PILES (HAEMORRHOIDS) – A NEW METHOD OF TREATMENT AT HANDE HOSPITAL, CHENNAI

Hemorrhoidal Artery Ligation at Hande Hospital

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What are Haemorrhoids

Haemorrhoids, also known as piles, are natural cushions of tissue and veins located at the junction of the rectum and anus. Along with the sphincter, this normal tissue is responsible for complete closure of the anus and prevents any leakage. During a bowel movement, these cushions become smaller to allow stool to pass through. Everyone has them, and problems only arise when they become larger than they should.

Are there different types?

These anal cushions are normally fastened in the sphincter region by muscles and tissue. If too much pressure is exerted on them, the system of securing them may be damaged and the cushions will swell. When they protrude outside the anus, they are referred to as prolapsing haemorrhoids. The enlarged cushions are classified into four grades, depending on their size and severity:

Causes and Symptoms

Many factors may cause haemorrhoids to enlarge and the exact reason is not always obvious for every patient. However, there is no doubt that:

  • straining during bowel movements or very hard stool
  • pregnancy
  • weakening of the tissue in old age
  • an unhealthy lifestyle (lack of exercise, bad eating habits, alcohol, etc can all lead to haemorrhoidal disease

What are the symptoms?

Haemorrhoids may often be quite painless and can even go quite unnoticed by the person affected. Other sufferers may experience any or all of these symptoms:

  • Bleeding during bowel movements. Usually in the form of bright red blood.
  • Swelling protruding from the anus. In some cases, the haemorrhoids might feel like small lumps in the anus and project from the back passage only after straining on the toilet; in severe cases, the swellings will be constantly visible
  • Itching and discharge. Haemorrhoids can cause skin irritation and intense itching
  • Dull pain. In isolated instances haemorrhoids may cause dull pain

What should I do?

With almost one in every two adults being affected by haemorrhoids at some stage of their life, there’s no longer any need for sufferers to be embarrassed or fearful. The earlier you seek advice and a thorough diagnosis, the better the chances are that symptoms can be cured with minimal discomfort.

How are haemorrhoids treated?

As a general rule:

  • Grade I haemorrhoids require medication only, but
  • Grades II to IV are best treated with surgery. Common methods of treating protruding haemorrhoids involve:
  • tying them to cut off their blood supply (called ligation), or
  • removing them completely.

The choice usually depends on their size. Depending on which method is used, the wounds are then left open to heal or stitched closed. In either case, their highly sensitive location means these wounds can be extremely painful for the patient. They may result in hospital stays of anywhere from three to ten days, and as long as four weeks’ time off work.

Because treatment and the consequences are often extremely uncomfortable, many patients previously preferred to live with the problem rather than see their doctor.

What’s the alternative?

Now, there is another option. Instead of painful operations, the Haemorrhoidal Artery Ligation and Recto Anal Repair Systems (HAL-RAR) from A. M. I. offer safe, fast and effective relief for all grades of haemorrhoids. So consult your doctor now and ask about HAL-RAR – the virtually pain-free method for handling haemorrhoids.
HAL-RAR in brief

Why choose HAL-RAR?

The concept of HAL (Haemorrhoidal Artery Ligation) was originally developed in 1995 by Dr. Morinaga in Japan. Since the year 2000, A. M. I. has been active in training surgeons worldwide with the HAL equipment. The method was enhanced towards the end of 2005 by the addition of RAR (Recto Anal Repair).

HAL is particularly effective for Grade II and III haemorrhoids, coupled with RAR for some Grade III and most Grade IV haemorrhoids. Together they form one of the least invasive treatment methods practised, with no cutting and virtually no pain.

HAL-RAR takes as little as twenty minutes to complete and can be performed under various kinds of anaesthesia. Your doctor will recommend the most suitable one for you. Most patients experience only minor discomfort and can return to work within one or two days of receiving treatment. The risk of subsequent bleeding is far lower than with other methods, and any other complications that may arise post-surgery are both minor and quite rare. The procedure has now been carried out on thousands of patients worldwide with excellent results. Statistics show that the treatment of haemorrhoids with HAL-RAR is not only less painful and easier to recover from than other, more invasive methods; it is also just as effective.

Haemorrhoidal Artery Ligation

A miniature Doppler ultrasound device is gently inserted into the anus, and an audible signal allows the surgeon to pinpoint the exact location of the arteries supplying blood to the haemorrhoids.

The surgeon then ties off each artery (called ligation) by placing a stitch around it and knotting the ends.

Because the stitch is placed not in the anus but in the lower rectum, where there are almost no pain nerves, the whole procedure is virtually painless. With the blood supply to the haemorrhoids being obstructed, the pressure in them is reduced almost immediately and they start to shrink. In just a week or two, they are no longer noticeable and the symptoms resolve.

Where necessary (for example in the case of Grade III or IV haemorrhoids), RAR (Recto Anal Repair) can also be used to reposition the prolapsing haemorrhoids.

http://www.ami.at/en/patient-information/hemorrhoids/the-hal-method/

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