Radical solution
The surgeon removes three main nodes at 3, 7 and 11 o'clock with mucosal bridges between the wounds (prevention of stricture); external components and fimbria are excised simultaneously. Radio waves reduce trauma and swelling. The key to a comfortable recovery is discipline: laxatives until stools are soft, baths after each bowel movement, regular analgesics, plenty of water and fiber. Inspections on the 10th–14th day and a month later; After healing, patients forget about many years of bleeding and loss.
Indications
- hemorrhoids stage 3–4 with prolapse of nodes requiring manual reduction or irreducible;
- frequent exacerbations, thrombosis, bleeding with anemia;
- ineffectiveness of minimally invasive methods (ligation, sclerotherapy);
- combination with anal fissure, fringes - one-step correction.
When is surgery needed?
At stages 1–2, hemorrhoids are treated minimally invasively, but with constant prolapse of nodes (stage 3–4), only hemorrhoidectomy is radical: the nodes are removed with the stems, relapses are less than 2–5%. Modern technology (radio wave/ultrasound, wound suturing, multimodal pain relief, laxative diet) has made recovery much more comfortable than “horror stories”: pain is controlled with medications, patients return to work in 2–3 weeks. At the same time, cracks and fringes are eliminated.