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Chi is more painful than the operation for the removal of hemorrhoids. Vidalennya hemorrhoids with a path of operational vtruchannya

Hemorrhoids - varicose veins of the rectum, which are accompanied by inflamed nodes from the inner side of the outer side of the anus. For examination of pathology, specialists prescribe conservative methods, taking medications. At the early stages, it is permissible to stagnate people's benefits.

Surgery for hemorrhoids is prescribed at the late stages due to the presence of positive dynamics in traditional methods, progression of rectal disease.

Indication

The appearance of hemorrhoids at the remaining stages of the development of pathology in the pelvic organ due to the presence of unsafe symptoms in adults.

Direct indications for emergency surgery:

• change the position of the bumps without the possibility of self-introduction into the anus;
• uninterrupted vision of blood;
• strong pain in the aftermath of bowel movements, change in body position: when walking, victorious physical rights;
• swelling of the anal opening;
• reduction of hemorrhoidal cones;
• weakening of the mucosal tone of the posterior sphincter, which leads to regular feces;
• pinching of hemorrhoids;
• thrombosis of venous vessels;
• elimination of anal fissures;
• ingestion of pathogenic bacteria through the burning of the opening of the skid;
• mucus vision of the rectum.

Symptomatic signs of hemorrhoids, which lead to poor health, are bleeding and seeing blood through the anal opening. Regular change in the position of the cones with the advent of the progression of the ignition process of the skin cover of the anus, infecting the infection through the lesions of the epithelium.

Ryasnі vtrati blood lead to anemia. The only option to avoid serious complications is recognition of a timely operation for distant hemorrhoids.

Іsnuyu contraindications before the surgical intervention:

• acute pathology of the intestinal tract;
• damage to natural blood flow;
• pathologies of nirok, liver;
• inflammation of the intestines;
• noritsі rectum;
• impaired functioning of the heart, respiratory organs;
• circulatory diabetes;
• evil puff;
• colds, infectious diseases;
• vaginess;
• age category.

Before surgical treatment of hemorrhoids, a complex obstezhennia is prescribed, which shows a counter-indication, in order to avoid serious consequences, to become a threat to health.

See operations

A variant of the removal of that called hemorrhoids in cases of severe symptoms, the location of localization and the general inflamed bumps, the nature of the pathology overrun. The operation is to be performed to eliminate damaged knots.

Establish traditional and radical methods of removing hemorrhoids with a surgical path:

• traditional: sclerotherapy, cryodestruction, vicarious laser, radiofrequency treatment;
• radical: hemorrhoidectomy, hemorrhoidopexy.

Traditional methods

The peculiarity of the traditional method of removing hemorrhoids is by pouring on the inflamed blisters of an independent surgical scalpel. The method is effective at the first stages of the development of pathology, if internal varicose veins, weakness of the vessels of the rectum are not suspected.

Minimally invasive techniques are carried out without the use of anesthesia, which gives the body inspiration after the procedure.

The traditional way of removing hemorrhoidal buds in May on the uvazhi vysіchennya injurious cones. with minimal damage to the inner lining of the rectum. Minimally invasive techniques are prescribed for people of a frail age, small children, pregnant women, who have a cold before the introduction of anesthesia. The hour of the operation to become a troch more than a year.

Sclerotherapy

Sclerotherapy - a method of surgery to remove the lesions of the hemorrhoids, which transfers the introduction of the lungs through the inflamed vein. Іn'єktsiya spryaє soldering vessels, after which there is no new rush of blood, henceforth, the bumps change at the rosemary.

The Danish method of minimally invasive treatment is not effective in the case of a distant hemorrhoidal node.

Cryodestruction

You can see hemorrhoids by splattering on the fire of a dilyanka with rare nitrogen, the temperature of which is -200 ° C. Freezing the cones will spray the independent fall for the day.

The effectiveness of the procedure is influenced by the infusion of cold, rare nitrogen on the epithelium, which leads to the development of blood microcirculation, the strengthening of the immune system, and the processes of metabolism.

Laser therapy is used to treat internal and external hemorrhoids. The method of spraying the pharynx of protein in venous vessels to the heat injection on the problem area.

The traditional way of healing allows the arteries to stick together, which cuts off the blood flow to the hemorrhoids. Vipadaniya vuzlikіv together with feces poserіgaєtsya 14 days after the procedure, the trivality of which becomes close to the fourth of the year.

Infrared coagulation

Visibility of the outer and inner hemorrhoidal node is possible due to the congestion of infracerebral exchanges for the larynx of the white speech in the venous vessels. The number of procedures is prescribed depending on the severity of the pathology, expanding the bumps of the anus.

Efficiency of coagulation is determined by the fluctuations of the nodes, the pimple of anal bleeding during the hour of defecation.

Liguvannya

For the removal of the internal form of hemorrhoids, the method of ligation with the insertion of round extensions with latex is used. The peculiarity of the method is the ligation of the base of the cones for the rupture of the blood circulation in the veins. Vіdpaliy vnutrishnіy vuzol go out of the body at once with style in 14 days after the completion of the procedure.

Nestacha lіguvannya - timchasovy vіdchuttya third-party object in the anal opening.

For the removal of hemorrhoidal cones, it is necessary to block the access of blood to the venous vessels of the rectum. The method of dezarterizatsiy peredbachaє insertion into the anal opening of the anoscope to determine the exact location of the localization of the artery, which will lead to the swelling of the radii to the vein. Through the opening, possessing medical threads, blood-bearing judges are pierced. Disarterization is effective for other-third stages of rectal ailments.

Minimally invasive methods for visualizing the hemorrhoid node may have negative consequences:

• painfully obvious;
• seeing blood from the anus;
• thrombus elimination in case of oval hemorrhoids.

Pain seems to be a legacy of the traditional options for treating hemorrhoids, which are gradually being reduced, with a minimally invasive surgical path. Sensitive shkirny covering the epithelium of the anal opening under the infusion of latex rings, or infrared vibromination is ignited, causing spasms. Slight anal bleeding is associated with skin removal procedures, laser coagulation and cryodestruction.

A negative note was caused by the passage of a hemorrhoidal nodule, which you can see, through a small hole in the anus. Thrombophlebitis of clots is associated with inconsistent removal of bumps, if blood pooling occurs.

To the shortcomings of victorious traditional methods are brought:

• relapse of illness;
• varity of remoteness;
• the number of qualifications of specialists.

In case of sublimation to the end of minimally invasive therapy, the presence of a positive effect, the manifestation of an aggravated pathology, the removal of hemorrhoidal nodes by a surgical method is prescribed.

Radical Methods

Inflamed bumps need to be seen at the remaining stages of the development of pathology, if the symptoms become a threat to health.

Surgical insertion - the appearance of an internal and external hemorrhoidal node of an open or closed type, which may be obvious:

• stitching on the post-operative wound of the skin cover after removal of hemorrhoids;
• vikoristannya mіstsevoy anesthesia;
• shvidka vodnovlennya ailing.

Vіdkritiy type dannyh іrurgichnogo vtruchannja podbachaє polozhennja ї in the inpatient ward without additional suturing of the wound, if the catheter is stopped in case of deformity. The renewal period is three more than a month for self-sustaining burning of inflamed hemorrhoidal cones, damaged mucosa.

Іsnuє submucosal type of operation with removal by the Parkes method. This type of insertion transfers only the inflamed node without removing the mucous membrane of the intestine.

The operation of hemorrhoidectomy is indicated for the removal of the middle of the disease and the causes of the first symptoms of the disease. The most important thing is the presence of a possible recurrence of the pathology.

Ale in surgical treatment of hemorrhoids using the Milligan-Morgan method, there are negative aspects:

• trivality of the surgical insertion;
• clearer vision of blood;
• painful symptoms during the rehabilitation period;
• zastosuvannya zagalny anesthesia;
• unsafe complication after hemorrhoidectomy;
• stosuvannya silnod_yuchih likarskih sobiv;
• Trivale of inspiration to the organism;
• refrigeration before the operation:
• evil swells;
• Crohn's syndrome;
• vinification of the fetus, the period after the fall.

It is possible to clean up inflammation of the hemorrhoids of the anus using the Longo method, which transfers a transanal resection. Operative removal is performed not by hemorrhoidal nodes, ripped in the middle of the straight line, but by a thin mucous membrane, which is found more than cones.

Under the hour of surgical intervention, the possession of a visual sensor is established, which allows the insertion of an artery, which veins are judged by blood. After the opening of the shell of the newly formed anal opening, it is carried out with braces and hanging with staples, after which it is removed.

Advantages to the method of removing blood clots in hemorrhoids using the Longo method:

• zastosuvannya mіstsevoy anesthesia;
• the presence of anal blood vision;
• an hour of the procedure takes three times more than 20 minutes;
• the operation carried out, whether it is a stage of development of hemorrhoids;
• minimal change contraindication;
• presence of pain syndrome at the stage of renewal;
• non-trivial hour of rehabilitation - more than 7 days;
• minimal risk of possible complications, as after hemorrhoidectomy;
• opening of seams, scars of wounds.

The main shortcomings in the method of removing hemorrhoids are the possibility of removing only internal hemorrhoidal cones, as well as the high variability of the operation.

Preparation procedures

Before the operation for the removal of hemorrhoids, the next step is to add additional preparations:

• visual inspection;
• instrumental diagnostics;
• laboratory analysis building;
• bowel cleansing.

To determine the variant of therapy, the surgeon looks at the patient, establishes symptoms that are turbulent, reveals the nature of the overrun, the degree of severity of hemorrhoids. After visual contact, the patient is assigned medical obstezhennya, which includes the task of analysis and the development of instrumental diagnostics.

Preparing for an unsafe operation with a distant transfer of biological materials taken for larynx, platelet count, erythrocytes, the insertion of the Rh factor, the manifestation of infectious, colds, and viral illnesses. Obov'yazkovі methods and instrumental diagnostics - anoscopy and sigmoidoscopy. These methods allow you to establish a rosemary, a symptom of hemorrhoids, a complication of pathology for the identification of possible risk factors and a contraindication to surgical intervention.

Preparing before the operation, follow the next step. Before surgical intervention with hemorrhoids, diet should be taken to normalize the functioning of the intestine, in order to eliminate constipation, diarrhea, increased gas production.

As for the anus area, there were swellings, plumpness, and newborns, which should be maximally localized with additional medications. Before the operation, clean the intestines for additional microclysters and rectal suppositories, as well as reduce the infusion of water 12 years before the procedure, as a result of severe anesthesia, and also burn the anus area.

Renewal period

If the operation with the removal of hemorrhoids pass, there is a rehabilitative period.

For a quick return to full life and minimization of unsafe conditions, it is necessary to follow the recommendations:

• vіdmova vіd їzhi protyag the first 24 years after the operation;
• dotrimannya correct eating during the last half-life period: obov'yazkovnya to the diet of spicy meat (soup, porridge), defecation of fatty, lubricated, smoked, hot fish for the normalization of the functioning of the intestinal tract;
• dotrimanya nutritional regime for rozm'akshennya feces;
• infusion of ointments, gels, rectal suppositories to change the pain syndrome;
• selection of methods of folk medicine: compresses, lotions, sitz baths based on herbal collections.

For a complete renewal after the removal of a geomra in the home minds, after a surgical intervention, it is necessary to go through a month, the first day of which is carried out in a hospital, so that it can be changed hourly.

Unsafe legacy

If there is inflammation of the internal organs of the outer hemorrhoids, the mucosa of the rectum is injured, the skin around the operated area is injured.

Due to the lack of hygienic procedures, after introducing the wrong technique of the surgeon, unsafe complications can be guarded:

• seeing pus;
• fistula of the rectum;
• blockage of the anal canal;
• retraction of the posterior sphincter;
• bleeding;
• damage to the robotic sciatic system;
• stress.

Before that, how to get rid of the inflammation of the hemorrhoids, it is necessary to disinfect the damaged litter. Due to the viability of the underlayment of the skin curve for the first hour of the operation, the penetration of pathogenic bacteria is possible, which leads to an abscess.

For the removal of pus, medications are prescribed, or cleansing the inflammation. Opening the canal in the anus of the rectum to lead up to the end of the anal passage with the lining of the organs and tissues.

The ringing of the anal canal is eliminated with improper suturing of the wound with a closed type or hemorrhoidopexy. To expand the passage of the zastosovuє surgical insertion. Loss of sphincter after removal of hemorrhoids is caused by the infringement of nerve endings during the operation. Poshkodzhennya mіstsya seam, improper technique dezarterization, trauma to the mucous membrane provoke an ear of bleeding. Fear of ailing symptoms after surgery leads to psychological constipation, if the patient can empty his intestines.

The information on our site is provided by qualified doctors and may be of an exclusively informative nature. Do not engage in self-deception! Obov'yazkovo turn to fakhivtsya!

Gastroenterologist, professor, doctor of medical sciences. Assign diagnostics and carry out likuvannya. Group expert for the treatment of flammable illnesses. Author of over 300 scientific works.

As a result, the disease reaches the remaining stages, conservative exuberance does not solve the problem of the patient. Assign the operation obov'yazkovo.

The need for surgery

The third and fourth stages of the disease are directly indicated to the point of being removed by hemorrhoids with a surgical path. The patient's camp is heavy. Although conservative and minimally invasive methods of treatment did not work out, the disease progressed rapidly, it was necessary to promptly introduce it. Let's describe the reasons for consumption.

With internal hemorrhoids:

• Knots of the great rosemary, falling out of the lumen of the rectum;
• Strong bleeding;
• Illness, unbearable white under the hour of walking, become calm;
• The functions of the sphincter of the rectum are weakened - uncontrolled vision of fecal masses;
• Threat of causing thrombosis, squeezing hemorrhoidal nodes, making cracks in the rectum;
• Great risk for the development of the ignition process, the onset of infection.

For ovarian hemorrhoids:

• Strong bulges of tissue around the anus;
• Pain seems to be strong;
• The hemorrhoidal nodes of the great rosemary are respected by the transfer. It is impossible for a sitting position to fix;
• Tissues around the anal canal crack;
• Increased risk of thrombosis, zatiskannya hemorrhoidal node;
• Promoted development of skin diseases through aggressive mucus objects;
• Growing threat of infection and inflamed subcutaneous fat cells.

In case of combined hemorrhoids, symptoms characteristic of ovine and internal hemorrhoids are blamed.

Obov'yazkovym pokazaniyam for operation staє vypadanny of a rectum at hemorrhoids, aggravated paraproctitis and іnshі.

Contraindications for surgery

A number of contraindications for surgery for hemorrhoids:

1. Do not perform surgery for hemorrhoids at the stage of acute intestinal infection;
2. Do not slacken the operation for the removal of hemorrhoids in various rotten blood clots, disease of the circulatory system;
3. It is not possible to recognize operative treatment of hemorrhoids in different types of liver, liver and legenous insufficiency;
4. It is unacceptable to carry out an operative intervention for vicarious anesthesia in case of pathologies of the cardiovascular system, diseases of the organs of the respiratory system;
5. Blood diabetes is a contraindication for surgery through the rot of blood clotting;
6. The operation of removal of hemorrhoids is contraindicated due to the presence of malignant puffiness in the patient;
7. Surgery for removal of hemorrhoids is not carried out for a weakened immune system.

The jubilation of people of a frail age is marked by signs of victories of conservative methods - after 50 years of fabric, it is important to innovate. If the operation does not fail, it is recommended to keep the patient well-kept and prepare before the operation.

Preparation before surgery

The patient is ready for the operative intervention.

Yakі pіdgotovchі come in to be held at the clinic

• Pidbir vіdpovіdnogo method likuvannya. The medicine is dependent on the method of surgical insertion, depending on the degree of severity of illness, localization of hemorrhoids, obvious complications. For this patient, look around, get acquainted with the anamnesis, discuss the scars.
• Conducting medical treatment. With the method of revealing possible contraindications and risks, laboratory investigations (blood tests), electrocardiography, fluorography, digital obstruction of the rectum, anoscopy, colonoscopy, ultrasound of the organs of the cervical emptying are carried out.
• Preparation before anesthesia. The anesthesiologist doctor fixes information about the patient's regular intake of drugs, the presence of allergic reactions to medical preparations, and perform the necessary tests. Take a decision - under some kind of anesthesia, an operation is required. Inform the sick person about the preparation the day before the operation - eating and drinking regimen, enema. Remove the empty prostheses from the oral cavity, remove the embellishment.

How to get ready for surgery patient

Preparation before the operation of ailments begins for a few days before the operation.

1. Dorimuetsya diet. To prevent complications after the operation, normalize the work of the intestines and prevent constipation. The diet includes products that cause bloating, diarrhea, constipation, teasing the bowel and intestines.
2. Zazdalegіd before the operation to be carried out, come in and take the fire at the sphere of the anus. Nabryaki, zapalennya chi vrazki are minimised by likarsky zasoby.
3. See your dentist before surgery. Forge ailments and teeth that are hurting, to those who create problems with the stink of general anesthesia.
4. Vecheri before the operation obov'yazykovymi є hygienic procedures. In the evening, take a shower and clean the enema - the intestines on the day of the operation should be empty.
5. Eating and drinking regimen. The rest of the intake before the operation should be carried out no less than 12 years before. On the day of the operation, it is not possible to drink water at the time of general anesthesia.

Methods of conducting surgical intervention

Depending on the localization of hemorrhoidal cones, the size, the presence of bleeding, the stage of overcoming the disease, ways to relieve the patient from hemorrhoids are prescribed.

Persochergova meta surgery - removal of inflamed hemorrhoids.

Vіdomi radical and minimally invasive methods of surgical treatment. The removal of hemorrhoids by a path of radical surgical intervention is carried out at the third or fourth stages of illness. Usunennya razhenih vіlyanok vіdbuvaєtsya way vіrіzuvannya that vіchennya.

Hemorrhoidectomy according to Milligan-Morgan

Radical method of treating hemorrhoids. Likuvannya is carried out in two ways:

• Vidkritim - if the surgical wound is not sutured, but heals independently. The operation is considered for the minds of the hospital.
• Let's close - sutures are applied on the operation of the mucosal membrane. The patient is operated on in outpatient departments.

Hemorrhoidectomy is used by the method of stagnation in depressions, aggravated by cracks on the rectum or as a development of paraproctitis. The procedure for transferring or removing the inflamed vuzlіv and the superfluous mucous membrane. Sometimes the Prax method is used, if the nodes themselves are seen without a mucous membrane.

To override the method to lie:

• The operation after the Milligan-Morgan method revealed internal, external hemorrhoidal nodes;
• The operation gives a result, the problem does not turn around for three hours;
• Complicated after surgery is rarely blamed.

To nedolіkіv vіdnosit:

• Operatsiyne likuvannya three years old, undergo under severe anesthesia;
• Bolovі vіdchuttya protyazh nіslyаoperatsiynogo period;
• Dovgostrokovy period of confinement and rehabilitation.

Hemorrhoidectomy using the Longo method

The method of transanal resection, the Longo method, is being established.

Surgical insertion in the upper part of the mucous membranes of the rectum above the dentate line - more hemorrhoidal cones. The knots do not hang, they climb uphill, they are supported by medical arches. As a result of a rush of blood, the bumps "shrink". Overgrowth with good tissue, the intestines fill with a natural anatomical appearance.

• Operate the patient with the help of manual anesthesia;
• Blood loss per hour of operation is minimal;
• Three dominum procedure;
• Painless interruption of the postoperative period;
• The operation gives a stable result, aggravated infrequently.

• Longo's method zastosovuetsya less to the exaltation of internal hemorrhoids.
• The operation is expensive.

Treatment of hemorrhoids with a laser

Although at stages 1-2, conservative treatment does not bring an obvious effect, surgery is required, hemorrhoids are removed by minimally invasive methods.

Laser coagulation is an effective way to treat hemorrhoids. Effective for internal and external hemorrhoids.

The technique is based on the stagnation of the advancing powers of the laser beam:

• Robot in the infrared range;
• More accurate focusing;
• Vikoristannya thermal viprominyuvannya.

The inner nodes are attached by a laser exchange, the outer ones are zipped. When likuvanni likar regulates depth and tightness infusion of change.

The method is effective in the treatment of thrombotic hemorrhoids, for the presence of clear bleeding from internal nodes and anal fissures. Laser coagulation is prescribed for inflamed and fistulous canals.

1. For additional laser coagulation, hemorrhoids should be removed, no matter how localized;
2. Cracks are shrinking, flare-ups are scorched;
3. The procedure is high-precision and non-traumatic for the affected tissues;
4. Laser coagulation is painless and bloodless;
5. The patient is suddenly remembered after such an operation;
6. Vision of great nodes at 3rd and 4th stages of overcoming ailments with victories of the combined technique.

• Vartist likuvannya;
• Insufficient performance at the stages of hemorrhoids.

The procedure of laser coagulation affects the patient's forward preparation.

Suggestions

The person is against the operation, if other methods are tested, and the discomfort makes life unbearable. To be brought to violence on a radical approach, the more important major depressions of the patient will have problems for the rocks - do not torment the hemorrhoids anymore.

The operation is carried out by the Milligan-Morgan method. Severe stage - postoperative period. The operation comes painlessly. Usuvaє launches of internal, external and combinations of hemorrhoids 3-4 stages. It hurts the first two or three years of rehabilitation. People swear at the damage of the cuttings on the back. It is necessary to solve the problem, because there are no alternatives for neglected cases.

Longo's method relieves the problems of the devil, the period of renewal of non-trivals. Zovnishniy hemorrhoids do not rejoice in a way.

Laser coagulation destroys the problem of health and touches the aesthetic side. In women, there are gently sloping and vagity ovnishni nodes of an unfriendly look. Laser coagulation called for hemorrhoids independently, delocalize nodes, but at advanced stages it is not effective enough. Feedback about the method of jubilation is positive - everything is painless, for 15 minutes. No anesthesia in the hospital ward. At stages 3-4, hemorrhoids are more likely to be treated in other ways.

Is it necessary to see hemorrhoids?

If it is still necessary to operate on hemorrhoids?

Hemorrhoids - an affliction of the rectum, which is manifested by discomfort, pain, bleeding, and cones.

You can die of hemorrhoids - that is the most important disease of the liver - cirrhosis or not laryngeal blood, then the least bleeding can lead to a lethal result, in all other cases, hemorrhoids are not safe for life.

For summer people, shards of wine often mask cancer. Bleeding vision of the mucus from the anus bіl, constipated people associated with hemorrhoids begin to get used to self-sufficient visits to yoga. Sound the results of my practice of self-delusion for 3-9 months, the first time after that, not bachachi the results of liberation, go to the proctologist. The frequency of cancer detection in me is 2%. Initially, the figure is not large, but if it is to be translated into absolute figures, then it is not the same as the one who turned around.

Below is the statistics of the national cancer registry

colon cancer

So I recommend the treatment of hemorrhoids 3-4 stages for young women, childbearing age. Why? That is why, with the vacancy of nutrition, the most important remaining months create even great additional problems. And the situation should come out if the medication is not particularly necessary to attribute and the operation is not necessary, but it is necessary to work!

The third contingent of patients who require surgery - ailments, who unsuccessfully completed a course of medical treatment for hemorrhoids, succumbed to minimally invasive methods of treatment - latex treatment for hemorrhoids, cryodestruction, THD, laser treatment.

Most of all described in the available literature by the techniques of operational manipulation, but we can also mention the operation of Wyde Head from the plasticity of the anus. This is the most radical operation for today, as it guarantees a recurrence.

The operation itself is painless! Trivality of rebuking at the hospital 2-3 dobi. The ailing one is lifted to the feet of the same day. Less than in the first 2, get sickness pills, give 5 ways to beat sickness pills.

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Operation with removal of hemorrhoids

The operation for the removal of hemorrhoids is a radical method of treatment of this inadmissible disease, which is stagnant in chronic forms of varicose veins of the rectum and the acute process, which is accompanied by severe pain. Fahіvtsі-proctologists in the most vipadkіv recommend to patients conservative methods of treating hemorrhoids, proteo, because the stench does not bring relief, and the ailments are in remission, you can think about the operational removal of the vuzlіv.

With severe hemorrhoids, there are more risks, associated with surgical interventions, that patients are recommended not to hurry with the operation and go through all the therapeutic visits. As soon as the inflammation is settled and the stabilization will begin, a decision will be made about the additional operation.

Indication before surgical removal of hemorrhoids.

Hemorrhoids of the middle form of severity are not indicated before surgery. Surgery is necessary in times when serious complications are blamed:

• vipadanny vuzlіv;
• pinching and thrombosis of hemorrhoids;
• often podkravlyuvannya inflamed veins;
• rіdkіsnі, ale ryasnі bleeding.

Constantly seeing blood causes a risk of developing anemia. Vipinanny vuzlіv create a friendly environment for the fuse of the skin curve in the perianal space. Mucus, which is seen from the surface of the nodes, fights and lowers the power of the skin, as it becomes hostile to microbial infection.

The Crimean patient can see a strong bіl i bolіsny sverbіzh, like shtovhayut yogo on a radical come in schodo ill. The ailment itself is ready for the operation, the shards for relief from hemorrhoids are ready to endure all the hardships of the surgical operation.

In the days of the great expansion, minimally invasive techniques of surgical treatment of hemorrhoids were born, as the people took away the name "sparing waste". Tse vpliv on wuzli for help:

• sclerotherapy of hemorrhoids (injection with a syringe into the base of the node of gluing speech, as a “soldering” of the venous walls);
• cryodestruction (“freezing” with rare nitrogen at a low temperature);
• lasers and radio waves (ruinuvannya vuzlіv);
• ІCh-promenіv (focal infrared coagulation);
• bandaging with latex rings (ligation, after which the vuzol fell off).

These operations are carried out on an outpatient basis and do not require general anesthesia, once the patient is happy, the patient may go home. Prote physically removed vuzlіv means exultation in the presence of ailments. Weakness of the vessel walls and internal varicose veins cannot be put down by such a rank. Listed methods and docily zastosovuvat in cob stages of disease.

In traditional surgeries, tissue diseases are treated with an additional laser. This is a serious surgical intervention due to the usual risks and an important resurrection period.

1. Hemorrhoidectomy, or the Milligan-Morgan operation is the oldest and most traumatic method of removing hemorrhoids. After the procedure, the patient is left with a non-practical one for a period of time and is guilty of resolutely treating the post-operative wound until it is completely wounded. The Milligan-Morgan method is true, if a sick person has large hemorrhoids and a risk of massive bleeding. Venous bumps are seen more and more, at once from the affected mucous membrane. The advantage of this method is obvious - the ability to save the patient from causing illness. Ale nedolіki operation suttєvі, tse:

• triviality of the procedure, the need for a long time to change under anesthesia;
• ryasna blood loss;
• numerical reduction;
• trivale perebuvannya at the hospital and on the likarny;
• heavy rehabilitation.

2. The Parks method is one of the options for the operation of Milligan-Morgan hemorrhoidectomy, which is less traumatic and painful for the patient. In the process of manipulation, the hemorrhoidal vuzol hangs, not protruding from the mucous membrane. The operation can be combined with the technique, but it also allows patients to get along without severe pain in the recovery period.

3. Operation by the Longo method is considered the most effective way of surgical treatment of hemorrhoids. The result can be reached for the area of ​​disarterization of the hemorrhoids. Operational control is introduced into the rectum under ultrasound control, decongestion and tightening of the artery shmato, to live hemorrhoidal nodes. The operation is carried out on an outpatient basis with a stretch of wheezing, for medical illnesses. Benefits of this method:

• allows you to see the numerical internal nodes;
• bloodless and painless procedure;
• svidke carrying out that revival (maximum 5 days);
• short hospitalization (1 day) or її daily;
• do not heal postoperative wound.

Longo's operation may be one suttєviy nedolіk - її not vikoristovuyut for the removal of zvnіshny hemorrhoids.

Vision of hemorrhoids: preparation before surgery and renewal

The preparatory stage of the operation is the first step in the treatment of pretrial surgical patients:

• carrying out the necessary analyses;
• diagnosis of concomitant illnesses;
• revealed contraindications and risk factors.

Specific preparation for proctological manipulations - first of all, bowel cleansing. Cleanups come in to be carried out not only in advance of the day (by taking a carrying or medical enema), but also by stretching for a few days to a new one. It is important to take care of diet, so as to allow normalization of the intestines, to reduce the damage to the bowel, which often provokes the development of hemorrhoids. Incorrect eating, constipation can make it easier, that viklikati is complicated, so without this important step, the operation can be stupid.

Obov'yazkovo is necessary to remove the inflammation in the region of the anus, as it is. Razdratuvannya, vyrazki, bloating need to be minimized for additional drug therapy and folk remedies.

Perebіg postoperative period to lie down in the same way as the method of extortion and the spontaneous self-confidence of the patient. In most cases of depression, it is recommended to take a special diet for the ailing, so as not to upset the intestines; The postoperative wound is subjected to retal clotting with these methods, as recommended by the surgeon-proctologist.

To reduce pain symptoms, the doctor can prescribe analgesics and apply nitroglycerin ointment to the area of ​​injection. The aggravation after the operation with the removal of hemorrhoids can be serious, so the head of the ailing task is to take care of all the arrangements of the doctor and not engage in self-diagnosis.

Post-operational complication

It’s a pity that the development of the development is more complicated after the operation is done high. This is due to the traumatic nature of the manipulations themselves and the rotting of the surgical field (there is a large amount of bacterial contamination). The correct technique of vikonannya procedure is hygienic if it is allowed to disappear unacceptable traces, such as:

1. Suppuration is one of the widest conditions that is blamed when pathogenic microbes get into the wound, which is not surprising in the perianal division. In case of purulent inflammation, the patient is prescribed antibiotic therapy and antiseptic drugs, in the case of an abscess formation, it is opened and the purulent vmist is removed.
2. A fistula (fistula) is one of the most serious recent surgeries that is formed after a few months after it. Intestinal fistula is a channel that opens in the rectal wall and closes with a vent on the surface of the esophagus or in the empty vascular organs (for example, in the pihva). The exaltation of this illness is surgery.
3. The ringing of the anal canal is heard when the operation technique is damaged. The reason for the folding is incorrectly overlaying the seam. Expansion of the passage is carried out for the help of special outbuildings; plastic is indicated for folding slopes.
4. Bleeding is a great blood loss in the post-operative period when the blood vessels are damaged during the course of surgical manipulations and tissue injuries during the application of stitches.
5. Zatrymka sichovipkannya - a little complicated in the early postoperative period, as if it were impossibility to independently produce sich mikhur. Rejoice for additional catheterization.
6. Severe psychological state - bіl, fear that іnshі feel, scho accompanies rebuffing on the operating table and in the hospital ward, can be unfriendly to the mood of the patient. The whole is natural and swidko mine. Prote іsnuіє nebezpeka scho psikhologicheskaya trauma provokes neurogenic constipation. For prevention, it is recommended to carry and take sedatives.
7. The weakness of the rectum, the weakness of the anal sphincter are a rare aggravation, which is blamed on the damage to the nerve canals of the intestine during the hour of the operation. Likuvannya is conservative, directing sensitivity in light depressions, otherwise - surgical intervention.

Varity of removal of hemorrhoids

As a rule, operations with the removal of hemorrhoids, carried out by the policy of obov'yazykovogo medical insurance (so for the patient without cost), are performed by the most radical methods. That is why the majority of those suffering from hemorrhoids give priority to sparing surgical methods, fighting for exultation for the power of pennies. The number of such operations can vary from a few thousand rubles to five hundred rubles.

Prices for the treatment of hemorrhoids lie depending on the type of operation, the qualifications of the surgeon, the equal clinic, and the affiliation to the commercial state medicine. Ale smut, which pours into the art - tse obsyag vtruchannya that step of severity of ailment.

The average order of prices in Moscow for the types of warehouse operations:

• lіguvannya latex rings - 5 - 7 yew. rub for 1 vuzol.;
• classic hemorrhoidectomy according to Molligan-Morgan - 20 thousand. rub.;
• dezarterization by the Longo way - 30 ths. rub.;
• electrocoagulation of veins, laser removal of hemorrhoids - from 30 thousand rubles;
• sclerotherapy - 3 thousand. rub. for the skin vuzol.

Prior to the surgery, it is necessary to add a consultation of a proctologist in Moscow (for 1 thousand rubles), obstruction of the rectum (sigmoidoscopy - for 3 thousand rubles) Anesthesia (5 - 7 thousand rubles), Perebuvannya in a hospital.

It is possible to determine a significant cost for the operation only after a glance by the surgeon, shards of difference between distant hemorrhoids of the cob stage and the advanced process of 3-4 degrees of severity can be seen in razi. To this, proctologists recommend not to delay, and even more conservatively they do not give memorable results, the disease often recurs, it is possible to think about radical methods. The earlier the operation is completed, the sooner it will be effective and lower the risk of repeated fires.

Notes on the operation for the removal of hemorrhoids.

Most of the time, patients refuse to undergo surgery, being irritated by hemorrhoids and having suffered enough from pain and bleeding. The main mass of information about surgical treatment is positive - in a positive way, the shards are taken in by the ailments like a breeze in the face of a hated ailment. The axis of the sprat is applied.

Vidguk №1

For my hemorrhoids - 9 years, having started back to a sigh, and after 4 years, after the appearance of a baby, I was called for an operation. As before, it was tolerable, and I fought with candles, then after the slopes of the knots began to fall out and bleed, it was steady. They killed the usual hemorrhoidectomy - the doctor was surprised by the most classic method, as the most effective and inexpensive.

The operation itself was carried out on a table like a gynecological chair with novocaine injections in the ass. We ran into the pіvgodini. From the vіdchuttіv - not sore, only the head was confused in the calm, and the sound of the shorn body was unacceptably bluish. At the time of the stitching, the anesthesia began to come off, and the patient felt the tingling. After surgery for pain relief, I took it myself, it was quite tolerable. 3 times a day it was necessary to sit in a basin with a variety of potassium permanganate, then apply a tampon from levomecol.

I used to go to the toilet before, I won’t tell you, I don’t want to tell you. The clothes were rented on the 4th day, but on the 7th day they lost them, and they let me go home. There is nothing particularly terrible in the operation; moreover, women can not be afraid of it - it’s nothing to see hemorrhoids from the canopies. The result is visible, more so, for the sake of health, I can be tolerated. Before speech, korisna pleasure: it’s better to go to the toilet in a basin of water, it’s easier!

Vidguk №2

My postoperative days were a real nightmare, I had only survived on Ketanol, and I was scared to think about the toilet. But the operation itself is absolutely painless, so you are ready to go through 7-8 days of hellish torments after it, then go without thinking. Well, robiti, you need to rejoice.

I didn’t have options for stage 3 hemorrhoids with tissue necrosis and blood clots in the bumps. It took 35 stitches to sew up all the dissimilarity! Having paid close to 1,500 dollars, you don’t have to rahuvat the first tizhny, once you don’t slander about those who have grown.

Vidguk №3

Under the hour of vagity, the discomfort at the dilancie of the anus began to become apparent, which grew larger and larger in the abdomen, and after the gentle slope it became even hotter. If I went to the doctor, I was diagnosed with stage 4 hemorrhoids, internal and external nodes. The operation was performed for a fee, with a laser. This was the 5th anniversary of that and it was worth the cost of those close to the ruble (I'm not in Moscow, it's cheaper here).

For a while, I believed in the painlessness of the operation - it was more painful and the next hour, and the day after. Especially for a long time, after revisiting the smell of greased meat. But I can say for sure that all these flours were not for nothing, I got hemorrhoids all over.

What surgery is needed for hemorrhoids

Proctologists see an active increase in the incidence of ailments to aggravate hemorrhoids. A lot of patients are drawn from the first visit to the doctor through the delicacy of the problem. Tse to bring to the unacceptable those unsafe fuses that require prompt delivery. New methods of removal of veins are a miraculous alternative to sickly surgery, they solve the problem, like treating hemorrhoids without surgery.

When an operation is needed

Operation on hemorrhoids is an extreme form of treatment and is prescribed by a proctologist

Infection with pathological inflammation of the walls of blood vessels, which penetrate the entire mucous membrane of the intestine. Under the influx of negative factors and the reasons for the stench, the stench increases in the rozmіrі, the lumen of the intestines is interrupted. The stench changes normal and stable defecation, can cause bleeding from the anus, torment the patient with pain and severe.

Іsnuє kіlka of the main stages of the development of tsієї inadmissible ailments:

1. For bugs, the symptoms are not remembered. The blisters may have a small expansion, they are absolutely painless and do not disturb the normal process of birth. Among the characteristic signs is discomfort in the anal area, when you notice the presence of a third-party object after going to the toilet "distantly".
2. The cones are still small, but before the disease is over, the liver comes to the crotch, the internal sverbzh and white. Whether it's a stool jam, trauma to the sphincter, there are anal fissures and blood on the bile.
3. The hemorrhoids, when strained, fall out of the anus, can be pinched by the m'yazami and not allowed to go to the toilet. A lot of ailments are tormented by the impossibility of sitting on a chair, to practice normally and lead a healthy way of life.
4. The bumps are no longer settling, provoking the post-cold fall and swelling at the crotch. The stench can bleed profusely and lead to anemia. As a result, microcracks, or the lower parts of such dentures, are ignited, which is the cause of paraproctitis and that great suppuration.

Vuzliks do not know without too much, they need to be seen in different ways. Can you treat hemorrhoids without surgery? The most important nutrition is to lie down in the stage and stage of symptomatic zanedbannosti. The most optimistic forecasts are voiced for the first and other phases of development, if it is possible to quickly clean up the fire and the sprouting of new cones.

Select the method of likuvannya

After a complex obstezhennya, the proctologist virishuy, chi є obov'yazykovim operatively vtruchannya with hemorrhoids in a particular patient. As soon as you are at the first stage, it’s enough to take medicine, go on a strict diet and do gymnastics, so forget about the ailment. Modern equipment and the skill of doctors allow 80% of patients to manage with light, minimally invasive methods, which helps to get rid of ailing nodes without folds. How to undergo an operation to remove hemorrhoids from the selected option:

Liguvannya

Liguvannya hemorrhoidal nodes

The procedure is performed with miniature rings made of latex, as if, for an additional tool, they put on the base of the inflamed bumps in the anus. The stench cut off the blood's access to the judge, and illumine the air with the stretch of the day. On the yoga area, an ice commemorative scar is left, which does not obstruct defecation, does not call out unacceptable thoughts.

The ligation is carried out only for the presence of a hemorrhoidal node of the lower leg, as it is possible to heal. This method is suitable for 2-3 stages of illness. In a few cases, good results are given by the delay of the procedure in the remaining phase, as there is no risk of thrombosis or bleeding.

Infrared coagulation

Infrared coagulation of hemorrhoids

The procedure of coagulation is more predictable with heat exchanges. Spilling on the base of the sore knot in just a few seconds for an additional quartz nozzle, the liquor polishes the skin for a little light. On the vіdmіnu vіd lіguvannya, the surgeon has access to the problem areas in the middle of the anus, more bumps at the first stage. The whole procedure is carried out under general anesthesia, which does not require a lengthy preparation period.

In an hour, the operation can take up to 2-3 years, and the number of stages. Before the cob, the patient is given all the necessary analyzes and undergo preparatory procedures. In most cases, similar surgical interventions are carried out in private clinics.

Cryodestruction

Apparatus for carrying out cryodestruction of hemorrhoids

In contrast to the forward thermal method, the robot is carried out with rare nitrogen. The low temperature allows you to freeze larger bumps and block the access of blood to them. The advantage of such a minimally invasive method is the duration of pain during the manipulation of the doctor and the duration of anesthesia. Therefore, cryodestruction is recommended to vicorate for patients, as they may be allergic to various painkillers.

Laser therapy

The modern technology of transferring the hemorrhoidal nodes with the thinnest laser exchange. At the same time, small wounds, cracks, which bleed and scarring of the mucous membrane of the intestine are attached. Method zastosovuєtsya at any stage, dopomogayuchi not only pozbutisya cause illnesses, but also to deepen the skin around the sphincter smooth and neat in appearance.

Sclerotherapy or sclerotherapy

Vіdmіnniy and shvidky zasіb, scho dopomogaє change zvnіshnі and kombinovani cones. The drug is injected with a thin needle into a blood-bearing vessel with a drug that glues the walls. The access of speeches to the point of inflammation is interrupted, the lymphatic drainage is improved, there is swelling and swelling.

Indication before surgery

Indications for surgery: thrombus, suppuration, norits, polypi

Іsnuyut different ways to get rid of problems. Therefore, the fahivets considers all the possibilities and evaluates the chances of proliferating hemorrhoids with minimal complications for a person.

It is impossible to hide folding operations due to the presence of such factors:

• vuzliki no longer adjust, and blame the risk of pinching, crushing or injury;
• trivale of seeing blood in case of any needfulness, defecation or simple promenade;
• standard drug therapy ceases to give results, does not buy that liver;
• festering in the anus begins, they blame the burrows that they see the eye;
• a blood clot settles at the node, veins of necrotic rash and a serious rizik in the midst of the subcutaneous cellular tissue;
• in case of revealed internal polyps, yak z'ednuyutsya with bumps of the base, zbіlshhuyutsya obsyag.

In these cases, there is no longer any mention of minimally invasive technologies. Surgeons-proctologists have to choose from collapsible techniques, so as to ensure the advance preparation of the sick person, watch out for the post-operative period:

• Martinov's technique with the help of the nodes and parts of the mucous membrane with a scalpel.
• Whitehead's method - you can see the integrity of the intestinal tract, which can damage the circulatory system.
• Sklіfosofsky's method: poking at the bandage of knots with threads for a distant view.

Contraindications before surgical procedures

Unfortunately, hemorrhoids for additional surgery are not available to certain categories of patients due to complex pathologies and compressing factors:

• oncological process in zanedbaniy form;
• congenital ailment Krona, yak infects the intestines of the sick;
• serious infection with complications, as it is necessary to repeat;
• lack of blood;
• increased arterial pressure, birth problems with cerebral blood flow;
• heart pathology;
• severe mental ailments with complications.

Visibility of the hemorrhoidal veins is indicated for an hour of pregnancy or for the period of lactation, so as not to harm the fetus. Keep in mind that a similar technique will not give a guaranteed infection in case of recurrence of hemorrhoids, so as not to engage in prophylaxis, not to follow the recommendations of fahivtsya.

What is the need for surgery for hemorrhoids?

Hemorrhoids - not only discomfort and pain, often leaking and in important forms of vessel thrombosis, bleeding and other warehouses. On this day, there are different ways to deal with these ailments. Surgical intervention is the most important. Prote to be carried out is far from over.

If you need an operation for hemorrhoids, and if you can do without it, you can only overcome the ailment, its stages, etc.

When you can manage without surgery

1. dotrimannya diet;
2. zastosuvannya medicamentous drugs (ointments, gels, pins, candles);
3. increased rukhovoї activity; special rights;
4. retelna hygiene.

Conservatively exuberant gives a good effect, if the ailment is rebuked at cob stages (1 and 2) and then don’t. Positive results are possible only for a timely referral to the doctor, to follow up on all recommendations for any therapy.

However, we do not give a new guarantee that hemorrhoids will not recur after a certain period. Even more than that, it is possible to treat hemorrhoids without surgery once and for all - more fakhivtsiv agree on thoughts that it is impossible to work. Obviously, at the cob stages of the disease, one can reach a trival or induce a pre-remission, the protection of the fact that it recurs all the same is abandoned. Conservative methods allow you to lessen the symptoms of severe hemorrhoids, increase the hemorrhoidal venous plexus of the ileus.

When an operation is needed

If conservative treatment of hemorrhoids does not give a necessary effect and does not bring relief, with this ailment you are at the stage of remission, the nutrition of those who need surgery may be damaged.

In case of severe hemorrhoids, it is not recommended to hurry up with the operation; A sick person needs to take a course of therapeutic approaches. And soon after stabilization, I will start making a decision about the dossile of operational delivery.

Hemorrhoids of moderate severity are not indicated before surgery. As a rule, they go into it in such moods:

• thrombosis and pinched vuzliv;
• dropping of hemorrhoids;
• rare bleeding;
• small regular bleeding.

For the presence of bleeding from the anus, there is an increase in the risk of anemia. In case of thrombosis of ailments, there is a strong pain that prevents radical approaches. The mucus, which is seen from the surface of the hemorrhoids, drapes and lowers the power of the skin curves, so the stench becomes irritating for infection. When vipinannі vuzlіv are created friendly minds for the inflammation of the skins in the perinatal space.

Deyakі ailments in connection with the presence of severe pain and unbearable vermin, they themselves affect the operation. Sometimes sparingly vydalennya vikoristovuєtsya with hemorrhoidal ailment cob stages for early progression.

Methods of operative treatment

At the present time, the main difference is to see operations for the removal of hemorrhoids. Vybіr tієї chi іnshої mind to fall due to the nature of the disease, yogo stage, and instill the peculiarities of the organism of the ailing. Mentally, all methods can be divided into radical and minimally invasive. Stay up to sparing methods, when they are not carried out on the body of the ailing, the stench does not require general anesthesia, it should be carried out in outpatient clinics, they are irritated by a short period of rehabilitation, which may be more important than positive feedback. The most minimally invasive methods are used at the cob stages of hemorrhoids. To the main ones lie:

• Sclerosis - a special zasib is introduced at the vuzol, after which bleeding occurs, and the vuzol itself is overgrown with good tissue.
• Fitting with latex rings - a special latex ring is put on the bottom of the knot, like a squeeze. As a result, blood supply is attached to the hemorrhoidal vuzol and veins step by step.
• Disarterization - a small piece of the artery, like a living vuzol, with the help of a special possession, introduced through the rectum, it breaks up and gets bandaged. Zavdyaki tsomu vіdbuvaєtsya vіdorgnennya fabrics.
• Cryodestruction - Vidalennya hemorrhoids carried out for the help of low temperatures. Rare nitrogen is supplied to the operating field by a cryoprobe, after which, through a sprat of tyzhniv, it dries up and destroys the dead fabrics.
• Laser and infrared coagulation - infuse into the vuzol infrachervonyim prominence, which causes coagulation of the tissues. After the procedure, only a small scar is left.

Minimally invasive methods and vikoristovuvat not zavzhd. Contraindications for their conduction are vuzlev thrombosis, anal fissures, paraproctitis, hostile hemorrhoids. Also, stinks can be ineffective when the stage of hemorrhoidal disease is started. At the pіznіkh stages of the illness, radical surgical treatment should be carried out. What kind of operations can be performed with hemorrhoids in such cases? Call tse:

• Hemorrhoidectomy. During the course of the operation, a clamp is applied to the vuzol and yoga is removed. Then, with catgut, the suture bundle of the node is stitched, then the postoperative wound. Establish different modifications of such surgical technique. An uninterrupted її perevagoy є those who won't help relieve hemorrhoids and reduce to a minimum the recurrence of relapses. Until then, hemorrhoidectomy is one of the few techniques that allow you to completely visualize the ovaries. The main shortcomings are trivality and a difficult period of rehabilitation, the need for general anesthesia, and the immovability of numerical complications.
• Operation Longo. During this procedure, no manipulations are carried out directly with the hemorrhoidal nodes. Under the hour, for the help of a special device, a part of the rectum hangs out, after which titanium staples are applied to the wound, which is why the slime sheathing was left behind. After such manipulations, the inner wall of the intestine is stretched and the knots are squeezed up to it, through which blood supply is broken in them. Then step by step we are replacing knots with a good fabric. Such a method is stagnant at 2-3 stages of illness. This is the reason for painlessness, the ability to remove multiple internal nodes, a short recovery period. The main shortfall of the operation is the impossibility of removing the outer nodes.

With thrombosis of the hemorrhoidal node, in which conservative therapy does not give a positive effect, thrombectomy may be recommended for the ailing patient. In the course of such an operation, a blood clot develops from a clogged vessel, after which the blood flow is stimulated and the patient's self-perception is reduced. Prote varto means that thrombectomy does not relieve hemorrhoids, it is more than an emergency approach, directing to normalize blood flow and reduce pain. To prevent the establishment of a new thrombus, it is necessary to conduct a removal of the existing hemorrhoidal node.

How to work differently see the operation for the removal of hemorrhoids?

Varicose veins of the anus are called hemorrhoids. Tse even more seriously ill, almost half of the population suffers from it. It is necessary to be respectful to your body and to avoid surgery on hemorrhoids, with the first symptoms (sverbіzh and liver in the anus, bіl, swollen tissues, deadening of the nodes, bleeding) immediately go to the proctologist. After the diagnosis of the drug, it should be recognized as a viable therapy.

At the cob stages (I and II), the disease can be treated with a conservative way (medical preparations, folk remedies, special gymnastics). At stage III and IV of the disease, if hemorrhoids are severely neglected, an operation is inevitable. For the sake of justice, it must be said that it is rare to get to the right side of the operation for hemorrhoids, only as all other methods of preparation did not give a positive effect.

Before the operation with the removal of hemorrhoids, the patient needs to go through a special preparatory period. We include diagnostics for additional special rectal instruments, analysis, you also need a cardiogram of the heart and a therapist’s consultation. Krym tsgogo, it is necessary to think about the need to wash your mind for the work of the surgeon. What do you think about yourself? Tse, persh for everything, outside of the bowels (to struggle with a sprat of enemas), hygiene of the anus, cleansing of the skin from the hairline.

Before hemorrhoid surgery, the ailing person is shown a special diet based on light hedgehogs (vegetables, honey, jams, fruits). It does not mean that a person may be hungry, but categorically need to turn off the hedgehog, that calls for flatulence (cabbage, legumes), and also hot and fat hedgehog.

Keep in mind that the operation is not performed with hemorrhoids at the acute stage. The lower back is prescribed medical treatment for the symptoms of inflammation, severe pain, bleeding, swollen tissues, and then there is a surgical intervention.

You can look at the video about the treatment of hemorrhoids on the Internet.

How to try an operation on hemorrhoids?

Bagatioh to cry food, how to rob an operation with hemorrhoids and what hurts more? In the fall of the procedure, the patient is subjected to general or general anesthesia. With the first option, ailments do not show anything, and if you come to you, then the pain, as a rule, will pass. The patient constantly rests in the position, like in a gynecological chair. A video on how to perform a hemorrhoid operation can be found at the information sources.

How to perform an operation on hemorrhoids with medical diseases? For whom anesthesia is carried out according to Vishnevsky (novocaine and adrenaline are injected). There is a circular blockade of the shkiri. If you get sick pararectal cellular tissue. Through a sprig of whilin, there is a relaxation of the sphincter m'yazіv and the medicine for the help of fingers and the rectal attachment is guilty of good stretching. Further, the contours of the anus are symmetrically squeezed by chotirma with clamps and, albeit stronger, stretched in the opposite side. This unacceptable procedure is necessary in order to secure easy access to the hemorrhoidal neoplasms. After which node you can easily enter the name. We gave a break in the procedure to lie down in the form of a method that would stop.

See the operation for the removal of hemorrhoids

Olena Malisheva: “In the 21st century, hemorrhoids are no longer a problem. Today is a great day for this day.

Today, medicine is represented by a variety of types of hemorrhoid surgeries. These and modern minimally invasive (most important) and surgical methods.

The peculiarity of minimally invasive methods is that the great scalpel does not stop. The procedure is carried out through the piercing of the internal tissues, and then the follow-up examinations are carried out. These methods are less traumatic, there is no contraindication, it can be done on an outpatient basis.

Expansion of minimally invasive methods:

• Cryotherapy.
• Sclerotherapy.
• Photocoagulation infrachervonim viprominyuvannyam.
• Latex lіgoruvannya kіltsami.
• Disarterization.

The most popular types of operations (surgical methods) for removing hemorrhoids are hemorrhoidectomy (closed and closed) according to Milligan-Morgan and hemorrhoidopexy according to Longo. Іsnuє i podvid method for Milligan-Morgan - the method of Parks. Offended by the sight of a surgical worker, they give special training at the hospital. The stench is carried out under anesthesia, the type of which determines the drug.

Methods of removal from vicarious are found in the fallow in the stage of illness and complication. For example, at the first and other stages, conservative treatment is shown, as well as sclerotherapy, latex ring ligation, photocoagulation. At the third stage, it is most common to vicorate the disarterization of nodes and ligation. If the illness is severely neglected and has reached the last fourth stage, then it is shown only surgical intervention by the Longo or Milligan-Morgan method (they are supposed to be aggravated).

Krіm vyscheopisaniyah broader surgical techniques іsnuyu іnshі, less vіdomi:

• Method for Sklifosovsky. Yogo is the essence of polygaє at the tying of the base of the knot with a mica thread. In such a rank, yogo is pumped with blood, and wine is in the air.
• The method behind Martinov's transmission is the re-tying of the knot with distant yoga. The dressing up of the reconciliation is crippled by a mucus membrane.
• Whitehead's priyom zastosovuetsya for the obviousness of the complication. The essence of yoga lies in the fact that to fight along the perimeter of the incision on the stick of the mucus intestine and the anus. In the distance, the cut of the intestine is damaged, and the edges are sewn up to the incision on the anal opening.

Recovery from hemorrhoids after an additional operation Longo

Since the remaining rhubarb was diagnosed with hemorrhoids, Longo's operation is most likely to be successful. The procedure is remarkably simple, it takes no more than 20 quills, and after 3 days of illness you can safely go home. Operation Longo with hemorrhoids is carried out with the help of special instruments. Її the essence of polygaє in vischenni hemorrhoidal neoplasms is that of the circumferential part of the mucous membrane.

On the choice of a doctor, you can zastosovuvatsya as mіstsevy, so і zagalny narcosis. After manipulations in a person who is operated on, there is practically no risk of postoperative scars or wounds. Carry out її on 3-4 stages of illness. The only minus is the possibility of getting used to by the given method of ovnishnіh utvoren. That var- tist of such a procedure is done to the temple.

Hemorrhoid surgery using the Milligan-Morgan method

Doctors consider closed and closed hemorrhoidectomy after Morgan to be the most conservative and non-receiving procedure. Carried out stench at the remaining stage of illness. Vidcrita hemorrhoidectomy is indicated if the ailment is complicated by cracks or paraproctitis. The procedure for transferring the veins and mucous membranes from them. Vykoristovuetsya manual catgut suture.

To minuses, one can add trivality of manipulation, great blood loss, and complex rehabilitation. Such a method of relief from ailments is known and present - the method of Praks. Vіn maє on vazі vydalennya themselves new creations, without mucous membrane. The main plus of the operation for hemorrhoids according to Morgan is the improvement in the overall relief of the ailment from the causes of illness and the normal functioning of the colon after healing.

Usunennya hemorrhoids laser

When diagnosing hemorrhoids, laser surgery can be done frequently. The essence of the procedure is based on the removal of the node in the middle with a laser, after which the veins become much smaller. Well, if you put a laser for the old ones, then the stinks just come out in exchange, and the wounds that have been made, stick. Manipulation is carried out on an outpatient basis, the patient after completion can go home.

The procedure is absolutely painless and does not cause cosmetic problems on the skin. Illness during the hour of the procedure does not bleed, the judge’s shards, which bleed, swear by the change. Complicated illness (bleeding, burning of the skin and mucous membranes, oxalis) is not a contraindication to the manipulation. To minuses, one can see the high variability of the procedure and the fact that such great knots are not generally usuvayutsya, which can lead to a relapse.

Indication before surgery for hemorrhoids

Surgical vtruchannya - zavzhd risik. So many patients ask, what operation is needed for hemorrhoids? Obviously, scho z ієї procedures nebhіdnі suvori pokazyvannya. Before such a lie down, the stage of ailment with a host of symptoms (severe bleeding, loss of the name of the rectum with nodules, ignition processes, aggravation of thrombosis and paraproctitis) is launched. Such methods are used negainally, as if a person of a young age suffers from illness. Surgery is often recommended for those in the middle age category. Therapy with minimally invasive methods is prescribed on the back, shards of splintering sometimes go into surgery. If a sickness is a person of a frail age, then surgical methods are rarely prescribed, more often conservative therapy is carried out.

If a person suffers from hypertension and is diagnosed with hemorrhoids, what operation is needed? Tse pitanya virishuє likar. Ale, in the majority of cases, people with high vice, heart failure, and also suffer a heart attack, surgical intervention to relieve hemorrhoids is not prescribed.

Olena Malisheva: "Through hemorrhoids, someone who has injected faith into our medicine!

Illness of the rectum is manifested by motor symptoms. Hemorrhoids are not blame! It is rich who, during the acute phase of yoga, cannot sit, walk and practice more. Methods of treatment of ailments of various kinds, and include operational intervention.

At the first stage, the development of the disease is treated with rectal candles, creams and ointments, and a mild diet. If the pathology has passed into the advanced stage, then the elimination of hemorrhoids is the most correct method of solving the problem.

When an operation is needed

Operatively tell the truth in times, if drug therapy does not give positive dynamics, and ailments continue to suffer due to unacceptable symptoms.

Modern proctology has seen several stages of hemorrhoids:

1. Step 1 - show the minimum. Rupture of the rectum after defecation, insignificant sighting of blood (splashes, flowers), liver and anus.
2. Stage 2. The skin of the intestinal tract produces “bumps” from the anus to the point where they are pulled back.
3. 3 steps. Three drops of hemorrhoidal nodes during defecation and other physical susillis, but now they have to be repositioned at the rectum.
4. Heavy 4 stage. The growth of symptoms and the advent of other complications. Hemorrhoidal nodes protrude behind any kind of furnishings. Їx reduction is impossible through їх infringement, thrombosis, development of inflammatory processes in the perianal dilyance.

In the rest of the decade, a small number of surgical methods were developed to treat hemorrhoids with different tools and principles to the cause of the disease.

See the operational vtruchannya

Irrespective of the dirty term, a lot of daily work for the attention of patients is similar to a procedure, lower to a serious operation. Learn about minimally invasive methods of operative intervention, if any patient forgets about the problem in one day after seeing a doctor.

Popular methods of removing hemorrhoids:

Injection with a laser

For the treatment of hemorrhoids, be it any type, the drug is injected into the hemorrhoidal nodes of the patient with a laser exchange. Literally sealing the blood-bearing judges, who will supply the knots of blood. The soldering effect of the laser does not allow wound surfaces to heal and causes bleeding.

At the first or other stage, the treatment of hemorrhoids with a laser is kindly helping people who cannot be recognized as standard medical care. At the early stages, the operation is ineffective. Carried out in outpatient clinics.

Infrared coagulation

This method is often strayed from the previous one, here you can see about thermal radiation. Problematic hemorrhoidal nodes are seen as a pican. The method does not require hospitalization.

Latex ligation

Effective mechanical method. For yoga implementation, a small ring with latex is put on the bottom of the knot. Krovopostachanny vuzla pripinyaetsya, vіn vіdmirає і come out of the rectum at once with feces. The method is already popular in Russia and the countries of the SND.

Sclerotherapy of hemorrhoids

In fact, it is the purpose of gluing the hemorrhoidal node for the additional introduction of a special sounding gap into the cavernous emptying.


Adhesions are formed at the vuzli, yakі give the empty blood anew. It is true for hemorrhoidal bleeding at the first stages of the development of pathology.

Shovne lіguvannya

Here one more contemporary technology is victorious - doplerometry. The doctor, for the help of a special device, knows the very arteries themselves, as they supply blood to the problematic hemorrhoidal vuzol and subdue them.

Longo method

Tse already a correct operation for the removal of hemorrhoids. Hemorrhoidopexia of this type was seen at home for a quarter of a century and there was no removal of hemorrhoidal nodes, as if they were installed on a physiological path with a path for the lining of the mucous membranes of the rectum.


Such a zahіd pripinyaє nadіrne krovopostachanny vuzlіv їх vipadannya. Longo's proteoplasty is not possible in case of hemorrhoids.

Operation Milligan–Morgan

Tsey surgical method of vіdomiy vzhe pіvstolіttya. In rich cases, only classical hemorrhoidectomy gives people with the fourth stage of hemorrhoids a chance to wilt. The operation is trivaє 30-60 hvilin and vykonuєtsya in the minds of the hospital. The rehabilitation period is approximately 30-40 days.

Post-operational complication

Here everything lies in the professionalism of the proctologist and the discipline of the patient. The main problem is psychological! People who recognize the handing in begin to be afraid of defecation. Such a phobia is overcome by a diet with a large number of vegetables, fermented milk products, and a sufficient supply of relatives. The doctor, prescribing the operation, obov'yazkovo for the sake of a rational diet.

In the rehabilitation period, there may also be bіl, blood sighting, singing discomfort. If it were important to tell the doctor at once, he would control the process of burning that scorching camp of the patient.

Through what hour after the operation is better than the vagitis

Golovna umova - outside wound wounds (scars) after the appearance of the nodes, the rectum or anal fissures. It is necessary to plan the pregnancy after conservative treatment and after consultation with the doctor.

Prices for the operation

How many cats will get hemorrhoids once and for all? Here everything lies in view of the vtruchannya, region, clinic, qualification of a proctologist. Prices for those services themselves are adjusted in a kilka time.

Sclerotherapy of one node can cost from 3 to 7000 rubles. Latex lіguvannya vіd 5000 rublіv. Hemorrhoidectomy can cost 35 thousand rubles. However, in some clinics, the price can include not only services, but also other services. For example, obstezhennya, support in the rehabilitation period, I will repeat the consultation.

Using the same method to carry out an infusion on the hemorrhoidal nodes, the doctor-proctologist is to blame after a detailed obstezhennia of the patient. Correctly choosing the method for further correction of the way of life building will help the ailment even if not enough, then on the other side of the term.

After the removal of hemorrhoids, the patient is guilty of following the recommendations of the doctor. To prevent recurrence, it is necessary to take diet, hygiene and drink courses of venotonic drugs.

CONTRA-INDICATIONS
NECESSARY CONSULTATION

Article author Egorov Oleksiy Oleksandrovich, medical proctologist

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From the statistics you know about the methods of removal of hemorrhoids, indications and contraindications before surgical insertion, possible complications, postoperative rehabilitation, prevention of hemorrhoids.

Necessity of remote vuzlіv

Vіdmіnnoy rice hemorrhoids ailment є її unsuccessfully progressing, which without timely healing leads to a chronic process, viniknennya slack. Pochatkovy stupіn deformatsiї hemorhoidal veins pіdlyagaє korektsії seldom change eating that way of life, hemorrhoids of the 2nd stage are treated with medication. Starting from the third stage of the illness, there is a radical departure from the disease, with the most important alternatives of minimally invasive techniques. Ale fourth, the remaining stage of the pathology will require only surgery.

Options for surgical insertion of sprats, all may be indicated before stagnation, which lie at the stage of the pathological process, localization of hemorrhoidal caverns, obvious complications.

The most serious obstruction of the need for surgery for the removal of hemorrhoids is a difficult situation for the patient, which destroys the quality of life, threatening health, practicality. Krym tsgogo, є th іnshі vidchennya:

The internal hemorrhoidal vuzol extends between the anus.

• the number of results in conservative therapy (to speak about three months of non-effective treatment with medicines);
• 3-4 stage of hemorrhoidal disease with great nodules, be it localization;
• improper expulsion of hemorrhoidal cones from the rectum with thrombosis, incarceration, necrosis and clear uncontrolled bleeding;
• arrival of inflammation on the colorectal tissues;
• fistulas, deep anal fissures;
• strong pain syndrome during defecation, walking, physical sussilli;
• swelling of the anal ring;
• weakening the tone of the anus, calonetrimanny;
• clear the mucus objects from the anus, so that the linings get stuck in everyday life.

The only way to avoid lethal complications in such situations is to radically remove hemorrhoidal cavities.

Contraindication before surgery

Vision of hemorrhoids in the early stages may be contraindicated. Moreover, the fumigation without intermediation is related to the nature of the peredachuvanny vtruchannya: with minimally invasive methods - one, and with radical methods - more. Covered intermediate frames, if it is not possible to operate on hemorrhoids:

• hemorrhoidal disease under the hour of congestion;
• newfound in the rectum, no matter what genesis;
• bloody diabetes, which destroys the severity of wound healing, which creates a risk of clear bleeding;
• somatic infections, especially from the side of the etching system;
• severe pathology of the heart, vessels;
• ailment Krohn;
• vaginess; lactation;
• infection, be it etiology;
• ВІL-іnfikuvannya, SNID;
• of a frail age, which surrounds the possibility of victorious anesthesia.

The severity of the process is accepted by symptomatic therapy, after which the operation can be successfully completed.

Minimally invasive techniques (bloodless operations)

Innovative ways to remove hemorrhoids with minimal penetration in the empty rectum vikoristovuyutsya in modern proctology more and more often, oskolki mayut insane worries:

Likar coloproctologist

• minimal inflow on the fabrics lying down to inflamed cones with hemorrhoids;
• the trivality of the procedure is small (no more than five years);
• practically no pain relief during general anesthesia (narcosis is not required);
• the patient does not require a stationary rehabilitation period, turns home - on the day of surgery, proceeds to work - the next day;
• minimally invasive techniques do not cover scars, do not deform the rectum, anus;
• the presence of serious contraindications for the use of a minimally invasive technique for removing the hemorrhoidal node in age-old patients, which may lead to impersonal concomitant illnesses;
• The low traumatic nature of the technique makes it possible to stop them at any stage of hemorrhoidal disease.

Minimally invasive techniques are not included in the Territorial program of obligatory medical insurance, are not paid for under the ZMS policy, and are carried out on a paid basis.

Today, the number of such innovations is low:

• - The most effective non-surgical method. The bottom line is the ligation of the arteries, which heals the cavity, through the anoscope, after the forward appointment of the cutaneous judge for assisted ultrasound. The result - the exclusion of hemorrhoidal nodes from the upper living system of the anorectal zone from the outlying worlds. The procedure gives 95% viability, guarantees the number of relapses, but the road is through the possession that victorious. Prices in Moscow: from 14,800 rubles to 91,700 rubles (depending on the number of nodes, which are being transferred, the qualifications of the surgeon, the status of the clinic);
• – a friend for equal effectiveness of the procedure: over 90%. The bottom line is that the blood flow of the hemorrhoidal closure is removed after putting on the lower end of the ring knot with latex, as it is squeezed step by step. Through the kіlka tizhnіv vnutrіshnіy vyzol hemorrhoids vіdmirє, vyvodnі nazvnі natural way at the same time from kіltsem. The minus is that there are no more internal bumps. In addition, while the ring is tightening, the patient can see a third-party body in the anus. Variety of transportation in Moscow: from 2,400 rubles (for one university) to 18,000 rubles;
• - using a hemorrhoid path to introduce a special preparation at the vuzol, which glues the walls of the bump itself, which will revive the vessels. Blocking of life to bring up to the end of the hemorrhoidal illumination. Shvidka procedure is painless. Minus - zastosovna only for internal hemorrhoids, included in case of individual intolerance to the sclerosant drug, recurrence is possible, the cause of the disease is not recognized. Prices for sclerotherapy in Moscow: from 1,500 rubles to 13,200 rubles fallow, depending on the number of nodes that are seen;
• - indicated for hemorrhoids, be it localization. The bottom line is the injection of a laser into the venous cavity as a whole, which causes coagulation of proteins at the walls of the vessel and bumps. Every day the arteries are soldered, the ingestion of the caverns is attached, the knots fall without bleeding for a long time. Variation of the procedure in Moscow: from 12,000 to 18,000 rubles (for 1 hemorrhoidal node);
• - Injecting a beam of focused infrared light onto the lower cavity of the cavity into the throaty whites at the walls of the vessels, blocking normal life. The procedure will require a number of sessions. Zastosovuєtsya mainly at the first stage of hemorrhoidal disease. The procedure is comfortable, painless, but often relapses. Prices near Moscow: from 1,000 to 25,000 rubles.
• - Freezing of hemorrhoidal nodes with rare nitrogen (temperature below 180-200 C), which is less likely to be injected into small areas, shards of healthy cells through the arteries create a thermal "cordon", which permeates the penetration of cold into adjacent tissues. The folds of the cells come out of the rectum in about a day. Cryodestruction is painless, does not leave scars, does not cause bleeding. Natomist - stimulates the immune system. Thrombosis or necrosis of the node is considered to be contraindicated, as proctitis and paraproctitis progress. The procedure should not be carried out for pregnant women and mothers who are aged. At Moscow's great regional centers, the amount of manipulation is 4,000 - 8,000 rubles. In regions, the price is three times lower: from 3,000 to 6,000 rubles. The operation of cryodestruction is very rare.

It should be noted that minimally invasive intervention is true, primed, docile only for the high qualification of a surgeon-proctologist, which leads to the appearance of hemorrhoidal nodes, but not in all medical mortgages.

To that, first perform the operation with hemorrhoids, follow all the necessary information about the clinic of that surgeon, to whom you trust your health, learn from the reports of the operated patients.

How to prepare for surgery for removal of hemorrhoids?

Do not start low-traumatic methods and produce bad results. They also prescribe the traditional operation to remove hemorrhoids. Hemorrhoidectomy is the only nutritional choice for hemorrhoidal disease, stage 4. For this purpose, special training is required: clinical and laboratory obstezhennia, the adoption of hospital procedures, the correction of preparations, as a patient accepts for life indications.

The operation to remove hemorrhoids transfers the standard algorithm of obstruction:

• taking anamnesis, digital revision of the rectum to determine the localization and become a node;
• UAC, OAM, biochemistry - screening of the general state of health;
• coprogram;
• blood test for larynx;
• blood type;
• testing for lues, VIL, viral hepatitis;
• Ultrasound of the organs of the empty cervix;
• anoscopy, sigmoidoscopy, colonoscopy, irigoscopy - on doctor's recommendation.

For a few days before the operation on hemorrhoids, the patient is on a diet, as a call to normalize etching, deformity. For whom, in the diet include products, rich in cellulose, vegetables, fruits, sour milk, low-fat yogurt.

For the presence of bagan, the result is included in the carrying (Guttalax, Duphalac, a short course of senna preparations). Self-supporting choice of medical care is excluded.

Ahead of the operation following the unsatisfactory vikonatie low rules:

• the rest of the appointment - later, lower than 11 years before the operative delivery;
• the zone of the crotch is bare, the hygiene of the intimate area is rising, the clear whiteness is getting ready;
• vranci on the day of the operation to clean the enema;
• as planned for a deep anesthesia, the patient does not drink water.

See surgical operations on hemorrhoidal nodes

Currently available under the HMS policy are two options for radical removal of hemorrhoids: hemorrhoidectomy with various types and hemorrhoidopexy.

Hemorrhoidectomy

This is a classic operation for hemorrhoids. Similar vtruchannya on the rectum zastosovat іz the middle of the 30s of the past century. Hemorrhoidectomy gives excellent results (efficiency - over 98%), practically no relapses. Ale is traumatic, shocked by great blood loss, manifesting a lot of complications. Currently, proctology practices three variants of hemorrhoidectomy: removal of hemorrhoids by Milligan-Morgan, Ferguson, Parks.

For Milligan Morgan

The most "long-standing" operation, or as a variant of hemorrhoidectomy, if the wound is not sutured after the hemorrhoid cones. Today zastosovuetsya seldom through high traumatism, trival rehabilitation and risk of negative consequences. The operation is stationary, under general anesthesia, it is wound in a proctological armchair, or the position is “lying on the back” due to fixation at special stances with curved tips.

The essence of the vtruchannya is the external removal of hemorrhoids at once from a part of the mucous membrane of the rectum. You can see the ovaries and internal hemorrhoidal nodes after stitching the suture leg. The operating field is treated with an antiseptic, and an anoscope is inserted at the back passage through the expander, which allows visual control of the entire operation. All internal knots “wiggle navivorit” at once with the mucous membrane and adjacent tissues. The surgeon cuts the skin of the anal region and the mucous membrane of the rectum over the expanded venous plexuses, then bandages the veins and sees them. On completion, the inner wall of the intestine is fixed to the tissues that are pressed. The edges of the wound are left free, they are not sutured, they are closed with a second tightness.

For example, surgical insertion, the proctologist examines the rectum and anus, bleeding is observed. As a rule, to put a tampon with wound healing and antiseptic faces, which can be seen in a few years, prescribes pain relief. The patient is already staying at the post-operative ward, de vin to spend the next day. For rozm'yakshennya feces give pronosnі.

Swabing with the appearance of pain, zatrimtsі sechі, that's all the more often doctors replace tampons, to save sensitivity in the anus zone, to reduce the ringing of the anal canal - to deprive the wound of the skin-mucous bridges.

The entire period of rehabilitation becomes longer than a month, moreover, two months, and sometimes more - the same stationary rejoicing.

Operation Ferguson

Closed hemorrhoidectomy is also called classic wound closure at the end of the operation. Zastosovuetsya from the end of the 50s of the XX century. Steps of the operation:

• disinfection of the surgical field;
• removal of the hemorrhoidal veins at the succulent sequence, like on the dial of the anniversary - the surgeon suffocates the bumps on the back of the head on three years, then, in sequence - on seven and eleven: after fixing the vuzol with a zatiskachem, the proctologist stitches the bottom of that vіdsіkaєkaє kavernu for an additional cavity;
• the wound is sewn in with catgut, treated with an antiseptic;
• to transfer the patient to the post-operative ward, to prescribe pain-relieving, carrying, antibiotics;
• after 5 deb - discharge.

The main minus is the possibility of loose stitches during defecation, secondary infection.

Operation Parks

In the middle of the fifties, the English Parks suggested another variant of hemorrhoidectomy: the vuzol itself is seen only, without the mucosal lining of the rectum. This way of victorious treatment with combined hemorrhoids. Carry out the operation under anesthesia on a proctological chair. The operating field is covered with an antiseptic.

On the back, put the mucous membrane over the bump, then flash the hemorrhoid base with catgut, remove the cavity itself, and tighten the catgut. The operation will be completed by closing the edges of the sutured mucosa.

Sometimes tamponade is carried out, but it is removed after 6 years. To prevent the ringing of the anus, it is recommended to use mechanical expansion. For a few days the patient is hungry, so that defecation disappears. Potim likar pіdbirає special diet for turning on the molding of fecal stones.

The operation of Parks is foldable in the viconan, to that vicariously it is rare, without regard for a short rehabilitation, but it is practically absolutely foldable.

Osskilki Result Be-jaki Opersezії L_Kariy, Bagato Pazієntіv, I am digesting the actual CLInikov's digestion by acting by Lіkarіv, ale, the provisions of the POLІSA ZMS - Klіnіki Privatnіz, Visoklasniy Leputsia. The average variant of hemorrhoidectomy in Moscow in this season:

• according to Milligan-Morgan - 20,711 rubles;
• for Ferguson - 27,067 rubles;
• for Parks - 27,714 rubles.

Hemorrhoidopexia Longo

In the mid-90s of the last century, the Italian surgeon A. Longo advocated an alternative to traumatic surgery for the removal of hemorrhoids for Milligan-Morgan. Tse transanal resection of the mucous membrane of the rectum or hemorrhoidopexy. The essence is the peritoneum of the mucous membrane, the vessel of the cієї region, to live hemorrhoidal caverns - circularly, suvayuchi vypadannya veins. With this, the hemorrhoidal nodes themselves do not hang, but rise up, fixate. The mucosa in the resection area is stitched with titanium shackles with a special stapler. The whole operation is three times more than 15 minutes under local anesthesia. Shards of rush of blood to the veins decrease, the stench step by step is replaced by a good tissue, cease to function.

Steps of the operation according to the Longo method

Hemorrhoidopexia is low-traumatic, effective, practically does not give any complications, may have a short rehabilitation, which is more important for age-old patients due to concomitant cardiac pathology, or for mothers who are fit, so as not to transfer a child to a piece of food (at the hospital).

Disadvantages of sprat: zastosovna operation is less for internal hemorrhoids, it is expensive, fahivtsiv, yakі її it’s not enough. Longo's operation was successful in Zakhodі, but in Russia they began to victoriously close to five years, moreover, there is no sufficient obligation to give any further results.

The average variance of Longo's operation in Moscow is 32,504 rubles.

Possibly folded

Operative insertion of the hemorrhoidal nodes in the case of any of the options may be complicated, which can be blamed in a year or two after the operation, and also in a month. The most widespread negative connotations that are blamed without intermediary after the presentation are respected:

• strong pain, yakі vymagayut recognition bolezzapokіylivih zabіv, right up to narcotic. In the rectum, near the area near the anal opening, a large number of nerve endings are concentrated. Therefore, it is natural that after the completion of anesthesia in patients, morbidity is expressed. As the threshold of pain sensitivity is low - this is just flour;
• zatrymku sechі at the first day after the operation, especially among people of a frail age. Risk of development of an increase in epidural anesthesia. The problem of catheterization is growing;
• psychogenic constipation(fear of loose seams, piece of galvanized defecation) - corrected by the selection of an individual diet, carrying, with sphincteral spasm, the ingestion of nitroglycerin ointment is indicated;
• bleeding- it is possible at the end of the term of rehabilitation, it is caused by incorrect stitching, the appearance of anal fissures or traumatization of the mucous membrane of the rectal canal by feces. Supinit blood is possible for the help of medical preparations with adrenaline, a hemostatic sponge, or repeated flashing of the vessels to bleed;
• festering stitches- the result of undertreatment of intimate hygiene, secondary infection, correction with antibiotic therapy, stagnation of medical disinfection measures (Levomekol, ichthyol ointment, Vishnevsky ointment). In important vipads, roztin and washing of the wound, which festered, are shown.

• fistula go- the result of infection of subcutaneous fat cells with an insufficient development of inflammation, suppuration: nutrition is less likely to be destroyed quickly. Complicated by unsafe development of sepsis;
• anus ringing- Possibility of incorrect stitching, corrected by mechanical extensions for a long time or plastic surgery of the anus;
• weakness of the anal sphincter, loss of the mucous membrane of the rectum - due to trauma of nerve endings, rotting at the anus. In most cases, the work of the sphincter is recommended for help, in important situations, an operation is needed.

Mayzhe all complicated lie down depending on the qualifications of the surgeon or the individual characteristics of the patient.

Rehabilitation

The transitional period after the removal of hemorrhoids in the skin proceeds in a different way, to lie down due to the severity of the state, symptoms, symptoms, concomitant pathology. Great significance may be seen by the victorious operational work. After a critical hemorrhoidectomy, it takes a month or two for rehabilitation, after a closed one - three days. Hemorrhoidopexia transfers daily for renewal of practice.

During the rehabilitation period, it is important to follow up on the recommendations of the proctologist, to stay in constant contact with him. The doctor is responsible for the postoperative support of the skin patient and after the discharge from the hospital, the docks will not solve all the problems that were caused after the operation. The main directives zusil at the beginning of the period may look like this.

Physical activity

Visibility of the hemorrhoidal nodes transmitting an exchange of pressure, connected with a moving intracranial pressure - heavy heaviness, active, sharp breaks, strain during defecation. Natomist is allowed to turn from one side - to the other side, stretching, dyhal gymnastics. Meta - prevention of thrombosis, varicose veins, and in the first three dobi - just an important moment in the post-operative implications.

You can get up on a friend-fourth doba stalely in the presence of a self-conscious patient. In the world, the wounds expand, and the number of people is right, but it can be lying or standing. Effektivnimi є right Kegel, yakі train m'yazi pelvic floor.

You can sit after the pain in the anorectal space, not earlier, later in the next day. To be sure, step by step. Proctologists make a pillow for the seat or a swimming pool for the cob.

For the first two months it is impossible to bear the weight of 2 kg. The gym is allowed only after three months, with a little bit of forcefulness.

life

Proper eating rations are the head of the mind for the prevention of recurrence of hemorrhoids. The operation for the removal of hemorrhoids after the observation of patients radically changes the gastronomic likeness. In the first place, after the operation - hunger, so as not to defecate shvi. In the coming days, you need to follow simple rules:

• eating food, in small portions, zha - detailed to the maximum for complete, but easy conquest;
• 80% of the diet - roslinna їzha, vegetable-fruits in boiled, baked or sirі;
• meat and fish only pisni;
• shchoranka - a teaspoon of dewy olive and a bottle of pure water before eating;
• The dietary allowance is provided according to the formula: 40-50 ml per 1 kg of water (deposit according to the nature of the discharge).

pain syndrome

After the operation, with the removal of hemorrhoids, the soreness of the anorectal zone is pronounced to take a long time. Severe pain subsides on days 5-7, but periodic soreness of the anus, especially after defecation, can last for months. For the cupping of vicorist, NPZZ: Nise, Ketanov, Ibuprofen. Mіstsevo: Relief - the whole line, Ultraprokt, Anestezol, Procto-Glivenol, Aurobin, Proctosan. As if it were over the world to stop painkillers, consult a doctor.

Zagojnnya rani

Revision of the anorectal ring after surgery for hemorrhoids is one of the most important tasks of rehabilitation. Dopomozhut have a number of drugs: Solcoseryl (gel, ointment), Levomekol, Natalsid, Methyluracil, sea buckthorn oil. You can beat the recipes of folk medicine, especially sitz baths with medicinal herbs.

Hygiene procedures

Rehabilitation after the removal of hemorrhoids includes sparing of intimate hygiene: after skin defecation in the home minds, the anorectal zone, the anus are washed with cold water, behind the house - vikoristanny of hygienic servettes replace the toilet paper. Wet the surface with sterile servettes, not a towel. Whiteness can be without coarse seams, made from natural fabrics.

Preparations after surgery

Hemorrhoids are transmitted without interruption after the operation for an accelerated rehabilitation, and the delay is complicated. Obov'yazkovo vykoristannya medicaments. For pain - pain-relieving preparations, for constipation - carrying, for bleeding - hemostatics. The basis, like before, is made up of venotonics. One more important moment is the selection of the best remedies for the regeneration of tissues, the prevention of secondary infection. The main medicinal preparations have already been overruled, now it is possible to recognize their power and the mechanism of action.

Faces for internal reception

• Pigulki Detralex. One of the most popular for the prevention of recurrence of hemorrhoids in the rehabilitation period. The drug is a representative of venotonics, composed of a complex of bioflavonoids based on diosmin, hesperidin. Detralex increases the tone of the veins, improves the congestion of the pelvic organs, improves the microcirculation of the anorectal region.
• Pigulki Venarus. Vіtchiznyany analogue of Detralex. Synthetic venotonic with angioprotective powers.
• Phlebodia 600 capsules. A drug from the venotonic group based on diosmin. After the removal of deformed hemorrhoids, tone the veins of the rectum, restore the wall of the vessels, inflammation, blood stasis in the anorectal zone, balance microcirculation.
• Hemorrhoidin tablets. Dietary supplement-venotonic with inulin - a natural prebiotic chicory, which improves the work of the intestines. Revenge the leaves of lyon, kulbabi, yalivtsev fruits, kropov nasinnya, plantain leaves, ginkgo biloba, root haze - all 15 natural components. With any other side effects. The main action is pain-relieving, anti-seizure. Dodatkovo - normalize style.
• Pigulki Proktonis. Dietary supplement on a growing basis from the power of hemostatics. The drug is often taken to prevent bleeding. Warehouse: shark cartilage, wood, cilantro, licorice, senna. Proctonis promotes blood pharynx, regenerates rectal tissues, relieves inflammation, anus spasm, prevents secondary infection, normalizes bowel movements.
• Methyluracil tablets. A representative of a group of immunostimulants with angioprotective, photoprotective powers based on dioxomethyltetragidropirimidine. The drug has an anti-inflammatory effect, regenerates tissues, and is an angioprotector.
• Pigulki Guttalaks. M'yaké pronosne, dіє in the large intestine, does not flow into the over-etching or soaking up the indispensable living speeches in the small intestine. Diyucha rechovina - picosulfate, stimulating intestinal motility, cumulative rіdina in the large intestine, which expands feces, stimulates bowel movements.
• Pigulki Senadi. Senny preparation, which stimulates bowel movements, improves peristalsis, relieves fecal stones, prevents constipation, does not sting. Cheap, but effective zasіb with damaged defecation in the post-operative period.
• Nemesulide-Teva capsules. Representative of non-steroidal anti-inflammatory drugs for living. The main power is to stop the inflamed condition during the period of renewal after the operation from the removal of the hemorrhoids. In case of an overdose, it can rozrіdzhuvaty blood, provokuyuchi bleeding, so zastosovuєtsya zaberezhnistyu.
• Ibuklin tablets. Combinations based on ibuprofen, paracetamol with anti-inflammatory, analgesic powers. Ignore the synthesis of prostaglandins in the exudation, changing the pastosity of the rectal tissues after the operation, showing the antipyretic effect.
• Tablets Nise. A drug from the NPSH group based on nimesulide - monozasib with an anti-inflammatory, analgesic effect. Prostaglandin synthesis corrector. Speech is active in inhibiting COX-2, suppressing inflammation, exudation, proliferation in the anorectal space, the drug may have antipyretic power.

Ointments and candles for the massage

• Ointment and gel Solcoseryl. The drug is a regenerator. I will speed up the destruction of the mucosal membranes of the skin for the growth of tissue metabolism, the increase in collagen production, the restoration of the functioning of capillaries and veins.
• Ointment Livomekol. Accelerate the regeneration of rectal tissues, without infecting the post-operative surface for the rahun, taking methyluracil and levomecithin. Parallel to the liniment against secondary infections.
• Ointment and candles Methyluracil. The drug is included in the class of immunostimulatory diseases. Penetrating into tissues and cells, methyluracil accelerates metabolic processes, regeneration and renewal of tissues, as well as the resistance of the epithelium to negative influxes of the superfluous medium. Dodatkovo speech increases bleeding, reduces the intensity of inflammation and generally improves the wound surface.
• Sea buckthorn oil candles. The drug is a berry extract from sea buckthorn. Natural and effective treatment, healing the wound surface, disinfecting the mucous membrane of the rectum, anorectal zone. The oily component causes inflammation, pastosity to the anus, and pain.
• Candles Natalsid. Preparation based on sodium alginate and seaweed polysaccharide. The main power is the wound wound surface at the rectum, anorectal dilyance. At the same time, the medicine shows anti-impact power, usuvaє bіl.
• Candles and ointment Relief. Preparations based on liver shark oligo, phenylephrine, Oliya - improve the epithelium of the anus, rectum, which stimulates regeneration. Phenilephrine sounds like judges, changes squeaks, burns. Relief Advance through the addition of an anesthetic benzocaine cupuє bіl.
• Ointment Bezornil. Preparation based on pearl, burshtin, borneol, zinc, bezoar. Likarskiy zasіb usuvaє inflamed, znimaє bіl, activates immunity, disinfects the wound surface. Pearls regenerate tissues, prevent thrombosis. Burshtin is an antiseptic. Zinc - non-infective anorectal tissue.

Prevention of relapse

In the case of a patient after surgery for removal of hemorrhoids directing to the prevention of recurrence of pathology. The very possibility of relapse is blamed on the result:

• constipation;
• hypodynamia;
• unbalanced diet;
• alcohol poisoning after the end of the end of the period;
• high physical advantages.

Irrespective of those that the surgical intervention helps more, the patient is guilty of following important rules, as they fight the causes of relapse, and themselves:

• correct diet;
• Suvora diet;
• control of constipation, including the use of nasal constipation;
• sporozhnennya intestines for any positive before defecation;
• support of one body vag;
• dosed physical activity.

This is a scheme of a healthy way of life for a patient who has been operated on for hemorrhoids, for all life. Otherwise, the operation cannot be guaranteed to reverse the pathology.

Last Updated: September 20, 2020

The untimely exaltation of hemorrhoids calls out the need to resort to radical methods of exaltation. With this method, carry out operations from a distance. Let's look at the most effective.

Indication before surgery for removal of hemorrhoids

In some cases, hemorrhoidal nodes are seen:

1. With my own vipadanna.
2. With pinched hemorrhoids.
3. thrombosis.
4. Parts of bleeding. We appreciate that with the frequent appearance of blood, anemia develops.
5. When the knot is broken, the shards should be brought to ignite on the skin's curve.
6. For severe pain.

Before that, how to remove the hemorrhoids, evaluate the body of the body, which allows you to correctly select the type of surgical insertion.

Surgery for hemorrhoids is not carried out by:

• with oncological diseases;
• heart failure;
• in immunodeficiency states;
• with circulatory diabetes;
• with intestinal ailments;

Preparation for jubilation

• Before the removal of the oval hemorrhoids, it is possible to evaluate the possibility of the appearance of complications and contraindications before insertion.
• A blood test is done ahead of time, cut thin.
• The intestines are cleansed for additional enemas and carrying ones. It is recommended to take dietary supplements.
• Include foods in the diet that treat the intestines.

vidi

Sclerotherapy

Painless operation is carried out with small size of nodes. The essence is thermal action on hemorrhoids for additional injections. Operate with a stretch of 15-20 strands. What a bad day you let in at home.

Liguvannya

Liguvannya believes in the fact that a latex collar is put on the vuzol, after which the veins are vented. After the operation is performed, the knots fall with a stretch of 4-6 decibels.

Laser surgery

On the hemorrhoidal nodes, laser therapy is injected.

Hemorrhoidectomy

Relevant for 3 and 4 stages of ailment. Before the operation, you should pass obstezhennya. Vydalyayutsya vuzli vysіchennya and pripikannya.

In case of hemorrhoidectomy, the patient should be taken to the hospital. For help, whom you can clean up forever.

Parks method

To be carried out by the way of the cherry cones. If it is removed, the mucous membrane does not stick. The duration of the operation is 30-60 minutes.

Operation Milligan-Morgan

The operation is performed in stationary minds. During the operation process, the hemorrhoidal vuzol is more likely to be seen. An anoscope is inserted into the anal opening, we squeeze the lump that surrounds the blood supply. Dali, the vuzol is ripped and stitched, like a hem is sewn up with a thread.

Reminder to become the 3rd day, at the same time there will be pain, so painkillers are taken. On a robot, it’s better to take a pass.

Prompt intervention on hemorrhoids is not carried out:

• with vaginosti;
• with ignition processes in tissues;
• with SNID;
• Crohn's disease;
• in oncological processes.

Without a doubt, one of the most popular operations. It looks like this: you can see a dilyanka of the mucous membrane of the colon, which is located above the hemorrhoidal node. Under an hour of the procedure, anesthesia should be applied. Trivality of the operation - 20 minutes. Relevant for 3-4 stages of hemorrhoids in stationary minds. Renewal period - 5 deb.

Vicoristing tool - anoscope. The anus is stretched out from zastosuvannya spetsialnyh zatiskachiv, and the anal opening is introduced expanding, which pushes up to the shkir. Titanium staples are used by the surgeon to seal the edges of the wound.

Advantages:

1. We hope to be able to see sprats of knots at once.
2. After the opening of the postoperative wound the next day.

Rehabilitation

The features of the rehabilitation period are directly influenced by the type of surgical intervention.

For the sake of teasing and inflammation of the intestines, it is necessary to instill a special diet, as it is developed by the doctor individually.

If you don’t follow the rules of the post-operational period, then you can make it worse:

• bleeding;
• fistula;
• zatrymka section;
• rot processes;
• pain syndrome;
• sound of the anal canal.

The cause of bleeding is those that the edges of the mucous membrane diverge, and the feces are on the rectum. If a person is not able to independently carry out a cut, then he is prescribed catheterization of a cut michur.

Surgical removal of cones is carried out at the remaining stages of infection. The appointment of an operation and the choice of the mind is decided by the doctor visibly before the indication. In order to get away, it is necessary to correctly go through the training and the postoperative period.

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When is an operation needed?

The treatment of hemorrhoids by a surgical path is necessary in such cases:

• The inefficiency of medical remedies and the progression of illness.
• Vipadannya hemorrhoidal vuzlіv vіdіlennya fecal mass.
• thrombosis.
• Other diseases of the rectum.
• Anemia, provoked by constant bleeding during defecation.

See operations

Hemorrhoidectomy after Milligan-Morgan and hemorrhoidopexy after the Longo method are the main surgical methods for treating hemorrhoids.

Hemorrhoidectomy can be carried out in hospitals or outpatients (everything can lie down due to the peculiarities of illness). Indicated before surgery - ovnishnіshnіshnіshnіshnі hemorrhoids and vіshnіshnіy others (because of the strong zbіlshennya vuzlіv), the third and fourth stages.

The process of trivaє pіvgodini. The rehabilitation period for stationary minds is three days to three days. After five days, the practice will be renewed again. During the rehabilitation period, pain syndrome is observed in all patients.

The essence of the operation is the adoption of all nodes. Call the process behind the help of an ultrasonic scalpel, or you can use laser technology.

Hemorrhoidopexia after the Longo method is carried out strictly in stationary minds. Indications - internal hemorrhoids are more important in the third stage.

The trivality of the operation is more than trochs more than twenty quills. The duration of the rehabilitation period at the hospital is three days. Pratsezdatnіst povnistyu vіdnovlyuєtsya for tyzhden. Approximately 15% of patients after surgical treatment of turbulence are unclear.

Treatment of hemorrhoids in a surgical way Longo works with the method of lifting hemorrhoids. With this, the area of ​​the mucous membrane of the intestinal membrane is small.

Orientation prices

Prices for offensive operations lie not only in the price policy of the clinic, but also in the region. Orientation variability is shown in the table:

Minimally invasive operations

Surgical treatment of ovnishny hemorrhoids and do not start obov'yazkove internally. As an alternative to fahivets, you can propagate:

• Disarming. The arteries, which are filled with blood, are pulled over, after which the veins come out of the names, without zavdayu vagueness.
• Surgical treatment of hemorrhoids with a laser. A special laser is injected into the knots.
• Cryodestruction. After manipulation with rare nitrogen, the vuzols should be named.
• Vacuum bonding. Woozles are drawn by vacuum.
• Sclerosis. The vuzol is filled with speech, as if it were harmful to the new one. The procedure for introducing a warehouse through the head can be bad and good good.

Contraindication before surgery

It is necessary to look at the surgical treatment of hemorrhoids for the measles of another method, who are afraid of contracting the disease and become ill to the body:

Preparation rules

Retelny preparation to surgical exuberance is one of the outposts of a distant operation. Before the influx of fahivtsiv, it is necessary to live in these entries:

• Obstezhennya recommended by a proctologist.
• Diet. Vaughn maє on the vіdmova’s vіdmova vіd їzhі, scho to avenge the cellular tissue. Bean crops are especially valued.
• Hunger. Have evening at seventeen-seventeen years of the evening and do not wait until the next day (the day of the operation).
• Sedation of sedative medications. Acceptance is necessary for the evening and the vranci.
• Enema chi vikoristannya medicine "Fortrans". In case of intolerance to liquids, work the enema to clean water.

Postoperative period

During the rehabilitation period, it is necessary to take into account a number of rules:

Possibly folded

After surgical treatment, hemorrhoids can be blamed for such complications:

• Strong bіl,
• Bleeding from the anal opening,
• Seen by pus after the ignition process,
• Impaired function of seeing section,
• Anus ringing.
• Mimovilne vydіlennya gazіv and vyporozhnen through the weakness of the sphincter.

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When you can manage without surgery

1. dotrimannya diet;
2. zastosuvannya medicamentous drugs (ointments, gels, pins, candles);
3. increased rukhovoї activity; special rights;
4. retelna hygiene.

Conservatively exuberant gives a good effect, if the ailment is rebuked at cob stages (1 and 2) and then don’t. Positive results are possible only for a timely referral to the doctor, to follow up on all recommendations for any therapy.

However, we do not give a new guarantee that hemorrhoids will not recur after a certain period. Even more than that, it is possible to treat hemorrhoids without surgery once and for all - more fakhivtsiv agree on thoughts that it is impossible to work. Obviously, at the cob stages of the disease, one can reach a trival or induce a pre-remission, the protection of the fact that it recurs all the same is abandoned. Conservative methods allow you to lessen the symptoms of severe hemorrhoids, increase the hemorrhoidal venous plexus of the ileus.

When an operation is needed

If conservative treatment of hemorrhoids does not give a necessary effect and does not bring relief, with this ailment you are at the stage of remission, the nutrition of those who need surgery may be damaged.

In case of severe hemorrhoids, it is not recommended to hurry up with the operation; A sick person needs to take a course of therapeutic approaches. And soon after stabilization, I will start making a decision about the dossile of operational delivery.

Hemorrhoids of moderate severity are not indicated before surgery. As a rule, they go into it in such moods:

• thrombosis and pinched vuzliv;
• dropping of hemorrhoids;
• rare bleeding;
• small regular bleeding.

For the presence of bleeding from the anus, there is an increase in the risk of anemia. In case of thrombosis of ailments, there is a strong pain that prevents radical approaches. The mucus, which is seen from the surface of the hemorrhoids, drapes and lowers the power of the skin curves, so the stench becomes irritating for infection. When vipinannі vuzlіv are created friendly minds for the inflammation of the skins in the perinatal space.

Deyakі ailments in connection with the presence of severe pain and unbearable vermin, they themselves affect the operation. Sometimes sparingly vydalennya vikoristovuєtsya with hemorrhoidal ailment cob stages for early progression.

Methods of operative treatment

At the present time, the main difference is to see operations for the removal of hemorrhoids. Vybіr tієї chi іnshої mind to fall due to the nature of the disease, yogo stage, and instill the peculiarities of the organism of the ailing. Mentally, all methods can be divided into radical and minimally invasive. Stay up to sparing methods, when they are not carried out on the body of the ailing, the stench does not require general anesthesia, it should be carried out in outpatient clinics, they are irritated by a short period of rehabilitation, which may be more important than positive feedback. The most minimally invasive methods are used at the cob stages of hemorrhoids. To the main ones lie:

• Sclerosis - a special zasib is introduced at the vuzol, after which bleeding occurs, and the vuzol itself is overgrown with good tissue.
• Fitting with latex rings - a special latex ring is put on the bottom of the knot, like a squeeze. As a result, blood supply is attached to the hemorrhoidal vuzol and veins step by step.
• Disarterization - a small piece of the artery, like a living vuzol, with the help of a special possession, introduced through the rectum, it breaks up and gets bandaged. Zavdyaki tsomu vіdbuvaєtsya vіdorgnennya fabrics.
• Cryodestruction - Vidalennya hemorrhoids carried out for the help of low temperatures. Rare nitrogen is supplied to the operating field by a cryoprobe, after which, through a sprat of tyzhniv, it dries up and destroys the dead fabrics.
• Laser and infrared coagulation - infuse into the vuzol infrachervonyim prominence, which causes coagulation of the tissues. After the procedure, only a small scar is left.

Minimally invasive methods and vikoristovuvat not zavzhd. Contraindications for their conduction are vuzlev thrombosis, anal fissures, paraproctitis, hostile hemorrhoids. Also, stinks can be ineffective when the stage of hemorrhoidal disease is started. At the pіznіkh stages of the illness, radical surgical treatment should be carried out. What kind of operations can be performed with hemorrhoids in such cases? Call tse:

• Hemorrhoidectomy. During the course of the operation, a clamp is applied to the vuzol and yoga is removed. Then, with catgut, the suture bundle of the node is stitched, then the postoperative wound. Establish different modifications of such surgical technique. An uninterrupted її perevagoy є those who won't help relieve hemorrhoids and reduce to a minimum the recurrence of relapses. Until then, hemorrhoidectomy is one of the few techniques that allow you to completely visualize the ovaries. The main shortcomings are trivalium and a difficult period of rehabilitation, the need for general anesthesia, and the fluctuation of numerical complications.
• Operation Longo. During this procedure, no manipulations are carried out directly with the hemorrhoidal nodes. Under the hour, for the help of a special device, a part of the rectum hangs out, after which titanium staples are applied to the wound, which is why the slime sheathing was left behind. After such manipulations, the inner wall of the intestine is stretched and the knots are squeezed up to it, through which blood supply is broken in them. Then step by step we are replacing knots with a good fabric. Such a method is stagnant at 2-3 stages of illness. This is the reason for painlessness, the ability to remove multiple internal nodes, a short recovery period. The main shortfall of the operation is the impossibility of removing the outer nodes.

With thrombosis of the hemorrhoidal node, in which conservative therapy does not give a positive effect, thrombectomy may be recommended for the ailing patient. In the course of such an operation, a blood clot develops from a clogged vessel, after which the blood flow is stimulated and the patient's self-perception is reduced. Prote varto means that thrombectomy does not relieve hemorrhoids, it is more than an emergency approach, directing to normalize blood flow and reduce pain. To prevent the establishment of a new thrombus, it is necessary to conduct a removal of the existing hemorrhoidal node.

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Why is it necessary to have an operation

The sickness itself is quiet. At the first stage, it’s not good for the building. But before the transition, the chronic form of hemorrhoids can go through all stages. For the first symptoms, it is not necessary to stand on your own and do not exult. Hi, it's important to immediately turn to the proctologist.

At the beginning of the stage of analysis of the disease, one can choose the wrong operation, or it is important to turn around at the liquor. If you marvel at the symptoms, the power of the third and the fourth, then the problem is overcome only by operational interventions.

The operation with the removal of hemorrhoids occurs in the fall, if there are knots that fall, there is bleeding and discomfort.

Dependency of the surgical intervention of the patient

The method of treatment for hemorrhoids can be two types of treatment:

• surgical removal of nodes;
• non-surgical (conservative).

What a way to win is to lie down in the presence of concomitant pathologies, the appearance of complications, the patient's condition and the stage of illness.

At the young vice

If you see it from the anus before the hour of defecation, as well as if you get hemorrhoids, you need to look for additional help in operative intervention. You can’t pull, because there is a risk of more serious illness, such as anemia.

At the middle

If the same problems occur in people of an older age, 30-50 years old, then an operative method of introducing a stop is possible. Ale, all the diagnostics can be completely broken. Does not include invasive procedures. Zavdyaki tsyomu can be treated with hemorrhoids without an operation.

At the pіzny vіtsi

If the illness caught up with the person in the senior century, over 50 years, then in the majority of cases, the operation for hemorrhoids is not required, it is in extreme depressions. It is prescribed for hemorrhoids, it is possible, without surgery, with the help of medical treatment and folk medicine.

Operative intervention for the category of people is carried out only in extreme cases, due to the presence of important symptoms of pathology.

Contraindication before surgery

Є singing contraindications before surgery:

• Under the hour of severe forms of heart disease.
• For the presence of circulatory diabetes;
• In different cases of oncological neoplasms;
• Yakshcho є pevna kіlkіst of suputnіh igniting ailments of the intestine;
• With immune deficiency syndrome;

When looking at more indications, the operation for hemorrhoids is not possible.

Preparation before surgery

Before that, as if to see the innovations of the vuzlik, we are ill to please the correct work of the intestines. For whom it is necessary to respectfully put on a regular diet. Dodatkovі products come in before the new, yakі include the appearance of constipation.

Simple preparation before surgery for removal of hemorrhoids includes the following moments:

1. If general anesthesia is prescribed, it is recommended not to drink homeland and not to live in water.
2. Before operative intervention, a cleansing enema is required.
3. If the operation will be carried out in the morning, then in the evening it is necessary to change clothes and take a shower.
4. Before that, how to carry out an operation to remove hemorrhoids, it is important not to live 12 years before the operation.

About those, how to prepare before the operation, the patient is guilty of explaining the doctor ahead of time.

Features

The best way to overcome hemorrhoids without surgery is less in the early stages with additional medical benefits.

Operative methods of painless removal of hemorrhoids are:

• classical surgical procedures
• vtruchannya minimally invasive type;

Photocoagulation with vikoristannyam ultrachervonogo

This method is considered to be minimally invasive intervention, for the help of which you can easily see hemorrhoids. Photocoagulation zastosovuєtsya as an additive come in with a radical removal of pathological dentures.

Under the hour of the process, the prominence of the infrachervo treatment is directed to the basis of the hemorrhoids. In other words, you can tidy up the knots of that judge, see them from below. For one session, it is recommended to process no more than three nodes.

Sclerotherapy

This is the trick of winning at the first 3 stages. Jubilation is seen only in hospitals and victorious as an additive approach during radical surgery. Under an hour of this method, a special preparation is introduced into the center of the node, which sclerosis, faces. It is built to glue the walls of hemorrhoids. There is a change in the development of pathological tissues and their replacement with fibers of a healthy tissue.

The operation of removal of internal hemorrhoids is required with the use of non-allergic drugs. Їx pick up the arrears, depending on the previous analyses.

Liguvannya z vikoristannyam latex kіlets

The current operation for the removal of internal hemorrhoids for the treatment of vicarious ligation is simple. The hemorrhoidal vuzol is selected, a latex ring is thrown on the new one. Over the years, it crushes the knots with hemorrhoids, changing their life. In a deaky hour, the operated nodes will die. Fabric, yak vіdmіryuє - go out in a natural way. This type of minimally invasive surgical intervention is usually seen in the senior patient.

Shovne lіguvannya

You can see the hemorrhoidal nodes with the help of suture ligation. Such a way to guess the league for help. But the difference is in the fact that the Danish method is the constriction of not the whole node, but only the arteries that revive. Tse vede to a sharp pinning of the vitality of the node - an operation that is operated on, it’s easy to see.

Under the hour of such an operation, the application of seams is controlled by an ultrasonic sensor. Vіn roztashovaniya at stіntsi suchasnogo anoscope. A lot of patients were quantified by this method, and the results are correct.

Classical surgical methods

Vision of hemorrhoids by a surgical path can be overcome. For the help of this method, you can easily pick up a larger knot, as well as a vessel that lies under it. Don't let the sickness reappear.

Radically vtruchanny vikoristovuєtsya:

• in case of severe discomfort pіd hour of emptying.
• the appearance of hemorrhoids, which vanish;
• with frequent appearance of complications, such as bleeding or inflammation;
• under the hour of pathology, yak perebuvaє at 3-4 stages;
• as a method of minimally invasive removal of hemorrhoids is not effective;

Operations involving Longo

And what you need to see the pathological make, what is the way not to work. So you can not see. The essence of such an operational intervention is that the hemorrhoidal nodes are not visible, but are pulled uphill. Tse to fight for the rahunok of the view that the sewing of the mucosal lining of the anal opening. The knots are zmіshchuyutsya vglyb and zam_shchuyutsya with good fabric.

Hemorrhoidectomy according to Milligan-Morgan

Wart to respect that the hour of the operation with Milligan-Morgan is of the same type, the wounds in the areas of the removed nodes are not sutured. The stench can heal on its own. In our hour, this modification cannot be stopped.

Closed hemorrhoidectomy is completed by the method of suturing surgical wounds. Today, this technique is victorious and today. Pіdlizovu tekhnologiya vіdnositsya to the most sparing operational techniques. The stench saves the mucous membrane of the anal opening completely.

For the help of such technology, there is surgical removal of hemorrhoids by the method of cutting at once from the basics. Tse wink for the help of a scalpel or an electric one.

Bagatioh patients chirping food about those, how many days to fight early after the operation. The rest of the stench rages for 2 or 3 months.

Usunennya hemorrhoids laser

Laser technology for an hour of removal of hemorrhoids can often be done. The procedure for the fact that the vuzol is vibrating in the middle with the help of a laser - at the link with cym, vin changes.

How to perform an operation from different laser technologies - the nodes simply change. If there are a hundred wounds, if they have settled, then the stench will not bleed, to that which they will stick to for an hour of resurrection.

What are the consequences after the operation

Mustache robots are guilty of vikonuvatisya zagodzhenno that technically pіd hour vydalennya hemorrhoids. In the post-operative period, it is important to take care of good hygiene for unique comfort.

Іsnuє risik appear suppuration after the fact that hemorrhoids are seen. Tse v_dbuvaєtsya when infectious bacteria get into the wound. To that end of the rehabilitation period, a course of antibiotics may be prescribed. Like an abscess, it is necessary to have an operation.

How long is the rehabilitation period after the adoption of the norm, which may appear after the passage of many months? At times the trivality of the period of rejoicing increases - the problematic place will be operated again.

Under the hour of carrying out the operational handing over to the robot, it is only the responsibility of the fahivtsi to win. The proctologist can choose the correct system of jubilation.

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Indications and contraindications

Surgery for hemorrhoids is carried out in such cases:

• if the patient has 3 and 4 stages of illness, which are not treated with conservative methods (there is no effect for more than 3 months, or there is a tendency to progress to the pathological process);
• the treatment of hemorrhoids by minimally invasive methods did not give a good result;
• frequent occurrence of hemorrhoidal nodes due to the development of hemorrhoids;
• parts of bloody vision or redkishnі, ale ryasnі bleeding;
• development of thrombosis and inflammation of the hemorrhoids;
• treatment of chronic hemorrhoids with other pathologies of the rectum - anal fissures, polyps, chronic paraproctitis.

The operation to remove hemorrhoids by radical methods is not to be afraid, as the patient has concomitant illness:

• circulatory diabetes;
• virazki and acute intestinal infections;
• heart failure;
• VIL and other immunodeficiency states;
• vaginess;
• oncological disease;
• important age of the patient.

In these situations, there is a lack of nutrition, in order to remove hemorrhoids, vicorist sparingly alternative methods, or to continue a complex conservative treatment until reaching a suitable moment for the operation (after a gradual, after a round, etc.)

Get ready to come in

It is often necessary to bring a doctor to a doctor’s office, but it is still possible to help an ailing person.

If there are hemorrhoids, then the operation will be early, if you don’t like ointments and candles - that’s how proctologists put it.

However, the skin is promptly introduced due to a large number of risks, which requires the preparation of the patient:

1. Give all necessary analyses.
2. Undergo obstezhennya for clarification of the diagnosis.
3. identify all possible risk factors and contraindications before surgery for hemorrhoids.
4. Take away the visnovka of other fahivtsіv in case of concomitant illnesses as far as the feasibility of the operation.
5. Dotrimannya diet with frying of fatty products, as well as legumes, lemonade, black bread, fouling of coarse cellular tissue. It is recommended to use fermented milk products, cereals, low-fat meat chi ribi. It is important to follow the work of the intestines, to prevent constipation and diarrhea.
6. Liquidation of inflammation in the area of ​​the anus (teasing, tearing, erosis) in the face of a trivial cause of hemorrhoids - zastosovat mіstsevі baths with herbs, antiseptic ointments.
7. Cleansing the intestines ahead of the evening and in the early evening to clean up the enemas (how many you choose the drug) or take the carriers (fortrans).

See that way of operations

In this hour of great popularity, minimally invasive methods of operations are becoming more popular, with which hemorrhoids are removed as quickly as possible for the sick (there is no great operational field, every day is a three-dimensional period). Before them one can see:

• the method of sclerotherapy (with a syringe, a special speech is introduced into the base of the node, which glues the walls of the veins);
• ligation of hemorrhoids with latex rings;
• cryodestruction for the help of rare nitrogen;
• photocoagulation;
• operational node reduction by laser

Many operations are carried out in outpatient departments, they also require patient preparation (bowel cleansing and diet).

In minimally invasive surgery, there is a wider range of indications (for example, it is possible with vaginost), during the hour of the procedure, deep anesthesia does not occur, everything is fought under local anesthesia or without it, it is also possible to quickly insert 10 to 20 minutes.

After the procedure, the patient is immediately registered at home with recommendations that are necessary for the prevention of complications. It is possible to repeat such a celebration (approximately in a month) for the presence of a number of nodes, or new ones appear (how many procedures are needed for a cure).

About the operations that are carried out with the removal of hemorrhoids, rozpovidaє likar:

The traditional view of the operation is victorious due to the fact that the bagan is the result of other methods of treatment:

Complicated postoperative period

Unfortunately, a lot of views of radical surgical interventions can give a complication in the post-operative period through trauma during manipulations and in connection with the peculiarity of the expansion of the surgical field in the anal zone with a large number of bacteria:

In the post-operative period, it is important to take care of all medical recommendations (diet, eating regimen, slaughtering an important physical need, taking carrying benefits, repelling hemorrhage), then it will be easier, and the patient will probably be safer.

Operational involvement can be lost, as if to change what is found in the body, at the same time pay respect. At the cob stages, hemorrhoids are successfully treated with special ointments, candles. Reinventing the rules of eating and special hygiene, introducing an active way of life will help you to keep your longevity happy and healthy.

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Main indications before the procedure

Surgical removal of hemorrhoids is not guilty carried out at the acute stage of illness. It is necessary to take a course of jubilant visits, which will help to remove the inflamed that nabryak.

The disease progresses through the stages. Vision of hemorrhoids by a surgical path is necessary in that case, if the veins are aggravated, the third and fourth stages of the development of ailments.

The decision about those who need to see hemorrhoids, take less fahivets. Explain direct indications before surgery:

1. Vipadki, if internal hemorrhoids are called.
2. A light rib of severity will begin to pass after the drug treatment in an important form already in 2-3 months.
3. Inflammation is renewed after the skin act of defecation.
4. Infringement and thrombosis of hemorrhoids.
5. The manifestation of polyps.
6. Frequent bleeding. A similar problem is to produce up to the loss of life speeches, which need to reach the internal organs, anemia develops.

The patient is tormented by stinging, liver, strong pain, not more than an hour to the act of defecation, but at a calm station. Robiti operation at times is simply necessary.

Praise for the decision about the operation for hemorrhoids is based on the age of the patient.

If the problem is turbulent for a young person, and the collapse of the node is accompanied by severe bleeding, surgical intervention is recommended. Tse dopomozhe zupiniti process development of anemia.

Before that, how to see the hemorrhoids in the middle vein, the doctors try to solve the problem with conservative methods. Carry out external ventilation of the patient to establish the correct cause of the problem. Most of the patients had enough medical treatment, so that the woofers stopped bleeding and the proisty swollen.

Summer people are rarely prescribed surgical treatment for hemorrhoids, less often in severe cases of illness. Likarsky zasib can be used for seeing ointments, candles, pins.

Operative treatment of hemorrhoids is contraindicated for patients who may have severe concomitant illnesses: heart failure, oncology, circulatory diabetes, acute inflammation of the intestines. Surgery is contraindicated in the third trimester of pregnancy. With a high risk, new nodes appeared. Even if the hemorrhoids are gently turbulent, then the operation can be carried out with the improvement of the mother's features, if desired.

Classification of types of presentation

Quiet patients, like they got stuck with a delicate problem, squeak food, like an operation on hemorrhoids, there are no traces and like a legacy.

Surgery for hemorrhoids can be carried out by different methods. The most popular are the sparing ones, which are usually called minimally invasive in medicine. Surgery includes the use of a scalpel. To pierce punctures in the urazhenіy dilyantsі, through qi open to be carried out farther away.

1. Sclerotherapy of hemorrhoids. If you have hemorrhoids at the cob stage, then prompt treatment with this method will be effective. The procedure helps to introduce a special speech into the base of the node, as a way to tighten the venous walls. As a result, the vuzol changes, bleeding swells.
2. Surgery in the way of cryodestruction. The name means exaltation with cold. For the help of rare nitrogen, the damage to the place is frozen. The procedure is carried out under local anesthesia and takes about 3 hours. After the introduction of the speech, which is to be introduced, the hemorrhoidal tissue is in the air.
3. Ruinuvannya vuzlіv for the help of the laser. Under the hour of the procedure on the day of the hospital, and the next day you can stand and walk. Trivality to become close to 15 hvilin. Minimal risk of swelling of the anal opening and mucosal surface of the intestine. For the help of this method, the removal of internal hemorrhoids of the pelvis is carried out.
4. The operation of removal of the hemorrhoidal node can be carried out for additional coagulation with infrared exchanges.
5. Bandaging the knot with latex rings. As shown by internal hemorrhoids, the follow-up is carried out for the help of a medical instrument, which is called a ligator. A ring is put on the vuzol, and approximately two days after the operation, the wound falls.

In some cases, it is possible to perform qi types of operations? Surgical treatment of hemorrhoids by similar types of operations and additional development of ailments at early stages. The operation is performed under general anesthesia. Do not need to stay away from the hospital. Operations, the patient at home minds continues to receive therapy. It is necessary to take faces, build up the walls of the vessels, and improve blood circulation. Tse allow niknuti relapse.

Under the hour of traditional operational manipulations, the appearance of hemorrhoids is observed. Later, the celebration and the jubilation will be carried out only at the hospital.

Hemorrhoidectomy. How do you see haemorrhoids for the help of which method? Under the hour of the operation, the entire hemorrhoidal vuzol can be seen from the affected mucous membrane. To be carried out ovalnya zovnіshny hemorrhoids and vnutrіshnіh vuzlіv. How many three surgical interventions? Operate close to 40 whilins. How many days are needed, to be renewed again? The patient, for a short period of time, is guilty of dotrimuvatisya bed rest, obroblyat the wound to the full wound.

Inconsistency of this method of treating hemorrhoids is a trip to the hospital under severe anesthesia, during the hour of the procedure there is a strong blood loss, it can be aggravated, it is necessary to spend an hour in the hospital.

Surgery to remove hemorrhoids by the method of hemorrhoidectomy is not prescribed in such cases:

• the presence of infectious processes in the body;
• chronic ailments;
• oncology;
• the period of wine and vigodovuvannya child.

Parks method dries up in the form of hemorrhoidectomy, that the vuzol hangs out less, the mucosa does not stick. Bіl at tsimu is weaker, and the recovery period is short. It is possible to remove the external hemorrhoids and the internal ones.

In a superior way to remove hemorrhoids for an additional operation. If it was revealed by internal hemorrhoids, then how can you see it for the help of which method? Medically obladnannya to be entered at a rectum. After the operation is overrun, follow up with an additional ultrasound. Dіlyanka artery, how to live a vuzol, hangs and pulls. Visibility of hemorrhoids is about 20 minutes. Vykoristovuetsya mіstseva anesthesia. Longo's method is not vicorist for the removal of the outer hemorrhoid node. The cost of the procedure is expensive.

The advantage of this method of removing hemorrhoids is those who can get rich in internal hemorrhoids. The procedure is painless, draw blood. The patient may not be hospitalized. Renewal at home minds can last no more than 5 days. Wounds do not heal, there is no easy way.

Preparation before the operation

Preparation before the operation with the removal of hemorrhoids is treated by the doctor's recommendations and could help the doctors.

1. It is necessary to do all the analyses.
2. Next, inform the doctor about concurrent chronic illness.
3. The doctor is responsible for identifying possible contraindications for this risk before the surgical intervention.

For a few days before the operation, the removal of the outer hemorrhoids or the internal ones is done to clear the intestines. At this hour, a strict diet is indicated, directing the improvement of intestinal motility. Constipation is part of the cause of the development of hemorrhoids, stinks complicate the recovery period after the operation.

How to prepare before surgery? In advance of the operation, carry out cleansing enemas and may be recognized as carrying the disease. If it’s razdratuvannya that inflamed, then hemorrhoids are exulting for help of medicines and folk medicine.

After the operation, it is important to take care of diet, as it would not allow constipation. Exciting physical culture, calm physical adventure, walks in the fresh air will help you to recover quickly after the operation and prevent the establishment of new nodes. If you do not follow the recommendations of the doctor, you can become complicated.

What check after the operation

Surgery can lead to such complications.

1. Strong pain. Why is it tied to this, that the rectum has a lot of nerve plexus.
2. They can blame the damage to the robotic sechivnik.
3. Fear of the act of defecation leading to the development of constipation.
4. Bleeding.
5. The development of rotten processes at the house of the operation.

The clinic and the examination of the doctor are necessary in that moment, as the temperature of the body rose, the vein pulsating at the anus, there was strong bleeding.

However, I still had a chance to have an operation to take the vuzli, it was necessary to follow the low recommendations. The stench will help to ease the clothes and change the sore sight.

1. Zbalansovane, correct eating. The first day after the operation, it’s better to see them in the air. In the coming days, you need a diet, a bagat for cellular tissue, you need to drink more yakomog more than radiny.
2. Sliding the work of special jubilant physical culture.
3. Obov'yazkovo dotrimuvatisya hygiene. You need two meals a day, as well as after the act of defecation.
4. To help relieve postoperative symptoms of candles and lotions from herbal remedies.

Operative treatment of hemorrhoids in a short hour will help relieve pain and other unacceptable symptoms. You see, it takes time for more than a year, and the period of renewal means the exchange of some primary days for a short period. Viniknennya ukladnen є vinyatkom іz rules.