Symptomatic piles or the third stage of piles, can actually be quite disabling and create a lot of physical distress for the individual. Though numerous people may first look for non-operative intervention to Colorectal disorder, there are occasions which resort to Colorectal surgery. Here, they will look at how colorectal surgery is employed in treating prolapsed hemorrhoids, discuss different operations, and profile a Los Angeles-based colorectal specialist.
Understanding Hemorrhoids
Hemorrhoids are swollen and inflamed veins located in the rectum and anus. They can be classified into two main types: internal hemorrhoids, which occur inside the rectum, and external hemorrhoids, which develop under the skin around the anus. Symptoms can include:
- Bleeding: Bright red blood during bowel movements.
- Pain and Discomfort: Especially during sitting or bowel movements.
- Itching and Irritation: Around the anal area.
- Swelling: In the anal region.
Hemorrhoids are caused by chronic constipation or diarrheal diseases, frequent bowel movements, obesity, pregnancy, and inactivity. Though most patients control symptoms by altering their behavior, taking prescribed medicines for mucous colitis, or using other noninvasive treatments, in some cases, patients require help from a professional colorectal surgeon.
When Is Surgery Needed?
Surgery for hemorrhoids is typically considered when:
- Non-Surgical Treatments Fail: If dietary changes, topical medications, and minimally invasive treatments do not alleviate symptoms, surgery may be necessary.
- Severe Symptoms: Patients experiencing intense pain, significant bleeding, or prolapsed hemorrhoids (hemorrhoids that protrude outside the anus) may require surgical intervention.
- Complications: In some instances, hemorrhoids can lead to complications such as blood clots, infection, or anemia due to chronic blood loss, necessitating surgical treatment.
Types of Colorectal Surgery for Hemorrhoids
Several surgical procedures can effectively treat severe hemorrhoids, and a Los Angeles colorectal surgeon specialist is well-equipped to evaluate and recommend the most suitable option for each patient. The most common procedures include:
1. Hemorrhoidectomy
Surgical excision of hemorrhoids can be described as a complete elimination of these growths, commonly referred to as hemorrhoidectomy. It is normally done under local or general anesthesia. The surgeon will then cut through the skin to remove affected veins and this way gets to the very base of the problem. This method is regarded as the most effective for the treatment of sever hemorrhoids and is the most recommended technique. Recovery may thus last for several weeks, and during this time, the comfort of the affected patient is not fully guaranteed.
2. Stapled Hemorrhoidopexy
This procedure involves the use of a special stapling device to reposition and secure hemorrhoids back into their normal position within the rectum. Stapled is often associated with less postoperative pain compared to traditional hemorrhoidectomy, leading to quicker recovery times. It is particularly effective for treating prolapsed hemorrhoids. However, this method may not be suitable for all patients, and a thorough evaluation by a colorectal surgeon in Los Angeles is essential.
3. Rubber Band Ligation
Although technically a minimally invasive procedure, rubber band ligation is often mentioned in discussions about surgery for hemorrhoids. In this procedure, a small rubber band is placed around the base of the hemorrhoid, cutting off its blood supply. The hemorrhoid then shrinks and falls off within a week. This procedure is generally effective for internal hemorrhoids and is performed in a doctor’s office.
4. Infrared Coagulation (IRC)
Another minimally invasive option, IRC uses infrared light to coagulate the tissue of the hemorrhoid, effectively shrinking it. This technique is most suitable for smaller internal hemorrhoids and can be performed in an outpatient setting. While not classified strictly as surgery, it is a valuable option for patients who wish to avoid more invasive procedures.
The Role of a Los Angeles Colorectal Surgeon
Consulting with a colorectal surgeon in Los Angeles is crucial for anyone suffering from severe hemorrhoids. These specialists possess the expertise and experience to assess the severity of the condition, recommend appropriate treatments, and perform surgical procedures when necessary. During the consultation, patients can expect:
- Comprehensive Evaluation: The surgeon will review the patient’s medical history, conduct a physical examination, and recommend diagnostic tests such as a colonoscopy to rule out other potential issues.
- Personalized Treatment Plans: Each patient is unique, and the surgeon will tailor a treatment plan that addresses the specific needs and preferences of the individual.
- Postoperative Care: A colorectal surgeon provides ongoing care and support during the recovery process, ensuring that patients are healing properly and managing any discomfort.
Preparing for Surgery
Preparation for hemorrhoid surgery may include:
- Preoperative Instructions: The surgeon will provide guidelines on dietary restrictions, medications to avoid, and any necessary pre-surgery tests.
- Lifestyle Adjustments: Patients may be advised to increase fluid and fiber intake to promote bowel regularity leading up to the surgery.
- Discussion of Anesthesia: The type of anesthesia used during the procedure will be discussed, allowing patients to understand what to expect.
Postoperative Care and Recovery
Following surgery, patients will need to follow specific guidelines for a smooth recovery:
- Pain Management: The surgeon may prescribe pain medications or recommend over-the-counter options to manage discomfort.
- Dietary Recommendations: A high-fiber diet and adequate hydration are essential to prevent constipation, which can exacerbate discomfort during recovery.
- Activity Limitations: Patients will be advised to avoid heavy lifting and strenuous activities for a period to promote healing.
- Follow-Up Appointments: Regular follow-up visits with the Los Angeles colorectal surgeon will be scheduled to monitor recovery progress and address any concerns.
Conclusion
Hemorrhoids are painful and disturbing, especially when they are severe, but there is light at the end of the tunnel. In patients that do not respond to conservative management, colorectal surgery presents used treatment modalities. A live consultation with a board-certified colorectal surgeon means that all patients can first be seen by a physician with a detailed understanding of their situation. Many patients with severe hemorrhoids can restore their quality of life by undergoing surgical treatment and avoiding painful and uncomfortable symptoms that prevent them from fulfilling their normal functions.