Tham
Newbie
Joined: 28 Jul 2006
Posts: 45
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 Posted: 07/14/07 - 14:25 Post subject: |
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From my experience, don't go for the new fancied
stapledmethod. It can have complications like bleeding,
fecal urgency, anal stenosis and strictures. The only
real advantage of the PPH method is lesser pain.
I even had two episodes of fecal impaction one or two
months after the surgery, just when I thought I had fully
recovered.
Recurrence rate is high too. I had it done three years ago
and an external hemorrhoid has now recurred.
Ask your surgeon to use the harmonic scalpel or laser,
which has lesser pain and far less bleeding than standard
diathermy or cautery. The laser, one surgeon told me, is
more suitable for first to second degree hemorrhoids.
The newer Ligasure device is also good, and has lesser
pain than even the harmonic scalpel, but there may be
a risk of damage to the anal sphincter.
This surgeon I saw recently says he will excise this recurred
external hemorrhoid with the harmonic scalpel. He says it
is too round to be banded, and the pain will be excruciating,
although I said I could take the pain (banded twice before)
and I insisted on it to be banded.
Banding, as you noted, don't work very well though, and
at best last about 5 years. It works well to control bleeding. |
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