Hemorrhoid
Hemorrhoids, a reminder:
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We have three, sometimes four hemorrhoidal bundles or venous networks inside the entrance to the rectum. We also have three bundles outside the anus, right at the exit.
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Hemorrhoids are varicose veins, that is, venous congestion in the network of these three bundles. This causes the tissues of the hemorrhoidal veins to swell and stretch, which are then commonly called hemorrhoids.
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When one or more bundles inside the anus are swollen, they can:
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Stretching and expanding until they protrude from the anus during bowel movements and/or when exerting oneself; this is called a prolapse.
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Causing bright red bleeding in the toilet at the time of defecation, due to weakened and swollen veins.
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Internal hemorrhoids do not usually cause any pain, but rather discomfort, a feeling of heaviness in the rectum.
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Note that this is not the same condition as external hemorrhoids, which, when swollen at the opening of the anus, can be very painful.
Treatment of hemorrhoidal disease:
What does hemorrhoid ligation involve as a treatment for hemorrhoids?
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First, the various corticosteroid-based creams available on the market offer no advantage in the treatment of internal hemorrhoids.
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The effective technique for treating symptomatic internal hemorrhoids is hemorrhoidal ligation.
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The procedure involves aspirating the hemorrhoidal vein into what is called the ligator, then ejecting an elastic band at the base of the hemorrhoidal varices.
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This leads to strangulation of the vein, therefore its drying out, which after 4 to 5 days will atrophy and create scarring of the tissues.
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This healing process includes tissues that are now stronger, and this helps prevent the vein from stretching again.
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By acting in this way, we significantly reduce the risk of symptom recurrence.
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Hemorrhoidectomy is a surgical procedure aimed at permanently removing hemorrhoidal tissue (internal and external) when it is large or resistant to less invasive treatments.
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The procedure is performed under general or regional anesthesia, with the main consequence being post-operative pain managed by medication, but with a high long-term satisfaction rate.
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For more details on post-operative care, see the PDF guide opposite.
