Meet minimally invasive surgery for hemorrhoids

Written by: Dr. Juan José Arenal Vera
Edited by: Roser Bernés Ubasos

Hemorrhoids are natural in our body and help in anal continence and defecation. However, when there is a change in the physiological condition of the hemorrhoidal plexus begin to cause discomfort. Minimally invasive surgery for hemorrhoids can address them virtually painless, with outpatient procedure with few relapses.


Hemorrhoids: What They Are

hemorroide Hemorrhoids are a fundamental element of anorectal system. In fact, it's packages and formations cavernous angioma-tissue, ie, arteries and veins. Such tissues are held by elastic and muscle tissue. They have a physiological function that contributes to anal continence through the closure / stopper at rest and defecation favoring the expulsion by sliding through the lining of fecal bolus. We can speak of a hemorrhoidal disease when the physiological condition of the hemorrhoidal plexus undergoes a modification: the tissues that support hemorrhoids do not resist, causing a prolapse or bleeding.


Minimally invasive surgery for hemorrhoids

This is an innovative surgery in General Surgery for the treatment of hemorrhoids, characterized by being minimally invasive and painful little impact. The THD method involves surgical suturing points with hemorrhoidal artery carrying blood flow to hemorrhoidal packages. This intervention is combined with the pexia muco-hemorrhoidal prolapse. This means that in the whole of the same operation, repositions the mucosa prolapse has suffered in the original position, relieving one of the symptoms typical of the advanced stages of the disease.


Advantages of minimally invasive surgery

There are certain benefits of the THD method to other techniques are:

  • Hemorrhoidal tissue is removed and anal canal anatomy is unchanged. This allows the possibility of performing other operations in the anorectal canal in the future and preserve responsible anatomical parts of continence.
  • The operation is quite painless, since no tissue is removed and the suture is made above the dentate line, in an area without sensory nerve endings.
  • The patient is hospitalized and was discharged within 24 hours after the operation.
  • work activity 2-3 days after operation resumes.
  • The recurrence rate is very low.


Patients who are advised

The THD method of minimally invasive surgery can be used to treat hemorrhoids second, third and fourth grade, even those that are bleeding.


Postoperative minimally invasive surgery Hemorrhoids

The patient should rest on for one or two days. The operated patient may notice a feeling of heaviness and discomfort immediately after surgery, symptoms gradually decrease after a few days and can be controlled with common analgesics. At 48 hours the patient can resume normal life.

appearance of slight bleeding, which will cease in a few hours, or a sense of urgency to defecate immediately after the operation, also transitory situation: On the other hand, serious complications do not usually occur.

No special medical therapies are necessary, but is recommended a diet rich in liquids and fiber to promote bowel movements loose stools, eliminating the trauma of fecal matter in the anal canal.


Edited by Roser Berner Ubasos

*Translated with Google translator. We apologize for any imperfection
Dr. Juan José Arenal Vera

By Dr. Juan José Arenal Vera

Renowned specialist in General Surgery, Dr. Arenal Vera holds a degree in Medicine and Surgery since 1977 and did his thesis on the contribution to preventing infections in surgical wounds. Currently, it belongs to medical staff in the area of ​​General Surgery and Digestive Campo Grande Hospital and the University Hospital Rio Hortega. He has participated in many conferences with the presentation of papers and posters, as well as being author or coauthor of several articles related to his specialty.

As part of their training he has made ​​stays in foreign hospitals: Department of Surgery at Leeds General Infirmary. Leeds University. England. UK. 1988-1989. Department of Surgery at St. Olavs Hospital. Norweian University of Science and Technology. Norway. April-May 2008

*Translated with Google translator. We apologize for any imperfection