Hemorrhoids are dilated veins that line the anal canal. Comparable to varicose veins in the legs.
1. Genetic predisposition
2. Increased abdominal pressure, such as pregnancy
3. Habitual constipation uncontrolled
4. Much less frequently, other diseases that increase venous flow in that area, such as liver cirrhosis with portal hypertension
3. Sometimes pain
4. Prolapse (when leaving the anal canal)
1. Various anti-inflammatory creams and dietary measures, mainly to avoid constipation.
2. Injection sclerotherapy:a substance that hardens and occludes the dilated veins and cut your circulation is injected.
3. Elastic ligatures involves tying the base of the hemorrhoid, cutting off his circulation and causing it to necrose.
4. Surgical procedures
They usually go to surgery when the hemorrhoids cause great discomfort, bleeding heavily, or remain permanently outside the anal canal and in an urgent manner, if thrombosed.
The most common method involves the resection area is dilated veins with venous thermal sealing ends, leaving a wound which then must heal by secondary intention.
This can be done with various procedures such as Laser CO2 termocauterio fine tungsten tip etc..
There are other procedures such as placement of a mechanical circular stapler in the anal canal or ligation of the hemorrhoidal arteries, which, in our opinion, are less definitive in their results and are not used in advanced hemorrhoids.