Prolapsed Hemorrhoids: Assessment of Various Surgical Modalities

Prolapsed Hemorrhoids: Assessment of Various Surgical Modalities

Postoperative complications like pain, hemorrhage, anal stenosis, and incontinence, which can slow down recovery, are frequently associated with a standard hemorrhoidectomy. New procedures such the LigaSure Vessel Sealing System (LVSS) and the staplers have allowed us to perform a bloodless hemorrhoidectomy with faster recovery and less postoperative discomfort.

Inclusion Criteria:

• Age between 18 and 65 years old.
• symptomatic 4th-degree primary hemorrhoids
• American Society of Anesthesiologists (ASA) I,II.

Exclusion Criteria:

• who are under the age of 18 and more than 65 years old,.
• Bleeding tendency.
• Patients with first-, second- or third-degree piles.
• Perianal fistula as an example of concurrent anal pathology.
• American Society of Anesthesiologists (ASA) III, IV, and V.