Successfully reported this slideshow.
Your SlideShare is downloading. ×

Surgery of haemoroida

Ad
Ad
Ad
Ad
Ad
Ad
Ad
Ad
Ad
Ad
Ad
Loading in …3
×

Check these out next

1 of 9 Ad
Advertisement

More Related Content

Recently uploaded (20)

Advertisement

Surgery of haemoroida

  1. 1.  Hemorrhoids are when the veins or blood vessels in and around anus and lower rectum become swollen and irritated. This happens when there is extra pressure on these veins
  2. 2.  It is located on 3,7,11 hours of a clock dial and accompanied from the inflamed and thrombosed venous boluses
  3. 3. Stapler haemorrhoidectomy(Longo technique) The operation is based on the principle of a mucosectomy atleast 3-4cm above the dentate line where a purse string suture placed at that level and tied around the stapler shaft then resection and stapling of the mucosa are carried out simultaneously This procedure effectively reduces mucosa Blocks the end of branches of the upper rectal artery thus stopping venous and arterial blood flow of hemorrhoidal plexus
  4. 4. (A) Pursestring suture anoscope; (B) circular anal dilator; (C) suture threader (crochet hook); (D) 33mm hemorrhoidal circular stapler.
  5. 5.  The patient lies in lithotomy position  For stapled hemorrhoidectomy, a circular, hollow tube is inserted into the anal canal.  Through this tube, a suture (a long thread) is placed, actually woven, circumferentially within the anal canal above the internal hemorrhoids.  The ends of the suture are brought out of the anus through the hollow tube.  The stapler (a disposable instrument with a circular stapling device at the end) is placed through the first hollow tube and the ends of the suture are pulled.  Pulling the suture pulls the expanded hemorrhoidal supporting tissue into the jaws of the stapler.  The hemorrhoidal cushions are pulled back up into their normal position within the anal canal.  The stapler then is fired.  When it fires, the stapler cuts off the circumferential ring of expanded hemorrhoidal tissue trapped within the stapler and at the same time staples together the upper and lower edges of the cut tissue.
  6. 6.  Hollow Tube Inserted into the Anal Canal and Pushing up the Hemorrhoids  Suturing the Anal Canal through the Hollow Tube  Bringing Expanded Hemorrhoidal Supporting Tissue into the Hollow Tube by pulling On Suture  Hemorrhoids Pulled Back Above Anal Canal after Stapling and Removal of Hemorrhoidal Supporting Tissue

×