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Haemorrhoids

Most people are carriers of haemorrhoidal cushions, which result from mucosal folds of the anus and which cover the low rectal vein connection accompanied by elastic fibers and muscle suspension.

Their function is to complement the final function of the anal sphincter continence device.

When the haemorrhoidal suspension is damaged by excessive force or increased pressure in the anorectal region, the haemorrhoid pads are pushed outwards causing the size to increase and possible bleeding when passing feces.

An operation is necessary if the haemorrhoidal disease symptoms progress or fail to the conservative treatment therefore instrumental surgery is obvious.

Multiple operation possibilities can be performed:

  • The elastic ligatures (Rubber band ligation) to strangle the bead which prolapsed.
  • The classic Milligan & Morgan operation to take out all of the cushions without final closure.
  • The Fergusson operation: Cushions ablation with a semi closed - opening.
  • Operation with the bipolar forceps ligasure almost painless and electro-plastic welding of the skin.
  • Mucosal resection and haemorroidopexy to the circular stapler clip Longo, painless operation.
  • Other technical HAL-ligation Doppler ultrasound and application of infrared / infrared light therapy.

Conservative treatments:

That is to say, a treatment without surgery is indicated for the early stages of the disease:

  • Balanced diet, rich in fiber, vegetables, fruits and grains. Drink 2 liters of liquid a day.
  • Correct defecation when the need arises and not when we think we want to go! Furthermore we must avoid pushing for long sessions whilst seated in the bathroom.
  • Appropriate hygiene without rubbing or scratching the anal area. Dab and dry the area. Wet and scented towels contain irritating elements that are not suitable for the anal area, it is best to avoid them.
  • Sport and physical activity stimulates the intestine activity.

Dr Xavier Delgadillo
EBSQ coloproctology