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Hemorrhoids can be removed painlessly and quickly. This is often the only way to relieve pain from haemorrhoids when pharmacological treatment for hemorrhoids has failed. Classic hemorrhoid surgery is not the only solution to the problem. Check what methods of removing hemorrhoids are offered by modern medicine.

Hemorrhoid surgeryis necessary when conservative treatment of hemorrhoids does not help or the disease is advanced. The most modernhaemorrhoid removal proceduresare less invasive than classic surgery and are performed either on an outpatient basis or under the conditions of one-day surgery. As a rule, they do not require anesthesia, as the hemorrhoids are located in the pain-insensitive part of the anus. Unfortunately, you have to pay for the procedures, the National He alth Fund only reimburses the classic surgery for haemorrhoids. The doctor chooses the optimal method depending on the degree of development of the disease:

  • hemorrhoids are small, they often bulge during a bowel movement, but do not extend beyond the anus;
  • hemorrhoids can be seen on the edge of the anus when pushing, but they return to their place on their own;
  • hemorrhoids extend beyond the anus during bowel movements, and later during coughing and sneezing, but do not regress spontaneously;
  • hemorrhoids are permanently outside the anus.

Treatment of hemorrhoids - outpatient methods

  • Cryotherapy

Freezing hemorrhoids with liquid nitrogen vapor or nitrous oxide inhibits blood flow and causes ischemia of the nodule, leading to its necrosis. Outpatient procedure, without anesthesia. The freezing time is 2-5 seconds, 1-2 nodules are frozen during one treatment. The method is used in the treatment of 1st and 2nd degree hemorrhoids, when it is impossible to put a ligature on, in the case of bleeding hemorrhoids, in the case of recurrences after surgery. After surgery: it is recommended to proceed as in the Barron method. The disadvantage of this method is long healing (2-6 weeks), often with oil leakage. A complication may be tissue necrosis with bleeding and purulent lesions. This can be avoided by freezing only the top of the varicose vein, even at the cost of repeating the procedure. Price: session - approx. PLN 2,000.

  • Eraser”(Barron's method)

This is the most popular procedure used in the treatment of II and III degree hemorrhoids. On the roothemorrhoid, a rubber garter (ring) is placed to cut off the blood supply. As a result, the nodule dies and falls off within 7-10 days. 1-2 rubber bands are put on during one session. It takes a few minutes to put on one. Complete healing occurs after 2-3 treatments (they can be repeated after about 4 weeks). After the treatment: you can go back to work immediately. Some people feel a little pain for a few days. Then the pga is brought by a warm shower, e.g. made of potassium permanganate, or possibly a painkiller. You have to avoid bowel movements 24 hours a day, because it may slip off the band. For 2 weeks, you must not take any medications that reduce blood clotting, and you must not use suppositories for a month. The method gives very good results and is safe. Occasionally, there may be slight bleeding, especially during bowel movements (this does not require treatment), or superficial inflammation that is easy to heal. Price: session - approx. PLN 400.

  • Sclerotherapy

This is the way to treat mainly small hemorrhoids. A special preparation is injected under the mucosa around the enlarged hemorrhoid, which causes the formation of a blood clot. The malnourished nodule comes off. After the procedure: most people do not feel any discomfort, some - slight discomfort, but you can go back to work right away. In the first 2-3 days, there may be some bleeding which stops on its own. There may be slight bleeding as a result of vessel damage, a slight ulceration in the area of ​​the injection that passes by itself, and drug allergy. In case of severe pain, heavy bleeding, persistent scanty bleeding for more than 3 days or bleeding 5-10 days after the procedure, you must consult your doctor. These types of symptoms are extremely rare. Price: session - PLN 150-300.

  • DGHAL method

This is a non-invasive alternative to traditional surgery. It can be used in all stages of haemorrhoid development, including when the nodules are bleeding. The procedure is performed on an outpatient basis or as part of a one-day stay in the hospital, usually without anesthesia (except for the use of the gel), as it is almost painless. It is based on the disruption of blood flow in the hemorrhoidal arteries by selective vessel closure. Under the control of a Doppler probe, the doctor applies sutures to the arteries that self-absorb. After surgery: patient returns home and work within 24 hours. It is a safe method, it does not cause complications and minimizes the risk of disease recurrence. Sometimes a few days after the procedure you feel discomfort (feeling of heaviness) in the anus area. Price: PLN 1,500-2,000 Note: there are centers that perform the procedure under the National He alth Fund.

  • Laser therapy

This is a good way togetting rid of small nodules. The purpose of the treatment is to destroy the hemorrhoidal vessels that supply blood to the lump with laser light. Consequently, the hemorrhoid dies. The procedure is performed on an outpatient basis, does not require anesthesia, and is completely bloodless. It takes about 15 minutes. After the treatment: it is possible to return to daily activities immediately. The only ailment may be the sensation of a foreign body in the anus. The risk of postoperative complications is negligible - they may be superficial inflammations. However, they are easy to heal. Price: PLN 600-800.

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