PILONIDAL DISEASE (PD [also referred to as a pilonidal abscess, pilonidal sinus, pilonidal cyst, or sacrococcygeal fistula]: MINI-INVASIVE SURGERY (VIDEO 1, VIDEO 2, VIDEO 3, VIDEO 4, VIDEO 5, VIDEO 6)
Colorectal Cancer
Diverticular Disease
Rectal Bleeding
Rubber Band Ligation for haemorrhoids (RBL) (VIDEO)
Haemorrhoids: Milligan-Morgan’s Procedure
Haemorrhoids: Haemorrhoidectomy by means of LigaSure™ Precise
Haemorrhoids: THD Dearterialization
Anal Fissure: Sphincterotomy
Question: What are haemorrhoids?
Answer: Haemorrhoids are normal anal structures present since intrauterine hembrional stage (so called “Thompson’s cushions”). Only in a few people they manifest with bleeding, sometimes dramatic.
Question: Do haemorrhoids need to be always operated on?
Answer: Not, on the contrary. Only 15 – 20 % of them needs surgery, the remainder is amenable to out-patient treatment consisting of injection sclerotherapy and/or rubber band ligation (normally, three or four sessions suffice).
Question: What about LASER treatment?
Answer: LASER treatment is not normally employed to treat haemorrhoids. Its employment to treat haemorrhoids is merely myth.
Question: What about cryotherapy?
Answer: Cryotherapy has been proscribed by the “American Society of Colon & Rectal Surgeons” due to a number of side effects, complications, and recurrences.
Question: What is the new treatment employing an automatic stapling device?
Answer: Stapled haemorrhoidectomy has now become quite “fashionable”. Probably it is too widely employed, maybe also due to heavy commercial pressure. As a matter of fact, this new technique can imply even ominous complications and severe pain. The “stapler” should probably only be employed in those cases of haemorrhoids in which rectal mucosal prolapse is also present. In all the other cases, probably the traditional procedures (closed technique: Ferguson haemorrhoidectomy; open technique: Milligan-Morgan procedure) are still to be preferred.
Question: Is pain after haemorrhoidectomy very severe?
Answer: No, to date both anaesthetic and surgical techniques allow minimal pain following haemorrhoi ectomy.
Question: What is dearterialization of the haemorrhoids or “THD procedure”
Answer: The “THD procedure” is an effective and technologically advanced answer to haemorrhoidal disease related problems. Those who suffer from haemorrhoids are familiar with the distressing consequences of this condition: bleeding, prolapse of rectal mucosa, and pain after conventional surgery. Dearterialization of the haemorrhoids or “THD procedure” successfully deals with and solves the above problems: it reduces the arterial flow to the haemorrhoids by ligating, under guide of a Doppler probe, the 6 main arterial haemorrhoidal branches. It can also treat the rectal prolapse whenever this is present, thus placing the mucosa back to its normal position. The procedure is performed in a sensory-nerve free area, thus eliminating the main problem related to conventional surgery: pain. Dearterialization of the haemorrhoids is a mini-invasive (it does not imply any cutting of of tissues), technologically advanced, and safe procedure.