start of surgery to be trained for the upcoming process. it is this:

1. Rent a blood test, urine, ECG.
2. If needed, colonoscopy is done, rectoscopy, undertakes consultation with the anesthesiologist, therapist.
3. placed enema for cleaning the body before the actual surgery, because immediately after the surgery chair can cause complications. Besides, during defecation can be isolated substance, capable of infecting the wound, defecation process itself also may be accompanied by pain. And for the patient, this process has become a serious test of endurance.
4. One day before the surgery the doctor prescribes a laxative. On the evening before and the morning of the appointed day are put on the body cleaning enema. Do not forget about the hygiene of the anal passage.

The postoperative period

An important point in the postoperative period is compliance diet. We need to eat six times a day in small portions. Food should be rich in vitamins. First, you need to only eat mushy, light meal. Follow food temperature, it should be neither hot, neither cold. All sharp, salt and fat is necessary to exclude. It is necessary to completely abandon the use of alcoholic beverages, coffee, tea. Legumes and meats should not appear on the table, as well as flour products. However, do not completely give up eating. The body needs a regular flow, otherwise weakened immune system, and in the process of rehabilitation will need strength. Can start to eat after a couple of hours at the end of surgery.

Climb out of bed and walking patients are already beginning the next day. If worried about strong pains, We need to take analgesic agents. If crop urge defecation, patient make an enema, defecation helps to implement the process with the least pain.

After surgery the patient remains in the hospital for about five - seven days. The rest of the recovery period, it may be carried out in the home, not forgetting, wherein, see a doctor.

The average price on the cost of these operations varies according to the city within a thirty-two - thirty-six thousand rubles (hemorrhoidectomy), twenty - twenty five thousand (Longo operation).