Known as Mulvyadh or BaWasir in the local dialect, haemorrhoids or piles is the term used for swelling of the blood vessels near the anal opening. A variety of reasons, ranging from constipation to heredity, causes them to become swollen, enlarged and tortuous. As the condition progresses, a mass of this tissue can be felt coming out of the anal opening.
While it can be extremely alarming to see blood in the pot, worse, feel a mass coming out, there is no need to panic. A lot of people give in to the anxiety, try self-medication, fall prey to myths and even seek help from unqualified people/quacks, worsening the problem. This has probably led to the fear of piles in people’s minds, which otherwise, is a simple condition to treat.
Grade 1 in which there is only bleeding, is treated with medicines and physiotherapy ( MCDPA ). Grade 2 & 3 that have a retractable prolapse are more often treated with Laser ( Laser Haemorrhoidoplasty ). Some advanced cases of Grade 3 and Grade 4 piles ( non-retractable prolapse ) are best treated with Stapler surgery aka Stapler Haemorrhoidopexy / Minimally Invasive Procedure for Haemorrhoids( MIPH ).
The Stapler surgery was developed by world-renowned colorectal surgeon, Dr Antonio Longo. It is currently the gold standard for treating Grade 3 and 4 piles. In this procedure, a circular stapler device is used to ‘lift up’ or reposition the prolapsed mucosa and to reduce blood flow to the internal hemorrhoids. These internal hemorrhoids then shrink in a few weeks.
Stapler surgery is associated with much less pain than the traditional technique. This is because in Stapler surgery, the operating field is above the sensitive portion of the anal canal ( i.e. above the dentate line. A person has sensations below the dentate line ). In the traditional haemorrhoidectomy done using scalpel and sutures, the area below the dentate line is operated upon, affecting many sensitive nerve endings, typically causing a lot of pain.
Although uncommon, Stapler surgery may have some drawbacks. These are further minimized when performed by an experienced surgeon. The risks include but are not limited to:
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