General Surgery

Hemorrhoids: Understanding and Treatment Options, Including Stapler Hemorrhoidopexy:

Hemorrhoids, also known as piles, are swollen blood vessels located in the lower rectum or anus. They can cause discomfort, pain, and rectal bleeding, affecting anyone.

Hemorrhoids can be classified into two types: internal and external. Internal hemorrhoids are located inside the rectum and usually go unnoticed until they become enlarged or prolapsed. External hemorrhoids, on the other hand, develop around the anus and can cause itching and pain.

Treatment Options:

Lifestyle Modifications:

  • Increasing fiber intake: Consuming high-fiber foods such as fruits, vegetables, and whole grains can soften stools, reducing strain during bowel movements.
  • Hydration: Drinking an adequate amount of water prevents constipation and promotes regular bowel movements.
  • Avoiding prolonged sitting or straining: Taking breaks during sedentary activities and avoiding excessive straining can relieve pressure on the rectal area.


  • Creams and ointments: These products can help alleviate itching and discomfort associated with hemorrhoids.
  • Oral pain relievers: Over-the-counter pain relievers can temporarily reduce pain and inflammation.

Minimally Invasive Procedures:

  • Rubber band ligation: A common procedure where a rubber band is placed around the base of the hemorrhoid to cut off blood flow, causing it to shrink and fall off.
  • Sclerotherapy: Injection of a chemical solution into the hemorrhoid to shrink it.
  • Infrared coagulation: A heat-based therapy that shrinks hemorrhoids by exposing them to infrared light.

Stapler Hemorrhoidopexy:

Stapler hemorrhoidopexy, also known as Procedure for Prolapse and Hemorrhoids (PPH), is a minimally invasive surgical procedure for treating hemorrhoids. It is typically used for internal hemorrhoids that have prolapsed (protruded) outside the anus. The procedure involves using a circular stapler to remove excess tissue and restore the hemorrhoids to their normal position within the rectum. This technique reduces blood flow to the hemorrhoidal tissue, leading to shrinkage and symptom relief.

Advantages of Stapler Hemorrhoidopexy:

  • Less postoperative pain compared to traditional hemorrhoidectomy.
  • Faster recovery time and shorter hospital stays.
  • Minimal risk of complications such as bleeding and infection.
  • High success rate in treating prolapsed hemorrhoids.

Hemorrhoids can significantly impact an individual’s quality of life, but various treatment options are available to alleviate symptoms and promote healing. From lifestyle modifications to minimally invasive procedures, the choice of treatment depends on the severity of the condition. Stapler hemorrhoidopexy, in particular, is an effective and less painful surgical option for individuals with prolapsed internal hemorrhoids. It is advisable to consult a healthcare professional to determine the most suitable treatment approach based on individual circumstances.