Sustainable and proven
Removal of haemorrhoids through surgery is called haemorrhoidectomy in technical language. The surgeon cuts around the outer part in an arc and detaches the enlarged haemorrhoid from the inner sphincter muscle. Careful dissection with a laser spares the muscle. A Z-shaped suture (ligature) cuts off the feeding blood vessels. This operation is also called the Milligan-Morgan operation after the first surgeons to describe it, St. Marks.
Usually, the surgeon uses an electric scalpel for haemorrhoid surgery. For this procedure in our proctology practice, we rely on the extraordinary precision of a laser with a wavelength of 980 nm(Intros Lina 30). This results in smoother incision edges, earlier wound healing and reduced pain and swelling.
A distinction is made between closed haemorrhoidectomy with suturing of the wound (operations according to Ferguson, Parks or Fansler-Arnold) and haemorrhoidectomy in which the wound remains open. After numerous studies convincingly show that suturing does not provide any benefits in terms of pain and healing time, we prefer not to do it. It is not uncommon for the sutures to tear out anyway in the delicate tissue of the anus. For this reason, we seal the wound edges with laser instead and thus avoid bleeding.
The laser haemorrhoidectomy is always worth considering in these cases if
Precise and effective
We operate on an outpatient basis and under anaesthesia (general or spinal). Our surgery day is every second Friday afternoon. The operations take place in the Iatros - Clinic, an outpatient surgery center. After the operation you will be monitored in the recovery room for 1 - 2 hours. Then you can be picked up again.
You will receive the prescription for necessary medication on the day of the surgery, as well as a mobile number for urgent matters at the weekend. I will bring you the necessary certificate of incapacity for work on the day of the operation. Most patients are on sick leave for 2 - 3 weeks after a haemorrhoidectomy.
Significant afterpains (dampness, wound pain) are to be expected until the second week after the operation. Once the healing has begun after this time, it goes steadily noticeable uphill.
Aftercare after hemorrhoid surgery is not demanding:
Sphincter injury does not occur when performed properly. Sensitivity in the anal area is best protected if sufficient sensitive anal skin is left behind. Scarred constrictions of the anus are very rare consequences, as are significant restrictions in the ability to hold stool (incontinence).
In our proctological practice in Munich, we also use laser haemorrhoidoplasty or haemorrhoid artery ligation. We will be happy to advise you in detail on all therapy options - do not hesitate to contact us.
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Specialists in surgery, proctology
Brienner Str. 13, D-80333 Munich, Germany