SAY GOODBYE TO HAEMORRHOIDS
The haemorrhoidal disease known as “piles”, “haemorrhoids”, is cyclic in nature. Patients with a long-term haemorrhoid problem reports alternating periods with problems lasting from days to weeks and periods of relative calm. Obviously, even if problems disappear, it is only a temporary duration.
Stages of disease
The first stage is characterized by itching, burning and stool bleeding. At the second stage, these symptoms are more pronounced, by swelling of the individual veins, the so-called. internal prolapse. The third stage is complicated, the prolapse must be pushed in by the patient himself or it is permanently debilitated and manifested by mucus secretion, blood in the laundry and inflammatory complications with swelling. The fourth stage is characterized by practically permanent bleeding of the debilitated haemorrhoids from the anal hole, cracks in the mucosa and perianal abscess may occur.
The cause of haemorrhoids is multifactorial. The most common causes include constipation, genetic predisposition, sedentary work, pregnancy, tumours in the pelvis.
INITIAL EXAMINATION AT OUR CLINIC
The intervention in our surgical outpatient department is preceded by a palpation examination of the rectum and determination of the haemorrhoid stage, possibly excluding other possible causes of bleeding, such as polyps, vascular malformations, diverticles or tumours. After completing the initial examination, the doctor indicates rectoscopic examination of the rectum, eventually. anoscopes. The patient undergoes a rectoscopic examination prior to the procedure, this may also be on the day of surgery.
TREATMENT OF THE PILES AT OUR CLINIC
In the first two stages, a symptomatic conservative treatment is performed: diet adjustment, care for regular soft stools, suppositories, venotonic drugs. It is best to start treatment with your first symptoms and ask your doctor if you have any questions.
At the third and fourth stages, the treatment is surgical. We offer patients two methods of treating the piles.
- Laser treatment of haemorrhoids
- Rubber band ligation
The method of treatment for a patient is decided by the physician at the initial examination.
1. LASER OPERATION OF THE PILES
The procedure is performed under local anaesthesia and takes approx. 15 minutes. After the treatment, the patient goes home with assistance of another person. The following week, it is recommended that patient stays home, and sick leave is issued.
The principle of laser surgery
A thin laser beam, minimizing damage to surrounding tissues, will remove the haemorrhoid while treating its site. In the treatment, the bleeding is stopped immediately resulting in significantly less pain. Healing is disproportionately faster than conventional surgical treatment.
Advantages of laser surgery
- The procedure is performed in the outpatient clinic under local anaesthesia, which is not associated with many risks compared to general anaesthesia
- Faster recovery and return to work
- Removes all haemorrhoids at once
- Shower several times a day
- use rectal ointment, suppositories, cleansing foam
- Sedentary bath in oak bark
- Diet (soft pureed foods)
- No excessive activity
Cure can be expected within seven days. It should be noted that recovery time is individual and depends on the stage and size of the haemorrhoids.
2. RUBBER BAND LIGATION
It’s a non-surgical treatment of haemorrhoids. The method allows to remove almost all stages of haemorrhoid disease.
Rubber band Application Technique
The application of the rubber-latex band itself is done in anoscopy. The patient usually lies on the left side, with knees bent to the chest. A tubular ligator with a rubber band is attached to the node protruding into the anoscope. The ring is stretched to the edge of the ligator. After starting the aspirator, the haemorrhoid knot is sucked into the tube of the applicator end, and then the stretched rubber band slides from the end of the applicator onto the base of the sucked knot. The elastic band will stop the supply and discharge of blood from the haemorrhoid knot. As a result, the knot falls off within about 5 days and only a small whitish scar is found in its place during a check-up after approx. 14 days. The entire procedure takes from 3 to 5 minutes, it is painless and without bleeding.
If another haemorrhoid needs to be treated, we do it around two-weeks after the first treatment.
Advantages of using rubber band ligation
- There is no need for anaesthesia and most patients do not use an analgesic, the area loaded with rubber bands doesn’t have sensitive nerve endings.
- The procedure is done at an outpatient clinic and is simple
- The procedure does not last more than five minutes.
- After the procedure the patient leaves without need of assistance
- The procedure usually does not require sick leave, or at worst, perhaps just 2 days of sick leave
- Compared to other treatments for haemorrhoids, the rubber band ligation has the highest effectiveness and the smallest number of complications.
Period after surgery
After loading the Rubber band ligation – the elastic band, the patient may feel the ligated knot as a foreign body in the rectum; This is because the knot is stiff and swollen. The unbound knot is soft and does not feel foreign. These difficulties usually last only a few hours, up to 1-2 days after the procedure.
In some cases, patient may feel some pain and discomfort even though the rubber band was applied to insensitive area. In these cases, usual painkillers will help. If the patient still feels the pain in the area of the applied elastic band, we can cut and remove the rubber band.