The patient eats a normal diet the day before surgery. The preparation for surgery is the same as for conventional hemorrhoidectomy.
Since the nerve endings are different, the patient may feel a dull but tolerable ache for a few days. The patient will not feel the sharp pain of conventional hemorrhoidectomy. Instead, this procedure removes the loose tissue above the anus – this is like an “anal facelift.” The area above the anus does not have the same nerve endings as outside the anus. PPH stands for “Procedure for Prolapse and Hemorrhoids.” With the new PPH or stapled hemorrhoidectomy there is no need to cut out the hemorrhoid tissue at the anus. Straining at a BM increases this prolapse and straining damages this tissue. This sliding of tissue is called prolapse. They prefer to suffer from hemorrhoids in silence.Īs we age the anal tissue becomes loose and may slide out when we have a bowel movement. Patients have tried everything to avoid surgery. Most patients stay in hospital overnight and sometimes they will take up to 2 weeks off work.įor many years, surgeons have tried everything to make hemorrhoidectomy less painful. The reason for pain is that during surgery, the hemorrhoids are cut off the anus. Hemorrhoid surgery (hemorrhoidectomy) is painful. Surgery is indicated for advanced cases (3rd and 4th degree – for a classification of hemorrhoids please refer to Hemorrhoids). This may lead to pain but usually hemorrhoids are painless. The main complaints are bleeding and protrusion (prolapse). We are all born with hemorrhoids but some of us will suffer from them occasionally. This is the first revolution in hemorrhoidectomy in 50 years.
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