Ultrasound Hemorrhoidectomy


What are hemorrhoids?
The term hemorrhoids refers to a condition in which the veins around the anus or lower rectum are swollen and inflamed.
Hemorrhoids may result from straining to move stool. Other contributing factors include pregnancy, aging, chronic constipation or diarrhea, and anal intercourse.
Hemorrhoids are either inside the anus (internal) or under the skin around the anus (external).

What are the symptoms of hemorrhoids?
Many anorectal problems, including fissures, fistulae, abscesses, or irritation and itching (pruritus ani), have similar symptoms and are incorrectly referred to as hemorrhoids.
Hemorrhoids usually are not dangerous or life threatening. In most cases, hemorrhoidal symptoms will go away within a few days.
Although many people have hemorrhoids, not all experience symptoms. The most common symptom of internal hemorrhoids is bright red blood covering the stool, on toilet paper, or in the toilet bowl. However, an internal hemorrhoid may protrude through the anus outside the body, becoming irritated and painful. This is known as a protruding hemorrhoid.
Symptoms of external hemorrhoids may include painful swelling or a hard lump around the anus that results when a blood clot forms. This condition is known as a thrombosed external hemorrhoid.
In addition, excessive straining, rubbing, or cleaning around the anus may cause irritation with bleeding and/or itching, which may produce a vicious cycle of symptoms. Draining mucus may also cause itching.

How common are hemorrhoids?
Hemorrhoids are very common in both men and women. About half of the population have hemorrhoids by age 50. Hemorrhoids are also common among pregnant women. The pressure of the fetus in the abdomen, as well as hormonal changes, cause the hemorrhoidal vessels to enlarge. These vessels are also placed under severe pressure during childbirth. For most women, however, hemorrhoids caused by pregnancy are a temporary problem.

Ultrasound Guided Hemorrhoidectomy
It is estimated that ten million individuals suffer from hemorrhoids in the United States annually and that half of all Americans will suffer from hemorrhoids by the age of fifty. This procedure offers an alternative minimally invasive procedure, doppler guided hemorrhoidal arterial ligation.

What is the difference?
This new procedure is expected to dramatically change the medical field of hemorrhoid surgery. Conventional treatments range from topical medication and dietary management of minor symptomatic hemorrhoids, to hemorrhoid banding and more invasive surgeries for moderate to severe conditions. Hemorrhoids and traditional treatments are often painful and require significant time out of work. This new procedure has been proven to treat hemorrhoidal symptoms quickly, effectively and with minimal pain compared to other treatment modalities.

What is Ultrasound guided hemorrhoidectomy ?
Doppler guided hemorrhoid arterial ligation is a minimally-invasive, relatively painless, FDA-approved surgical method for the treatment of hemorrhoids.
Doppler guided hemorrhoid arterial ligation uses ultrasound tones to find the rectal arteries and then stops blood flow to hemorrhoidal tissue. The hemorrhoid then shrinks and disappears.

What does doppler guided hemorrhoid arterial ligation mean?
"Doppler guided" means that the instrument used detects blood flow by ultrasound tones. "Hemorrhoid artery" refers to the six branches of the rectal artery that send blood to hemorrhoidal tissue. "Ligation" means tying off the arteries so hemorrhoids shrivel from the lack of blood flow.
Doppler guided hemorrhoid arterial ligation is destined to become one of the standard methods of hemorrhoid treatment. It has been performed on thousands of patients in Europe over the past 10 years, and now Florida Hospital is the first to offer it in the United States. The procedure has been proved to be effective for both symptoms of bleeding and hemorrhoidal prolapse.

What are the benefits ?
The procedure is performed with minimal sedation in approximately 20 minutes and the patient will experience less pain during and after the procedure compared to conventional surgeries that treat hemorrhoids.

Does insurance cover this procedure?
The major medical insurances provide cover. Co-payments will depend on each individual coverage and health plan.


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