These are the treatment methods used in advanced stage hemorrhoidal disease and hemorrhoid patients that do not respond to minimally invasive treatment
. It can be applied with various surgical methods.
With the addition of new technologies to surgical methods, patients experience less blood loss, shorter discharge time
and a more comfortable postoperative period.
Surgical preference may vary depending on the stage of the hemorrhoidal disease and the proportion of diseased tissue.
Although many new surgical methods are used in hemorrhoidal disease, they have been accepted by authors around the world, their long-term results have been evaluated, and they are the most successful. methods provide the healthiest results for the patient
Laser method in hemorrhoids
Various lasers can be used for this purpose. The main reason for the use of all lasers can be summarized as burning the veins
and closing the tissues by adhering during this burning
In this method called laser hemorrhoid ablation, thanks to the circularly emitted beams
hemorrhoidal pouches are removed. It is burned.
In studies conducted with laser, which is a technological device, it is observed that the pain and recurrence rates in patients are lower
than with classical methods.
Patients recover after a short-term loss of work force. He/she can return to social life in the early period.
Open hemorrhoidectomy (milligan-morgan)
After the vein leading to the hemorrhoid is tied, the hemorrhoid is removed with a scalpel and the wound is left open.
Closed hemorrhoidectomy (ferguson)
After the vein leading to the hemorrhoid is tied, the hemorrhoid is removed with the help of a scalpel. The open area is then closed with stitches.
Ultrasonic hemorrhoidectomy
As a combination of modern technology and traditional surgery, it is frequently performed in advanced hemorrhoidal surgeries today
is the method used. It works on the principle of high level sound waves. While the sound wave cuts the tissue
at the same time it closes the blood vessels going to and from the hemorrhoids, it is popularly called seamless
surgery. Patients experience less blood loss, faster surgery time and less postoperative pain compared to other methods.
Stapler hemorrhoidectomy (lo ngo method)
In hemorrhoidal disease that covers all quadrants, it works on the principle of removing all quadrant hemorrhoids with the help of a special cutting and closing tool called PPH stapler
. Although it has technical difficulties
it has successful results in safe hands
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