Monday 21 June 2021
Aimoroidic syndrom : a common problem-a new method of therapy


Loukas Papavasileiou, Surgeon

The aimorrroidopatheia is a very common disorder which employs one in three other people at some point in our lives.

The reason is the creation of vascular disease. The blood that normally arrives near the anal ring, usually for mechanical reasons (obstruction) can not be returned, resulting in inflated the mucosa of the anus forming aimorroidikous nodules. Initially, the hemorrhoids are internal, but as there are still the causative agents is greater relaxation of the mucosa and eventually begin to propiptoun outside the anus and then place outside.

Often appear during pregnancy, again due to vascular obstruction, but because it is the cause of external pressure in the vessels, usually several months after birth subside without even need medication.

The main reason that accentuates the problem is persistent constipation, which drives the mucosa of the final orthoproktikou tube out.

Treatment should be conservative principle. The doctor should explain the above reasons and the patient was persuaded to change their dietary habits, which are an important factor worsening constipation and also help him with medication.

In case of failure of the above recommended surgical treatment.

The surgical world with many different techniques with each other, occasionally tried to solve the problem ourselves at times have used different techniques. (Aimorroidektomi at Milligan - Morgan. Dilatation ring. Use Laser, etc.)

Unfortunately, all methods have in common two main drawbacks:

1. Exairetika painful and lengthy postoperative course. After surgery the patient is usually given laxatives for bowel movements less painful and a special pillow like a crown to be seated. He has stitches in the intervention and should do so often edroloutra are removed or fall on their own

2. Very frequent relapse of disease, particularly if the patient does not change dietary patterns to end the aetiology of constipation.

These were due to the fact that trying to correct only the result of the disease, ie to remove the aimorroidikous nodules.

Over the last few years has begun to apply a new surgical method.

The "technical LONGO", the name of the surgeon who invented it.

One of the advantages of the method is that it has little or no postoperative pain. The patient can sit and immediately after the intervention. Patients cheirourgisei we have to repeat the aimorroidopatheias, and had surgery in the past with any of the other techniques, to understand the difference between this method in the postoperative period.

Also, the second but main advantage of this method is that apart from the aimorroidikous nodules heal both the cause of aimorroidopatheias ie removed or damaged, and diatetameno clogged vascular network, making it extremely rare recurrence of the disease, regardless of dietary or other habits that will follow the patient postoperatively.

This is a radical surgical method is to use a consumable tool which allows us to do the surgery at a point which has no sensory innervation, so the patient does not understand sutures or surgical wound and especially not to be subjected to painful postoperative period passed until now every patient has the surgery of aimorroidektomis.

We, by the year 1999, we started to apply this method, we rarely have to use the scalpel or sutures, and that in cases with extremely high degree of prolapse (> from grade 4).

Summarizing the above, we see that this is a completely new and innovative approach to treatment of hemorrhoids, which allows the exit of the patient from the hospital and even the same day of surgery and especially the short (2-3 days more) return on normal daily work and other activities.

Questions - Answers