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Last Updated: Jan 10, 2023
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Stapled Hemorrhoidectomy - Everything You Should Know About It!

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Dr. Anuj SharmaIVF Specialist • 20 Years Exp.MBBS, MS - General Surgery, Fellowship of Indian Association of Gastrointestinal Endo Surgeons (FIAGES), Fellowship in Sexual Medicine
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Haemorrhoids are inflamed and swollen veins present in the anal canal. These often lead to bleeding and discomfort. Haemorrhoids are present in every one. However, they become large in only 4% of the population. Prevalence of haemorrhoids increases between the ages of 45 and 65.

What are the symptoms of piles?

The following symptoms are associated with haemorrhoids/piles-

• Bleeding while defecation
• Pain in the anal region
• Anal leakage

What is Stapled Hemorrhoidectomy?

There are several surgeries that deal with the problem of piles/ haemorrhoids. Stapled Hemorrhoidectomy is one of them. In fact, this a procedure suggested by doctors in 75% of cases of haemorrhoid removal. This procedure is particularly effective for third-degree haemorrhoids (when the haemorrhoids begin to protrude).

Hemorrhoidectomy does not actually remove the haemorrhoids. It removes only the enlarged section that prolapses downward. The rest of the tissue is repositioned to its original place.

How is this procedure performed?

Staple haemorrhoidectomy is performed following these steps-

• A tube is inserted into the anal canal. A long thread is then inserted through the tube, and it is woven into the anal canal above internal haemorrhoid. The ends of the thread are brought out of the canal.
• When the thread ends are pulled, it brings the extended haemorrhoids down and a stapler is then used to snip off the circumferential ring of haemorrhoid.
• Because of the stapling, arterial blood vessels travelling to the enlarged hemorrhoidal tissue are snipped. This reduces blood flow to the tissue. This forces the expanded portion to shrink.
• When the tissue starts to heal post surgery, new scar tissues are formed around the staples and they hold the haemorrhoid tissue to its right place and do not allow it to prolapse. After a few weeks, the staples come loose and are flushed out with stool.

This is the simplest of all hemorrhoidectomy surgeries. It usually takes about thirty minutes to perform. The patient is discharged from the hospital in a couple of days and can return to work in a week.

A person who has undergone stapled hemorrhoidectomy may feel a little pressure being exerted on the rectum when she/he defecates. But the discomfort does not linger beyond a few days. Piles in the third and fourth stage can be very painful. Most doctors will advise you to undergo a stapled hemorrhoidectomy because it is a relatively fuss-free and highly effective procedure.

In case you have a concern or query you can always consult a specialist & get answers to your questions!
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