Desarterization of hemorrhoids - without a surgical method for treating hemorrhoids
- Jun 18, 2018
Probably, not one disease in the world is associated with so many myths and delusions as hemorrhoids. Some believe that it can be cured with the help of folk remedies, others argue that only surgery will help. Most patients are ashamed of manifestations of hemorrhoids, delaying a visit to the doctor to the last, and seek help when the disease passes into a neglected stage and threatens with serious complications.
Many people mistakenly believe that hemorrhoids can only be disposed of by traumatic surgery, after which a long and painful recovery period is needed. This is far from the case. Modern proctology offers its patients an effective and painless disposal of hemorrhoids without surgical operation by the method of dezarterization of internal hemorrhoids.
This innovative technique was developed in 1995 by the Japanese surgeon Morinaga. Ten years later, it was perfected and the bandaging of the arteries was supplemented by a tightening of the nodes. It is in this form that the operation is ca
- 1 What is node de-parsing?
- 2 Advantages of the
- method 3 Disadvantages of the
- method 4 Average prices of the
- 5 Reviews for the deserterization of the hemorrhoidal nodes
What is the desarterization of the nodes?
Desarterization of hemorrhoids is a modern non-surgical method for treating hemorrhoids, which allows not only to get rid of existing nodes, but also to prevent the appearance of new ones. The technique of the operation is based on the cessation of arterial blood flow to the hemorrhoidal node. The procedure is performed under the control of ultrasound dopplerometry, with the help of which the surgeon finds the feeding node hemorrhoidal arteries. After their dressing, the knots are deprived of food, empty and disappear.
Unlike other minimally invasive non-surgical procedures, which only give effect at certain stages of hemorrhoid development, desarteration can be carried out even in neglected cases, at the 4th stage of the disease. But the best result is achieved when treating hemorrhoids in 2-3 stages.
This technique has several modifications. One of the names is HAL technology( hemorrhoidal artery ligation), which is supplemented by the RAR method( tightening of the sagging internal node and fixing it to the intestinal wall).
Another modification, which is performed with the help of an ultrasound surgical device, sounds like transanal dezarterization of internal hemorrhoids. When performing the procedure, surgeons take into account the stage of hemorrhoids development. For hemorrhoids of the 2nd degree, the HAL technique is sufficient, for the 3-4 th degree, the combination HAL + RAR is preferred.
Advantages of the
method The main advantages of this method are:
- Absence of pain after the procedure.
- The ability to apply the technique at any degree of hemorrhoids, even with fistulas and anal fissures.
- No postoperative wounds.
- Short manipulation time and short recovery period. The operation lasts about 30 minutes, and the recovery period takes 2-3 days, after which the patient returns to work.
- Restoration of the lumen of the gut due to the tightening of the nodes.
- No relapse, as the cause of hemorrhoids is eliminated - pathological hemorrhoidal blood clotting.
- The operation is performed on an outpatient basis, under day hospital conditions under epidural or intravenous anesthesia.
Any other surgical technique for removal of hemorrhoids( hemorrhoidectomy operation), regardless of what instruments was performed, is associated with pain, high trauma, a long period of rehabilitation and a risk of serious complications.
Postoperative wounds with classical surgical intervention are extremely painful and heal long and painfully. The patient takes up to two weeks in a hospital, and then 5-6 weeks is restored at home. All this time, the risk of postoperative complications is great: bleeding, suppuration, development of abscesses and deficiency of the sphincter muscles. Therefore, patients try their best to avoid such surgical intervention.
If we consider such sparing techniques as sclerotherapy, ligation of hemorrhoids or cryodestruction, then in this case the method of desarterization has a number of advantages. Minimally invasive methods do not eliminate the cause of the disease - blood filling of hemorrhoidal tissues. Therefore, even after removal of the inflamed nodes, relapses are possible. In addition, in most cases it is not possible to delete several nodes at once, which means that several repeated procedures will be required.
The operation of desartering eliminates the main cause of hemorrhoid development, stopping the nutrition of the changed nodes and supplying them with blood. And this means that the disease will not return. In addition, all manipulations are performed in one session, repeated interventions are not required.
The procedure is characterized by painlessness, no injuries, easily tolerated by patients and does not require a long and difficult recovery period. It is dezarterization of internal hemorrhoids that allows you to quickly and effectively get rid of hemorrhoids and not be afraid of complications and relapses of the disease.
Disadvantages of the
method As with any other technique, desarterization has some drawbacks:
- The technique is quite expensive. In some clinics the price for the procedure can be from 30 to 60 000 rubles.
- There are not enough experienced practicing surgeons who perfectly master this technique. During the operation, it is unacceptable to make mistakes, because if you leave an unconnected vessel, the node will continue to be fed with blood and the symptoms of hemorrhoids will resume.
As you can see, there are very few drawbacks to this method, therefore, in modern proctology, he is given the greatest preference for radical treatment of hemorrhoids.
To whom is this method appropriate and to whom is it contraindicated?
The method of transanal desarterization of hemorrhoids is applicable to any patient suffering from hemorrhoids, even if the 4th degree of the disease is diagnosed, accompanied by unpleasant complications and prolapsus. The most optimal option for this intervention is considered to be hemorrhoids of stage 2-3.All manipulations are carried out during the period of remission( fading) of the disease.
To whom is this procedure contraindicated? Contraindications to surgery should be identified during preoperative examination. Restrictions will depend on the severity of complications and the general condition of the patient. This procedure is not carried out during pregnancy and breastfeeding.
Manipulation is contraindicated in purulent processes in the rectum, paraproctitis and acute thrombosis of hemorrhoids. In such cases, the stabilization of the patient's condition and the stifling of acute processes are achieved. Only after this, surgeons will consider the possibility of conducting desarterisation.
Preparing for operation
Before the procedure, preparation is necessary, all the nuances of which the patient should be warned by the attending physician. Before the operation, the patient needs to pass the tests:
- general and biochemical blood test,
- to make an ECG,
- fluorography of the chest organs.
Doctors warn that a week before desarterization, it is necessary to cancel the use of drugs that can affect blood coagulability( nonsteroidal anti-inflammatory drugs, acetylsalicylic acid).
Two days before the operation, the following foods should be excluded from the diet: flour dishes, baked pastry, rice. Before the operation, the food should be as follows:
- On the eve of the operation, in the evening a light supper is recommended until 6 pm, which includes broth or mashed soup and loose tea.
- On the day of surgery for breakfast, a patient can eat broth and drink sweet tea.
Before the operation, it is necessary to clean the intestines. You can do this in two ways:
- One day before the manipulation, the intestines are cleansed with a laxative Fortrans. To do this, two packages of the drug are bred in 2 liters of boiled water and drunk for two hours.
- Four hours before the operation, a cleansing enema of 1.5-2 liters is made using water at room temperature and achieving complete purification.
Technique for the deserterization of hemorrhoidal nodes
The operation is performed on an outpatient basis, without hospitalization of the patient. The procedure takes from half an hour to 60 minutes. That the patient does not feel pain and discomfort, intravenous or peridural anesthesia is performed. The technique of performing an operation to remove hemorrhoids in this way is not complicated, but requires the surgeon's experience and attention. How does the operation go?
A transparent anoscope with illumination and an ultrasonic doppler sensor is introduced into the rectum of the patient, which allows to catch the pulsation of the vessels and convert it into a sound signal. Thus, the surgeon can identify the arteries involved in the formation of the hemorrhoidal node and indicate the location of his vascular pedicle.
Subsequent manipulations are performed through a window located on the lateral surface of the anoscope. The arteries detected with the help of the sensor are tied up by the surgeon with the help of a self-resorbable thread( vikrila).This significantly reduces the flow of blood to the hemorrhoidal node. Vascular detection and bandaging are continued until blood flow from all arteries feeding the hemorrhoidal node is blocked.
Next, the procedure of "lifting" - suspenders of the nodes. For this, the tissues of the internal hemorrhoids are stitched with stitches made from the base to the top of the node. The ends of the threads are tied, pulling the knot upward, to the wall of the bowel. This allows you to open the lumen in the intestinal wall and restore normal anatomy of the rectum. The surgeon is important not to miss any arteries, otherwise the node will continue to be supplied with blood and inevitably there will come a relapse of the disease.
In the postoperative period, no manipulations associated with the removal of stitches will be required. Modern suture material dissolves on its own without causing any inconvenience to the patient. The operation takes only 30 to 60 minutes, the manipulations are bloodless, no open wounds are formed during its operation.
After the operation for deserterization of hemorrhoids, the patient may experience minor discomfort and unexpressed pain sensations. Pain is stopped by taking pain medications. Within 2-3 hours after the manipulation the patient should be under the supervision of a doctor. After this time, the patient can return home.
Further postoperative follow-up is carried out in a day hospital, which the patient must visit for 3 days. If there is such a need, the observation time may increase. If the condition of the operated person does not cause fear, then in three days it can return to work and ordinary life.
Doctors give the following recommendations to patients who underwent transanal desarterization of hemorrhoids:
- In the first day after the operation, only liquid food is recommended, this is done to delay the stool, which is highly undesirable during the first two days.
- The following days, recommend three or four meals a day. Preference should be given to the vegetable-protein diet.
- It is desirable to use non-fat fish, meat, poultry in boiled, stewed or baked form.
- A day should eat at least 500 g of fruits and vegetables, rich in fiber. Of fruits recommended bananas, apricots, apples, plums. You can eat prunes and dried apricots. From vegetables, carrots, beets, cauliflower, lettuce, pumpkin should be preferred.
- It should be discarded from sharp, pickled, spicy foods that irritate the gastrointestinal tract.
- The use of fried and fatty foods is not desirable.
- Give up smoking and alcohol.
- Drink plenty of fluids. In a day you need to drink at least 6-8 glasses. It can be ordinary drinking or mineral water, juices, compotes, green or herbal tea.
- Try not to allow constipation, if necessary take laxatives.
- Daily hygienic procedures and local treatment of the anorectal area.
What can not be done after desarterization?
- After the operation it is forbidden to visit the sauna, sauna, swimming pool, take a hot bath.
- In the first two weeks you should not take acetylsalicylic acid or aspirin-containing drugs.
- Do not lift or carry weights. At first, you can raise no more than 2 kg, in the subsequent - no more than 5 kg.
- You can not have sex for 10 days after the operation.
- Do not irritate the operated area( do not inject candles and do enemas).
- Do not exercise during the month after the operation, you must avoid intense physical activity.
Possible postoperative complications of
As with any surgical intervention, it is impossible to guarantee 100% success of the operation. Possible complications during desarteration of hemorrhoidal nodes are reduced to the following points: sometimes even an experienced surgeon can not achieve a complete halt of blood supply to the hemorrhoidal node.
This may be due to the fact that the node is too large, or it is fueled by a large number of vessels and difficult to detect. If all feeding vessels are not flushed, there is a risk that the supply of the node with blood will be preserved and the patient will again experience symptoms of hemorrhoids. Such a complication is rare, but if this happens, the doctor can recommend a re-run procedure.
Occasionally, persistent hematomas occur and inflammation and redness of the tissues surrounding the rectum are noted. In this case, the doctors prescribe local anti-inflammatory drugs. In some cases, bleeding may be isolated in the postoperative period. But usually these phenomena quickly pass.
Experienced proctologists, when choosing a method of treatment, approach each case individually, assessing the patient's condition, the degree of development of the disease and the risk of complications. In any case, the doctor does not seek to send the patient "under the knife", he tries with all his might to avoid traumatic surgical intervention.
In the initial stages of the disease, a persistent result can be achieved with the help of traditional drug therapy. In the future, depending on the dynamics and individual characteristics, the proctologist can recommend modern minimally invasive methods of treatment, of which the operation of deserterization of hemorrhoids by many specialists is recognized as the safest and most effective technique.
Kazan - from 35 000 to 52 000 rub.
Moscow - from 48,000 to 67,000 rubles.
St. Petersburg - from 45 000 to 65 000 rubles.
Reviews for desarterization of hemorrhoidal nodes
Review No. 1
I had hemorrhoids of stage 3, large internal nodes, and all accompanying unpleasant symptoms. I will not describe them, who knows the hemorrhoids firsthand, he will understand. The proctologist recommended the operation of node desartering. Long thought, but decided, because of the treatment of hemorrhoids medication was not a special result. Doubts were, besides the operation itself is quite expensive.
Vessel dressing was done under anesthesia, felt nothing, after three hours they were released home. The first evening was terrible, I felt strong pains, swallowed strong painkillers, fell asleep just in the morning. At a doctor's appointment the next day they said that everything was fine.
Very afraid of the first trip to the toilet, tried to eat liquid food, took a laxative. It turned out that everything is not so scary. After the operation, two months passed, the result is good, I feel fine, I forgot about the unpleasant symptoms of hemorrhoids.
Several years ago I performed an operation of desertering the nodes of hemorrhoids. Strongly prevented live inflamed internal nodes, constant pain, bleeding, it was not possible to normally go to the toilet. The effect of the operation surpassed all expectations! For a long time I forgot about the former discomfort, I did not even expect that the quality of life and well-being will improve so much.
The most unpleasant moment was when they did injections of anesthetics before the operation. The procedure lasted 40 minutes, after some time they were released home.
The first two days I felt some discomfort and drawing pains, I was saved by anesthetics. Somewhere about a week I have to endure and survive not the most pleasant period in my life. It is necessary to go to the control in the clinic, if necessary, to do the procedures and lotions.
But everything is tolerable. Do not compare with the horrors that talk about the classic operation to remove nodes. The only negative - do not make out a sick leave sheet. So I did the operation on vacation. Well, the price of the procedure is decent, and then you still need to eat properly and eat only the allowed products. But the result is worth it. I advise you not to be afraid and go to such an operation, it will radically solve the problem and get rid of hemorrhoids.
She performed a de-varersion operation in a private clinic. Has solved, that I can not suffer or bear any more, it was excruciated from a hemorrhoids during 10 years. Every six months, despite all efforts and the use of candles and ointments, there were exacerbations. I'm very sensitive and I'm afraid of pain. I went to surgery with great fears.
In some ways, the fears were confirmed. Perhaps I have too low a pain threshold, but two weeks after the operation I was tormented by severe pain. It seemed that in the anus was still more violent, and the hemorrhoids did not go anywhere.
Especially scary things hurt after visiting the toilet. Painkillers helped little. Only on the third week of pain gradually began to release, until they disappeared completely. On examination, the doctor said that everything is in order. I'm glad that my torment is over, I hope that I will forget about hemorrhoids forever.