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Se afișează postările cu eticheta Surgery. Afișați toate postările

joi, 22 septembrie 2011

Hemorrhoids after surgery

There is a very strict set of rules to be explained in detail by the treating physician and to be respected by the patient, set of rules that refer to hemorrhoids after surgery. Keep in mind that if it came up in the operation of hemorrhoids, they produced a lot of problems in the digestive tract, especially in the rectal area. These problems have not disappeared along with hemorozi is finished. Some of them have improved, others are just now beginning to make their presence felt. In addition, the patient should be warned by their doctors about the possible recurrence of hemorrhoids, especially for those patients suffering from venous and capillary fragility. All these things are included in the rules of the area affected by hemorrhoids care after surgery.
The first thing a patient you must know about the post - operative is that it can not move very much in the first 48 hours. More specifically, the patient is allowed to rise from the position it was placed before the doctor. Therefore, in the first two days, the patient will sit back, without moving, as is possible, the lower body.
Then, the patient will be fed for about a week after surgery with two types of food. In the first three days after hemorrhoid surgery, the patient will be fed through an infusion of glucose and various supplements. Over the next four days, shall extend to any diet is nutritious, but liquid. Which is why the patient is not eating properly? Simple: even though the person has no problem upper digestive tract, the rectum is recovering after a dangerous and complicated surgery. If forced immediately after surgery, there is a risk that the area will not heal correctly, used to break the surgeon stitches or a very serious infection arises. Due to very limited space, the infection can be considered in closed cavity, which can be almost impossible to treat.
At discharge, the patient explains the two golden rules of care post - operators of hemorrhoids:
§ impeccable hygiene: the patient's doctor will recommend a special antibacterial soap, sold, usually only in pharmacies. The patient will have to wash the affected area three times a day for about two months with that soap. Later, you can return to their own personal hygiene products.
§ Without strenuous exercise: the first six weeks after surgery, the patient is not allowed to run, swim, lift weights or to climb stairs. Unfortunately, many of these things can not be met by all persons recently operated by hemorrhoids. Therefore, if the patient does not lift weights and run very high in the first six weeks, everything will be fine.
If patients see a problem with their health status, if violated any of the above rules, if he ate a very spicy foods or if suffering from acute diarrhea, the person operated for more than four months must report immediately to the room the guard of a nearby hospital to avoid any unpleasant accidents.

Hemorrhoidectomy


Treatments for hemorrhoids home made involve improving defecation habits, increasing fiber, increasing consumption of water and exercise daily. If you have tried all these and none seems to work, then you may be forced to consider alternative treatments for hemorrhoids.Below we talk about the most invasive treatment for hemorrhoids hemorrhoids removal available in surgery, also called hemorrhoidectomy.
Last alternative hemorrhoids surgery
Only a small percentage of cases of hemorrhoids less than 1% - need surgery.Hemorrhoids are graded on a scale of 1-4, 4 being the most severe type of hemorrhoids. If you have hemorrhoids grade 4 and grade 3 sometimes even if other treatments have not worked - you canditat for hemorrhoidectomy.This procedure is recommended for external hemorrhoids are unusually voluminous, which causes painful and severe itching.What happens during surgery for hemorrhoids?To ensure that you have a good health, a day before or the day of surgery for hemorrhoids, the doctor will be subject to urine and blood tests. The night before, you may be prescribed a laxative. You should not drink or eat anything, even water, between 8 and 12 before surgery of hemorrhoids.
Hemorrhoid surgery involves a spinal anesthetic will numb to the body from the waist down, including the area around the rectum. In some cases, there is a general anesthetic. Both methods will help the body to relax, that is to undergo invasive surgery.Then, the area around the anus and rectum is prepared for surgery of hemorrhoids. There are several options for hemorrhoid surgery, according to the doctor: laser, scalpel, cautery (an instrument that uses electricity).
The operation consists in cutting the hemorrhoids hemorrhoids. A small swab of cotton is applied to the anus to absorb leakage to and from the incision.
Recovery after surgery for hemorrhoids
Recovering from hemorrhoid surgery requires between 3 and 5 days of hospitalization, followed by 2 to 4 weeks of rest at home. The recovery period is based on the severity of the surgery and the body's ability to heal everyone.We have to keep a pretty strict diet for a while, and a ritual as strict hygiene in the anal area.
When not performed surgery of hemorrhoidsHemorrhoid surgery is not recommended for small internal hemorrhoids. However, it may be necessary if these small hemorrhoids internal hemorrhoids are located near other larger or if you have external hemorrhoids.
Laser hemorrhoidectomy
Many doctors have said that laser hemorrhoid surgery is a less painful method, and faster healing.Laser treatments are more expensive than traditional hemorrhoid surgery. Laser treatment may take longer because you have to return for additional treatments, and there is the possibility of infringement of tissue.

Ligation with elastic bands risks and success rate of this treatment for hemorrhoidsi

In the previous article we talked about tying hemorrhoids with elastic bands and about involving recovery from this procedure. In this article we will see why you should opt for hemorrhoid binding procedure and its risks and success rate.
Why procedure binding hemorrhoids with elastic bands?

Linking hemorrhoids is a procedure used when other treatments have failed hemorrhoids. You should consider this procedure if you:

2nd and 3rd degree hemorrhoids
Several piles
Hemorrhoids that bleed profusely and extremely painful hemorrhoids
Internal Hemorrhoids
Thrombosed hemorrhoids
Prolapsing hemorrhoids

Risks related to the procedure of linking hemorrhoids with elastic bands
Before you opt for this treatment for hemorrhoids, there are some risks that you should weigh:

Some people have allergic reactions to anesthesia.
A local anesthetic may not numb the area enough to prevent pain.
It is possible that your doctor will place too close to the elastic band of the anal canal that contains pain sensors, causing even more discomfort.
It is possible to choose the blood clots that lead to internal and external hemorrhoids.
You might have problems with bladder and urination after this procedure.
It is possible that remaining hemorrhoids to swell.
Massive bleeding can occur, so it is best to avoid aspirin and similar drugs about 5 days before and after the procedure.
In rare cases, you can perianal sepsis, an infection that can threaten life. Fever is a sign, so be careful.
Hemorrhoids may occur again.

Despite these risks, however, there is some good news about hemorrhoids binding procedure: it is one of the cheapest treatments for hemorrhoids which proved successful.

What is the success rate?

The first thing you should do is to make sure that your doctor has both the necessary experience and equipment suitable for this procedure.
Much of the success of this procedure depends on you, and your ability to make lifestyle changes for a bowel movement easier, so that your hemorrhoids do not appear.
Experts believe that the success rate is very high ligare process of hemorrhoids with elastic bands, as effectively treat small internal hemorrhoids medium.
There are many patients with hemorrhoids, which have opted for this procedure, and that support its effectiveness.

In terms of treatments for hemorrhoids, hemorrhoids with elastic bands binding was more effective than sclerotherapy or infrared coagulation therapy, not to mention that it is even cheaper.

However, it is also true that in people with hemorrhoids more voluminous, the success rate is lower. It is also for those who continue to develop new and new piles. According to one study, approximately 15-20% of patients develop hemorrhoids again after 5 years.
If you have already gone through 3 or 4 procedures binding hemorrhoids hemorrhoids with elastic bands and you still do not disappear, it is time to start thinking about a hemorrhoidectomy, or other treatments for hemorrhoids.

Ligation with elastic bands and hemorrhoids treatment

One of the most famous and popular treatments for hemorrhoids, is the procedure of binding (ligation) of hemorrhoids with elastic bands.This article will help us understand what to expect during and after the procedure binding hemorrhoids with elastic bands.
What is the treatment for hemorrhoids
Ligation with elastic bands requires only a local anesthetic to numb the area to be treated for hemorrhoids.The first step for ligation with elastic bands is to introduce a anoscope to discover piles anus. Then, starting with the largest, hemorrhoids are grasped a special forceps, after one or two elastic bands are placed at the base of each internal hemorrhoid. Acting like garouri, circulation is stopped to the hemorrhoids. Soon, hemorrhoids emerges through a process of necrosis.It is possible that your doctor will make an incision to remove hemorrhoids blood clots. Hemorrhoids will be replaced by scars, which will keep the veins in place, preventing them out through the anus.
If during the procedure the doctor realizes that you feel pain when the hemorrhoids are grab with tweezers, not to apply to bands, because they cause pain after the procedure ends. If bands can cause discomfort because they are too tight, the doctor may inject a painkiller to treat hemorrhoids.
It is recommended that only one or two piles to be treated together. Although most people prefer to be treated hemorrhoids hemorrhoids all at once, the desire to get rid of them quickly, should be kept in mind that this leads to extreme pain and it requires general anesthesia.It is recommended to treat hemorrhoids by two every 4-6 weeks.Recovery after ligation with elastic bands
After the procedure is completed, you will have about 24-48 hours pain, a sensation of fullness in the lower abdomen or bowel sensation.For several days, you may have difficulty in controlling urination and defecation gas and sensation.
You can expect minor bleeding and within 14 days after the treatment for hemorrhoids. The wound usually heals in about two weeks. The doctor will call you to control after 1 month.Depending on the job you have and your body's healing power, after a few days or weeks you can return to your usual work and activities.Sexual activity can usually resume within a few days after surgery for ligation with elastic bands.
The good news (there is good news) is that after this treatment for hemorrhoids, you get rid of itching, pain and sore caused by hemorrhoids.Recommendations for recovery after ligation with elastic bandsDuring the recovery period, it is mild painkillers for the pain of hemorrhoids.
Discomfort may be alleviated by warm sitz bath for 10-15 min. After the bath, dry gently with a soft tissue or a cotton swab.Your doctor may recommend the sitz bath after each bowel movement or every 4 hours.During a bowel movement, avoid to strain or hold your breath. These actions can lead to relapse (hemorrhoids appear again). A laxative can help in this aspect.
Also, during recovery, it is very important to go to the bathroom as soon as you feel the need, and do not stay long on the toilet.After this treatment for hemorrhoids, at least 2 weeks avoid lifting weights.

Surgery


Hemorrhoids is the name given to the blood vessels in and around the anus and the anal canal that become swollen for some reason and while that creates great discomfort. If no other method of treatment of these hemorrhoids do not work, then resort to surgery is not pleasant, presents complications, but are effective at a rate of over 95% of cases.

When I know I need surgery for hemorrhoids?Surgery is not recommended since the detection of disease with hemorrhoids, but are required with advancing symptoms. Depending on the type of hemorrhoids, symptoms may be more or less visible. If internal hemorrhoids are more pronounced when more advanced degree of hemorrhoids and external hemorrhoids symptoms for those occurring since the onset. However, surgery for hemorrhoids hemorrhoids becomes necessary when they become too large, bleeding profusely, and causes great discomfort.What types of surgery for hemorrhoids are there?Doctors generally resort to one of two methods of removing hemorrhoids complete: conventional hemorrhoidectomy hemorrhoidectomy or stapled. Let's analyze them a bit on both.
Stapled hemorrhoidectomy: this method bears the name of PPH - Procedure for prolapse and hemorrhoids and addresses cases of hemorrhoids grade 3 and 4, which means that hemorozii have had a prolapse, or moved out of the anus. Mainly, this intervention is to move at its natural tissue. Because this position is above what is called the line of pain, fewer nerve endings are involved and thus requires less pain intervention. Such staples applied stop blood flow to the hemorrhoid, causing it to die on it simply.Patient benefits include less pain, less recovery time and less discomfort after surgery. The disadvantages of such procedures include but a higher risk of recurrence of hemorrhoids. Some patients also complain of pain during bowel movements and itchy data applied staples. 

Conventional hemorrhoidectomy: This surgery removes the hemorrhoid itself, including blood clots and blood vessels that "feed" those piles.Conventional hemorrhoidectomy were most successful in preventing recurrence of hemorrhoids but also interventions which patients suffer from most complications and requiring a very high recovery. Complications that arise may include incontinence, frequent feelings of bloating, gas and fecal matter leaks uncontrolled.

Treatment of hemorrhoids:

    External hemorrhoids - Laser Surgery
    Internal Hemorrhoids - elastic ligatures, sclerotherapy, surgical

    does not require anesthesia or hospitalization, outpatient treatment is
    left lateral decubitus position is the patient (the patient lie on the left)
    anoscope is done and the applicator is inserted anoscope rubber ring mounted at the base of hemorrhoid
    treatment is performed at least 2 weeks interval
    during treatment of hemorrhoids is not required a major change of lifestyle
    end of treatment will make a thorough control of the terminal part of the large intestine (rectum, sigmoid) with a lighted instrument

Hemorrhoids complications:

    hemorrhoidal thrombosis
    bleeding
    infectious (abscess)

Complications are rare: 1-3%, and the results are good in proportion of 60-80%.

 
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