Cryotherapy for hemorrhoids: a guide to surgery


When hemorrhoids reach to important stages, from the second one to up, it is desirable to implement an intervention that allows to solve the problem at its root. It is cryotherapy, a method that uses the cold to cure this inflamed area.

Cryotherapy for Hemorrhoids can be implemented both in hospitals and in private clinics and outpatient surgery; it is widely practiced in many countries of the world. Cold therapy is often used to bring a final solution to the problem, when topical and oral remedies have not given the desired results.

Cryotherapy is done on an outpatient office. The patient must lie down in the left lateral decubitus position, or lying on his left side with his left hand under her head, stretched left leg and right leg slightly collection. This position allows the patient to be relaxed and not to contract the anal sphincter, thus allowing the operation is carried out with ease. By means of special instruments called anoscope is provided to inject a certain dose of local anesthetic, implementing temporary anesthesia is enough to carry the operation.

Once the anesthetic effect begins to make a ligature is applied by means of elastic on the basis of each nodule, and then working the same with the cryogenic probe that operates at a temperature of about -100 degrees centigrade. The purpose is to break down the nodules with frost and then discards them effectively. Each session lasts from 2 to 4 minutes, depending on the stage and size of the area that must be treated.

Once the session is finished, by removing the anoscope the operation is concluded. Immediately after the intervention of cryotherapy, the patient can go home and resume his normal activities, although it is always recommended at least one good day off, to relax the sections affected by the operation and to regenerate the physical.

Cryotherapy is a simple task, but the treated area is still very delicate. They are then asked to lighten every action and treat the area with local anti-inflammatory drugs. At the same time, it is given an antibiotic that is responsible to block any bacterial attacks, and also a possible pain killer, to be taken if problems arise in the days following the operation.

What does the cryotherapy do? During the ten days following the intervention, the nodules treated undergo a “vacuolar necrosis” that can occur as bleeding, but it is not painful. After two months it takes a check-in charge of checking whether the disease has resolved definitively. The patient subject to hemorrhoids may have relapses, but everything depends on prevention, so the choice to correct the bad habits that have led to the appearance of the problem.

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