People suffering from prolapse from the rectum of the hemorrhoids, always look for the most effective method how to get rid of this unpleasant pathology. Many are afraid to treat this problem with a specialist, since they suggest that a painful operation will be required for treatment. But their fears are completely groundless now, because in the arsenal of modern medicine a large number of minimally invasive, practically painless and not causing serious consequences of procedures. One of them is ligation of hemorrhoids. It is indicated in those cases when the pathology is in II-III or IV stages and there are no external inflamed cones.
The essence of the method of ligation is that the hemorrhoidal assembly is removed with the help of a latex ring, the superposition of which compresses its base, which leads to rapid death and rejection of the body. The most optimal option is that when the 1st hemorrhoidal node is ligated 1 time. Treatment of more inflamed cones per procedure leads to negative consequences. This procedure is carried out in 2 ways - mechanical and vacuum:
- In the first case, a mechanical ligator is introduced into the lumen of the anoscope, provided with an elastic latex ring. When the instrument comes into contact with the internal hemorrhoidal node, it grasps and draws the head inside. After the doctor presses the trigger trigger, a release of the latex ring occurs, which is superimposed on the leg of the inflamed cone and squeezes it. The ligation procedure in this case takes about 10 minutes;
- For the second method of ligation of hemorrhoids, a vacuum ligator is used. Usually the preference is given to the LVG-Unicon tool, which can withstand any kind of sterilization and disinfection, since it is made of special stainless steel. Vacuum in LVG-Unicon is necessary in order to capture the head of the hemorrhoidal node. The foot pedal turns on the suction, and to create a negative pressure( vacuum), the thumb of the right hand closes the opening in the device. Due to this, the inflamed cone is drawn inward and a latex ring is applied to it. Application for ligation of vacuum ligator LVG-Unicon is considered to be the most effective for relieving a patient of pathology. Plus it is considered that all the medical manipulations can be done by one doctor without the assistance of an assistant.
There is another method of treating hemorrhoids by removing internal nodes - this is suture ligation. Its novelty consists in the use of ultrasound, which helps to recognize the feeding artery, which must be bandaged( stitched).Thanks to this method of treatment, the access to the arterial blood is completely blocked by the inflamed cone, as a result of which it dies and is removed by the body.
For suture ligation, a special device is used, consisting of an anoscope, equipped with a special sensor and having a side opening. It is through him that the artery feeding the hemorrhoidal knot is bandaged. For this procedure, as for other methods of minimally invasive treatment, the patient should lie on his back with legs tucked to the abdomen. During this procedure, the patient may have some unpleasant sensations during the ligation of the node, but they do not require additional anesthesia.
Complications after ligation of hemorrhoids with latex rings
At first, after removing the internal node, there is usually a feeling of some discomfort. This is the usual consequence of ongoing manipulations, which should not be feared. For the removal of this syndrome, the patient is prescribed analgesic drugs. But there may be more serious complications, including:
- For a long time, unrelenting pain. The reason for them is an improperly performed procedure or holding it on more than 1 to 2 cones;
- Thrombosis may occur if ligation with the application of latex rings has been performed to a patient with a combined pathology, in which the pronounced border between internal and external inflamed hemorrhoids was absent. In order to stop developing thrombosis, conservative therapy is used;
- Breakthrough bleeding can cause several causes: incorrect detection of indications for minimally invasive intervention, unforeseen breakage of the latex ring, or failure by a patient to comply with doctor's prescriptions.
In cases where complications arise after ligation of the hemorrhoidal node, specialist consultation is required. Only he can decide what treatment is needed. But it should be noted that postoperative side effects and possible negative consequences of this procedure, carried out with the help of latex rings, are very rare.
Recommendations after ligation of hemorrhoids with latex rings
Many patients are interested in how to behave in the early postoperative period, so as not to cause negative consequences of the treatment. For this purpose, the specialists developed the following recommendations:
- After removal of the hemorrhoidal node by the 3 day ligation method, one should not be in the sitting position! You can only stand or lie;
- It's not worth the pain. During this period, the use of analgesics is recommended, depending on the intensity of the sensations and the intake of hot baths in the "on-weight" position, that is, the body should be held in the arms;
- After ligation of the hemorrhoids, one should never restrain a stool. Acts of defecation should be timely and without straining;
- On the 7-10th day, deflated rings and traces of blood can be found during defecation. At this time, local treatment with rectal suppositories should be started according to the prescription of a specialist.
Separately want to say about what should be food after ligation of hemorrhoids. In the first day, defecation is undesirable, so it's better to starve. From 2 days, a diet is introduced, the diet for which should not contain products that enhance gas generation and fermentation in the intestine. To the use of vegetables and fruits containing a large amount of coarse fiber, whole milk, carbonated drinks are forbidden. Also from the diet of the patient who transferred the ligation of the hemorrhoidal node, it is necessary to completely exclude products that increase the flow of blood to the small basin - marinades, smoked products, spicy spices. In no case is the use of alcohol unacceptable.
No less questions are asked about whether sex life is possible after ligation of hemorrhoids. Yes, sex life is possible, but only after 10 days after the procedure and no side effects. All the nuances of performing this minimally invasive intervention, as well as the behavior after it, can get an idea if you watch video materials available on the Internet. It also becomes clear from these videos that the manipulations performed by the doctor during ligation of the hemorrhoidal ring are completely safe for the patient and do not cause him negative feelings.