Stapler hemorrhoidectomy for Piles/bawaseer/Hemorrhoids

stapler for piles surgery    miph surgery

Stapler hemorrhoidectomy is  a surgical procedure in which surgeon removed the enlarged hemorrhoids( grade 3 & grade 4) with the help of stapler gadget .stapler hemorrhoidectomy is recommended for those patients who had complain of prolapsed hemorrhoids ( piles/bawaseer bahar aana). Mostly grade 3 and grade 4 hemorrhoids or mucosal prolapse. Patients is also complaining of severe bleeding per rectum with severe pain during motion ( defcation).

What are the Grades of piles/bawaseer/Hemorrhoids.?

Piles/bawaseer/hemorrhoids are divided in 4 grades according to their symptomes and prolapse stage.

piles-stage1                   piles-stage2

piles-stage3               piles-stage4

What are the causes of piles/bawaseer/hemorrhoids?

  • -Blooming of Piles/hemorrhoids factors are totally depending upon person Diet,exercise,long sitting habit or sometimes piles are heredity as well.
    But some factors are responsible and associate in piles growth.
  • Heredity
  •  Long sitting/driving-due to long sitting ,anal muscles become fatigue or anal/rectum veins inflammation
  •  Heavy weight lifting-due to weak sphincter muscle causes piles blooming during heavy weight lifting
  •  Recurrent constipation-due to constipation, sometimes patient can’t pass stool smoothly, for passing stool he has to apply pressure to anal muscle which increases the chances of anal vein and muscle inflammation.
  •  Pregnancy-Pregnant woman are having more chances of piles before and after delivery because of loose pelvis floor muscle
  •  Less fiber diet
  •  Less water intake

What are the different surgery for piles/bawaseer/piles.?

  • Ligation
  • Sclerotherapy
  • Diathermy
  • Hemorrhoidopexy
  • Stapler Hemorrhoidectomy
  • Laser surgery

Contraindication for stapler hemorrhoidectomy:

  • Anal stenosis
  • Severe mucosal fibrosis
  • Anal,rectal inflammation
  • Sclerotherapy
  • Patient in anti coagulation therapy

Complication of stapler Hemorrhoidectomy:-

  • Peri anal infection are very common after surgery.
  • Sometime excessive force during defecation on  1st week of surgery damage the stapled line and patient had severe pain during motion
  • Stapled line infection are also seen during 1 st and 2nd week of surgery
  •                      painful defecation.
  • Rectum swelling and heaviness during 1st week of surgery.
  • Some patient is also complain of peri anal muscles weakness after stapler surgery, which further corrected by pelvic floor exercise  bleeding-hemorrhoids

Why stapler hemorrhoidectomy surgery  is better than other hemorrhoids surgery

  • Less pre and post operation complication
  • Less pain
  • Short hospital stay
  • Expensive but safe and best result
  • Return to work after 3 days of surgery
  • Minimal blood loss during and after surgery
  • No cuts no dressing..

Pre and Post stapler hemorrhoidectomy surgery 

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