Download hemorrhoid treatment, hemorrhoid surgery, haemorrhoid surgery - Band Ligation
hemorrhoid treatment, hemorrhoid surgery, haemorrhoid surgery - Band Ligation
hemorrhoid treatment, hemorrhoid surgery, haemorrhoid surgery -  Band Ligation
Outpatient hemorrhoid treatment (www.psclinic.com.hk)
•Rubber band ligation, endoscopic ligation
•Sclerotherapy
•Infrared coagulation
•Bicap electrocoagulation
•Cryotherapy
•Laser treatmen...
Outpatient hemorrhoid treatment (www.psclinic.com.hk)
•Rubber band ligation, endoscopic ligation
•Sclerotherapy
•Infrared coagulation
•Bicap electrocoagulation
•Cryotherapy
•Laser treatment


Banding / Ligation of hemorrhoids
It is carried out for Grade 2 and 3 internal hemorrhoids. The principle of it is to cause ischemic necrosis by banding, which will slough off within a few days. 60-70% successful response rate is found when cured with a single treatment session
Video Demonstration

Traditional surgery -- Hemorrhoidectomy
The principle of the surgery is to decrease the blood flow to anorectal ring, which is followed by the removal of redundant hemorrhoidal tissue.

Indications
•Grade II, III and IV hemorrhoids
•Failure of non-operative treatment of 2nd degree pile
•Thrombosed hemorrhoid
•Interoexternal pile when the external pile is well defined


Types
•Excision of hemorrhoids with (closed hemorrhoidectomy) or without (open hemorrhoidectomy) suturing
•Excision by using different energies
•Diathermy
•Harmonic scalpel
•Bipolar scissors


Stapled hemorrhoidopexy / Procedure for prolapsed and hemorrhoids (PPH)

Based on the concept of interruption of the superior and middle hemorrhoidal vessels, and the upward lifting of the prolapsed anorectal mucosa, followed by repositioning of the vascular cushions back into the anal canal, causing atrophy of hemorrhoidal tissue
•For Grade 3 and 4 hemorrhoids
•No incisions are made in the somatically innervated, highly sensitive anoderm, which cause significantly less postoperative pain
•Side effects include rectal perforation, sphincter dysfunction and sepsis
•Advantages: 1.Simple and quick procedure
2.Less postoperative pain, shorter hospital stay and earlier return to normal activity
3.Similar complication rate as conventional procedure
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