Hemorrhoids

Colorectal Diseases

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Prof. Dr. Gokhan CIPE

What is Hemorrhoids?

Hemorrhoids are vascular tissue pads around the breech. Hemorrhoids disease occurs by swelling of these vessels.

Causes of Hemorrhoids

Age
Chronic constipation or diarrhea
pregnancy
Familial
Obesity
Excessive force during defecation,
Excessive use of laxatives or enemas to relieve constipation
Spending more time (more than 3-5 minutes) in the toilet

What are the symptoms?

Bleeding during defecation
Palpable mass during defecation
Anal itching
Pain
Sensitive masse

Does hemorrhoids become cancerous?

No. Cancer has no relation with hemorrhoids.

What are the treatment options?

Treatment includes both surgical and non-surgical methods.

Non-surgical Treatment

Patients are advised on their eating habits; a diet rich in vegetable fibers, low cholesterol, and recommended to drink at least five glasses of water per day. Exercise daily with your doctor’s approval. Defecate once a day in the morning.

Avoid overstressing during defecation, because overstressing forces the breech unnecessarily, and this increases your complaints due to hemorrhoids.

Sitting baths in warm water for 10 minutes during the day will reduce your complaints.

Drug Treatment

There are a variety of pomades, suppositories and oral drugs that help treat hemorrhoids. Your specialist will advise you on the appropriate drug treatment as a result of the examination.

Ligation

Rubber band treatment is very effective in the treatment of early stage hemorrhoids. With the rubber band applied above the hemorrhoid pakes, the blood supply is stopped and within a few days the pake goes out and the band falls off. In 1-2 weeks, the patient’s complaints regress. This method may sometimes need to be repeated.

Surgical treatment

It is applied for highly progressed hemorrhoids.

Blood clot (thrombus) with severe pain in the external hemorrhoids,

Internal hemorrhoids that do not respond to band application,

In the presence of hemorrhoids that protruded from the rectum and could not be inserted,

In case of continuous bleeding from hemorrhoid packs, surgical treatment is required.

Hemorrhoidal disease is treated with special or conventional instruments by bleeding and hanging out of the packs surgically by cutting or hanging it with the stapler method. These surgical procedures do not require hospitalization or inpatient treatment; it can be administered under regional anesthesia with a few days’ home rest.

Laser Hemorrhoidopexy; It is a new method. It is based on the principle of closing them by burning the vessels leading to the hemorrhoid without cutting and removing the hemorrhoids.

Therefore, the normal tissues which are the body’s importers are preserved. Although there are advantages such as less pain, faster recovery and returning to daily life, cost is a disadvantage for this method.

Robotic Surgery

General Surgery