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Hemorrhoid Surgery Hemorrhoidectomy

Hemorrhoidectomy - the golden standard of hemorroids treatment of the 4th stage, and also at a clottage of the dropped out hemorrhoidal units. Hemorrhoidectomy is also done to patients with hemorroids of 3d stage with a greater hemorrhoidal units.

At this intervention the site of a perianal skin and the mucous rectum is exsected, located above hemorrhoidal unit which is legated and crossed. Subsequently there is a bracing of a mucosa of a rectum to a subject tissues. The intervention is carried out within one day. The results are very good, relapses of disease are observed seldomly.

Besides a traditional scalpel hemorrhoidectomy can be carried out with the use of an electrocoagulation and the laser. For the prevention of a stenosis of the anal channel and conservation of sensitivity between the wounds formed at excision of hemorrhoidal units, leave dermo-mucous intersections. These wounds can be taken in (closed hemorrhoidectomy) or to leave opened (opened hemorrhoidectomy). The choice of a technique depends on preferences of the surgeon.

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In order to prevent a pain and an ischuria (the most frequent complications after hemorrhoidectomy) it is not necessary to tampon the proctal channel. Patients are recommended to limit the liquid reception. To decrease of a pain in the early postoperative period, 0,2 % nitroglycerinum cream is applied, eliminating a spastic stricture of a rectum sphincter.

Also analgetics and sedentary baths are appointed . If the emiction was restored, plentiful drink and the laxatives enlarging volume of intestinal contents are recommended. It normalizes defication and warns constipation. Manual research of a rectum is being done in 1 or 3 weeks after the operation for exception of a stenosis of the proctal channel.