JOSE ERBELLA, M.D., FACS
General, Oncologic & Minimally Invasive Surgeries
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Stapled hemorrhoidopexy is a procedure used to treat symptomatic internal hemorrhoids.
Hemorrhoids That Require Surgery
Hemorrhoids occur when excessive pressure causes the veins in the anal canal to become swollen. This pressure may be caused by straining during a bowel movement, chronic diarrhea or constipation, obesity or pregnancy. Hemorrhoids can develop in the veins inside the anal canal (internal) or near the opening of the anus (external).
In some cases, internal hemorrhoids can become so large and sagging that they actually protrude from outside of the anal cavity. These internal hemorrhoids can be very painful and cause bleeding during bowel movements. If these symptoms occur, the first treatment your doctor may try is a rubber band ligation in which the blood supply to the swollen vein is restricted by a rubber band, causing the hemorrhoid to shrink. If rubber band ligation is not successful, surgery may be required to treat or remove the hemorrhoids. This procedure is known as a hemorrhoidectomy.
Stapled Hemorrhoidopexy: Minimally Invasive Hemorroidectomy
Until recently, hemorrhoidectomy involved surgically removing the swollen vein from the anal cavity. Stapled hemorrhoidopexy, however, only removes a portion of the hemorrhoid.
During stapled hemorrhoidopexy, the anus is dilated and a device known as circular stapler is inserted into the anal cavity. The device is used to put the falling (prolapsed) hemorrhoid back into its original position up inside the anal cavity and secure it with staples. After the hemorrhoid tissue is secured into position, a small portion of this tissue may be removed. In addition to avoiding the prolapsed condition, securing the tissue back into its original position also encourages blood to drain properly from the swollen vein, causing the external portion of the hemorrhoid to shrink.
This hemorrhoid treatment is usually less painful for patients than other surgical treatments because it requires no incisions in the anoderm, the sensitive lining of the outer most edge of the anal cavity. This can also result in a shorter hospital stay following the procedure and a quicker return to normal activities.
QUESTIONS ABOUT STAPLED HEMORRHOIDOPEXY
What Kind of anesthesia is required for stapled hemorrhoidopexy?
Stapled hemorrhoidopexy can be performed under regional or general anesthesia. We will decide on the type of anesthesia when we go over the procedure in the office.
How long does stapled hemorrhoidopexy take?
In most cases, the procedure can be performed in less than a half an hour. You will likely spend more time in pre-op and recovery rooms than you will in surgery.
Does stapled hemorrhoidopexy require a hospital stay?
Stapled hemorrhoidopexy can be performed as an outpatient surgery. Most of my patients go home the same day.
Are there risks involved with having stapled hemorrhoidopexy?
There are always risks involved with surgery, especially when anesthesia is administered. Although rare, any hemorrhoid surgery may result in infection, bleeding, urinary retention, damage to the rectal wall, sphincter dysfunction, pelvic sepsis or fecal urgency. There is also a risk of the hemorrhoids coming back and causing pain again, especially if the underlying problems causing pressure start happening again, like constipation and straining.