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What is stapled Hemorrhoidectomy?
Stapled hemorrhoidectomy is a surgical technique for treating hemorrhoids.
For stapled hemorrhoidectomy, a circular, hollow tube is inserted into the anal canal. Through this tube, a suture (a long thread) is placed, actually woven, circumferentially within the anal canal above the internal hemorrhoids. The ends of the suture are brought out of the anus through the hollow tube. The stapler (a disposable instrument with a circular stapling device at the end) is placed through the first hollow tube and the ends of the suture are pulled. Pulling the suture pulls the expanded hemorrhoidal supporting tissue into the jaws of the stapler. The hemorrhoidal cushions are pulled back up into their normal position within the anal canal. The stapler then is fired. When it fires, the stapler cuts off the circumferential ring of expanded hemorrhoidal tissue trapped within the stapler and at the same time staples together the upper and lower edges of the cut tissue.
How long does stapled hemorrhoidectomy take?
Stapled hemorrhoidectomy is faster than traditional hemorrhoidectomy, taking approximately 30 minutes. It is associated with much less pain than traditional hemorrhoidectomy and patients usually return earlier to work. Patients often sense a fullness or pressure within the rectum as if they need to defecate, but this usually resolves within several days. The risks of stapled hemorrhoidectomy include bleeding, infection, anal fissuring (tearing of the lining of the anal canal), narrowing of the anal or rectal wall due to scarring, persistence of internal or external hemorrhoids, and, rarely, trauma to the rectal wall.
Stapled hemorrhoidectomy may be used to treat patients who have both internal and external hemorrhoids; however, it also is an option to combine a stapled hemorrhoidectomy to treat the internal hemorrhoids and a simple resection of the external hemorrhoids.
Risk of stapled hemorrhoidectomy
Risks and complications are uncommon in stapler surgery for piles. However, there can be certain drawbacks that can be reduced when an experienced proctologist performs the surgery.
Some of the risks of stapler surgery may include the following:
- Fecal incontinence
- Recurrence chances (6-8%)
- Bleeding and infection
- Inflammation
- Restraints from the staple line
Risks and complications after stapler surgery have been negligible, with recurrence of prolapse in 1 %, perianal thrombosis in 3 %, and anal stenosis in 2 % of patients.
Benefits of stapled hemorrhoidectomy
Stapler surgery for piles is an advanced surgical process, and it has many advantages in contrast to traditional piles surgery, such as
- Less pain
- Less bleeding
- Faster recovery
- Shorter hospital stay
- Smaller incisions
- High accuracy
Stapler surgery for piles has no severe complications. Hence it is widely used by many proctologists. Several patients experience an enhanced quality of life after the surgery. However, patients should follow the doctor’s instructions to avoid complications after going home.
Recovery of stapled hemorrhoidectomy
Here are some tips to ensure fast healing after stapler surgery for piles:
- Take a sitz bath- A sitz bath with warm water can help reduce pain, swelling, and discomfort after stapler surgery.
- Use medication wisely- Your doctor will prescribe certain painkillers after your stapler piles surgery. The prescription should be followed strictly as overuse of painkillers can lead to constipation.
- Eat right- The patient should follow a well-balanced diet to prevent constipation and enhance healing after the surgery. The diet should be fiber-rich to allow waste to travel smoothly through the digestive system. In addition, the patient must intake around 8-10 glasses of fluids, which should not include soft drinks, tea, coffee, etc.
Difference between Staple and Open surgery
| Difference | Open Surgery | Stapler Surgery |
|---|---|---|
|
Cut |
Yes |
No |
|
Scar |
Yes (High Chance) |
No |
|
Bleeding |
High |
Very Minimal |
|
Time to Complete |
30-45 Minutes |
15-30 Minutes |
|
Risk of Infection |
Yes |
No |
|
Recovery Time |
Slow |
Fast |
|
Back to Daily routine |
1-2 Weeks |
1-2 days |
|
Hospitalization |
3-4 Days |
24 Hours |
|
Success Rate |
High |
High |
Advantage of Stapler Surgery for Piles.
| Stapler Surgery For Piles |
|---|
|
Minimanal Pain
|
|
No cut /No Stitches |
|
Spinal Anaesthesia |
|
24 hour Hospital Admission |
|
Join duty with in 2-3 Days |
|
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Frequently Asked Questions (FAQs) about Stapler Surgery
A stapled hemorrhoidectomy is a surgical procedure used to treat hemorrhoids. It involves the use of a special stapling device to remove excess tissue and close the remaining tissue edges.
Recovery times can vary, but many individuals can return to their normal activities within a week to ten days. However, full recovery may take a few weeks.
In the first few days, you may experience some discomfort, pain, and possibly mild bleeding. Your doctor may prescribe medications to manage pain and promote healing.
Most individuals can gradually resume normal activities, such as walking, within a few days. However, strenuous activities and heavy lifting should be avoided until your doctor gives the green light.
Complications are rare but can include bleeding, infection, and difficulty urinating. It’s crucial to report any unusual symptoms to your healthcare provider promptly.
