Stapled hemorrhoidectomy or hemmorhoidopexy is a surgical procedure used to remove hemorrhoid tissues with abnormal sizes. Though hemorrhoids may seem to be the same with anal fissures, you can still see a difference among the two. Hemorrhoids may be found inside or outside the anal cavity and may be present for years but may go undetected for years until bleeding occurs. Anal fissures, on the other hand, are tears in the sensitive mucus lining of the anus.
Hemorrhoids, whose patients often suffer from bleeding on the affected area, prolapsing, personal discomfort, and minor leakage from the anus, are often treated with traditional non-surgical measures such as rest, suppositories and in some cases dietary adjustments.
When the non-surgical procedures fail, other options are still viable. A great deal of these options are available without the use of anesthetics but these methods are often questioned, specially their side effects. One such treatment is the rubber band ligation or injection sclerotherapy, which often requires multiple and numerous treatments, along with having a high rate of recurrence further cementing doubts about its effectiveness.
It is primarily reserved for those who suffer from third or fourth degree hemorrhoids, though in some cases, it is also used in second-degree hemorrhoids.
Compared to the traditional hemorrhoidectomy, the stapled procedure takes only an impressive 30 minutes to complete. Such a case in which stapled hemorrhoidectomy is used is the Obstructed Defecation Syndrom, more commonly known as ODS. A new and improved method, which does not cause any visible external scars, requires minimally invasive methods and no external incision the treatment was named Stapled Transanal Rectal Resection or STARR. STARR, a surgical procedure performed through the anus uses a surgical stapler to radically reduce the obstructive anatomical defects and anomalies that often cause Obstructed Defecation Syndrom or ODS.
A study performed on 90 previous patients who underwent the STARR treatment showed that the average length in which patient stayed in the hospital only varied from a day to three in general, that minimal postoperative pain was observed after the STARR, the resumption of normal day to day activity of the patients ranging from six to as much as fifteen days after the operation, depending on the patients health. The study also confirmed a significant improvement in the ODS.
A major concern of the stapled procedure is what happens to the staple after the operation. Patients are assured that the staple used will only be needed until the tissue involved in the operation heals. The staple falls off after a certain period of time, though usually, it only takes several weeks to detach and pass unnoticed in the patients stool.
Though many believe that stapled hemorrhoidectomy may be used to address the issue of anal fissure, it is actually a possible negative by-product of the procedure. Among them are bleeding, infection, the possible narrowing of the anal walls due to scarring from the operation itself, persistence of both internal and external hemorrhoids, and in some extreme cases, trauma to the rectal area.
With the two ailments sharing a number of characteristics, people tend to believe that with the same procedure, it is possible to cure anal fissure with stapled hemorrhoidectomy.
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