Ligation of the hemorrhoid with latex rings: description of the procedure, prices, reviews

Hemorrhoids - pretty commona problem that people face regardless of gender. Naturally, this ailment is accompanied by constant discomfort, and in some cases is fraught with complications. Moreover, the disease brings the patient not only physical but also emotional discomfort. Modern medicine, fortunately, offers a lot of tools and techniques that can save a person from this violation. And one of the most modern and effective is the ligation of the hemorrhoid. So what is the essence of the procedure and is it really safe?

Hemorrhoids and disease severity

Hemorrhoids are known to be pathologies thataccompanied by an increase with subsequent inflammation of the venous nodes of the hemorrhoidal plexus in the rectum. It is accepted to distinguish four main stages of the disease:

• In the first stage there are not yet formednodules. Patients complain only of discomfort in the anus. Sometimes itching and slight burning. By the way, this form of the disease is often treatable at home.
• In the second stage, there is already a node, usually withclear contours. During a bowel movement, this node often goes outside, but then retracts back. Patients complain of discomfort. Sometimes in the fecal masses can be detected blood impurities.
• The third stage is accompanied by approximately the same symptoms. However, the node after a bowel movement does not retract, the patient has to reset it independently.
• In the fourth stage, the node is no longer able to set- he is constantly outside. Naturally, this phenomenon is extremely unpleasant. The patient is constantly having difficulties and pain when walking, sitting, etc., not to mention the change in the emotional background. By the way, at this stage latex rings are rarely able to help. Patients are usually recommended full surgical removal of nodes.

What is the essence of ligation?

Лигирование геморроя латексными кольцами — a relatively new procedure that has been offered to patients since 1962, after experimental studies conducted in the United States. On the other hand, a similar principle of treatment was first described by Hippocrates.

The essence of the procedure is quite simple.Special latex rings are put on the base of the internal hemorrhoids. As a result, the blood circulation in the tissues of the node is disturbed, and therefore the tissues begin to die off. As a rule, the process begins 2-3 days after the procedure. The hemorrhoidal node comes off and comes out with the ring and feces. By the way, this process can sometimes be a bit painful. In its place a kind of stump is formed, covered with connective tissue.

When is it advisable to conduct ligation?

Removal of hemorrhoids withLatex rings are performed if the patient has internal nodes with a pronounced, clear structure. Similar characteristics correspond to the second and third degree of the disease. Occasionally, ligation is prescribed at the fourth stage, but, again, only if both internal and drop-down nodes have a clear structure.

How to prepare for the procedure?

На самом деле особой подготовки лигирование does not require a hemorrhoid, as the procedure itself is quite simple. Naturally, you need to clean the intestines, which can be achieved by a light menu correction and enema.

If you are taking drugs that can thinblood, be sure to tell your doctor about it - perhaps the scheme of drug therapy will need to be slightly adjusted. Also, it is not recommended to take non-steroidal anti-inflammatory drugs before the procedure (for example, drugs containing paracetamol, ibuprofen), since this increases the risk of bleeding.

Hemorrhoid treatment: ligation and types of procedure

In modern medical practice, there are two main ways of applying latex rings.

• The ring can be superimposed usingmechanical ligator. An anoscope is inserted into the rectal area and is fixed so that the hemorrhoid is visible in the lumen of the device. After that, a ligator is introduced into the anoscope. With the help of a clamp, the doctor grabs the head of the hemorrhoid, draws it into the ligator, and then with a special trigger mechanism places a ring, which then clamps at the base of the node.
• Vacuum ligation is relatively new.kind of procedure. A special device is inserted into the anoscope, which creates a slight pressure. Thanks to the vacuum ligator, the head of the node is quickly sucked into the device, after which a latex ring is thrown onto it, which is then fixed on the stem of the process. By the way, during the procedure, the doctor should carefully monitor the pressure, as otherwise a complete separation of the node is possible, followed by heavy bleeding.

Ligation of hemorrhoids with latex rings: are there any contraindications?

Despite the fact that the procedure is considered safe, some contraindications are still available. Their list includes:

• hemorrhoids of the first stage, when the nodes have not yet had time to form;
• mixed types of hemorrhoids, in which there is no clarity in the separation of internal and external nodes;
• the presence of mucosal cracks in the rectum;
• various blood disorders, including coagulation problems;
• exacerbation of various chronic inflammatory diseases, such as proctitis;
• fourth degree hemorrhoids.

Possible complications during the procedure

Latex hemorrhoid ligation is fairly simple.and safe procedure. Nevertheless, it carries some risks, and therefore patients should be familiar with the possible side effects and complications:

• Sometimes people complain after the procedure.pain in the area of ​​the treated hemorrhoid. As a rule, this is due to the improper imposition of the latex ring. If you have pain, you should contact your doctor. Sometimes a specialist needs to remove an existing ring and carry out the procedure again.
• Quite often after surgery and processseparation of nodes patients note the appearance of blood impurities in the feces. A small amount is considered normal, but if the bleeding increases, you should consult a doctor.
• In some cases, there is slipping.latex ring. Occasionally, the reason is an improperly performed procedure, but in most cases slippage is triggered by weight lifting in the first few days after the operation, premature start of sports training, constipation, etc.
• Ligation of the hemorrhoid is fraught with the formation of a blood clot, which is quite painful. However, it is possible to remove a clot, often even with the help of drugs. Naturally, the therapy is selected individually.
• Inflammation is one of the rather rare complications.arising after the procedure. As a rule, this happens in case of injury to the hemorrhoid during surgery or bowel movements. The inflammatory process - the indication for treatment.
• После процедуры в области отошедшего узла может anal fissure formed. According to statistics, such a complication is recorded in approximately 1% of cases. As a rule, a crack is formed as a result of injury, for example during constipation and defecation. If a problem is diagnosed in time and therapy is started, complications can be avoided, tissues are regenerated.

How is the rehabilitation period?

Ligation of hemorrhoids with latex rings does not require hospitalization. However, some rules need to be followed to speed up the healing process and avoid complications.

To begin with, patients are recommended to revisediet To avoid constipation, which can cause cracks and other injuries, the diet should include liquid foods, as well as foods rich in fiber, which stimulates the normal functioning of the intestines. Drinking regimen is also important - you need to drink at least one liter of clean water per day (tea, coffee and juices do not count).

In the first few weeks it is worth avoiding unnecessaryphysical activity, give up sports training, do not lift weights. Naturally, you need to carefully monitor personal hygiene, because otherwise there is a high probability of infection and the development of the inflammatory process. Nevertheless, the patient can return home and work almost immediately.

How much is the procedure?

Naturally, for many patients the important pointis the cost of a procedure. So how much does hemorrhoid ligation cost? The price, of course, will directly depend on the financial policy of the clinic, the equipment and medicines used, the city of residence, the qualifications of the doctor, etc. You can only talk about average numbers. In most cases, the ligation of the hemorrhoid costs about 5-10 thousand rubles. The cost of the procedure, of course, will vary depending on the number of nodes and some other factors. However, if you consider that such a treatment regimen allows you to get rid of the disease forever, the price is not so high.

Reviews of patients and doctors

What actually is ligationhemorrhoids? Reviews of specialists, and the patients themselves for the most part are positive. This new procedure allows you to quickly and virtually remove nodes without pain. Cases of relapses are possible, but according to statistics, this is extremely rare.

The procedure itself takes several minutes and that is notmay not be happy, rarely accompanied by severe pain. Of course, some discomfort is possible, but it passes quickly. There is no rehabilitation period per se, patients can immediately return to their normal lifestyle, albeit with some restrictions in nutrition and physical activity. The disadvantages include perhaps contraindications, since not at all stages of the development of the disease it is possible to remove hemorrhoids through ligation.