Procedure for Prolapse and Hemorrhoids
Although it is a subject that is uncomfortable for most, and no one likes to talk about it, there are millions of sufferers across Los Angeles, Beverly Hills and Santa Monica dealing with prolapse and hemorrhoids. Because it is a very private subject for many people, seeking help, or discussing it with medical professionals, is most often avoided. Unfortunately, it is a condition that will rarely dissipate on its own, so seeking treatment is the only way to relieve the symptoms and to increase quality of life.

What are Prolapse and Hemorrhoids?
Prolapse and Hemorrhoids occur in such a private region of the body, no one likes to discuss them with friends, family, or even clinicians. For sufferers, however, the symptoms can range from mild to severe, and in some cases can alter not only daily activities, but overall quality of life. Tackling the problem of rectal prolapse and hemorrhoids in Los Angeles, Beverly Hills and Santa Monica, therefore, becomes extremely problematic. Not only must targeted therapy be developed to increase the quality of life for those who are experiencing these conditions, campaigns must be implemented to take away the stigma of admitting to, or seeking help for, the inconvenience that these circumstances cause for the individual.

The main problem relating to these conditions in Los Angeles, Beverly Hills and Santa Monica is that there is an easy way to fix it, but many will never seek treatment out of embarrassment. For some the symptoms may be tackled for the betterment of the individual, while for others, no relief will be found without major invasive procedures that only further make a person shun from admitting they need help at all. There are very few procedures in the medical field to tackle these problems that don’t involve considerable discomfort emotionally and sometimes physically, and in some cases surgical options. The procedures that are available will not work for everyone, and there are some that will find no relief at all with any of them, which is a hard pill to swallow for those who actually do come forward to seek medical attention.

The main cause of prolapse and hemorrhoids is the breakdown of the muscle and connective fibers in the rectum. When this happens the internal cushions found around the anus start to protrude outward causing kinks or areas that will swell and cause pain both internally and externally. For some, the consequence is short lived. The tissue that is most problematic will begin to dissipate and atrophy on its own without any intervention. There are those who will continue to experience both pain and discomfort at the site without any relief over time. The people who can benefit most from treatment are those who have hemorrhoids which do not cease on their own. The most effective treatment for this specific condition is called PPH or stapled hemorrhoidopexy, stapled hemorrhoidectory and circumferential muscosectomy.

What is the Procedure for Prolapse and Pemorrhoids or PPH and how is it Performed?
Not new as a procedure that has been effective for patients experiencing prolapse and hemorrhoids, PPH has been in existence since the early 1990s. The main objective of the procedure is to reduce the inflamed tissue by placing an elastic band around the anal membrane that is problematic. By using a stapling device specifically designed for this purpose the tissue is removed and the hemorrhoid resolved. During the procedure the tissue which is of concern is pulled up into the device and is removed, and then the stapling device follows to close the resulting wound in the hemorrhoidal tissue. In doing so, the tissue is reduced to its normal size and there is no bulging, or further irritation of the tissue that is the main source of contention.

Once the hemorrhoidal tissue has been cut away, an instrument called the Circular Dilator is inserted to further reduce the prolapsed anal skin back to the original placement of it and is returned to the anal cavity. When the instrument s removed the prolapsed portion of the membrane collapses into the dilator. The suture anoscope is pushed into the dilator which will position the prolapse back into he rectal wall at exactly  two hundred seventy degrees, while the membrane is followed up with a suture. The person performing the procedure will then rotate the anoscope which can, in effect, complete the purse-string stitch around the circumference of the anus. That is followed up but the hemorrhoidal stapler opened into the maximum position. The head of it is placed proximally to the string suture and is then closed with a knot.

The suture ends are then knotted by the clinician externally and then the outsides of the device is reintroduced back into the anal cavity. With manipulation of the string, the mucous membrane is drawn into the outside of the stapling device, and then it is tightened, and then fired which results in the stapling of the prolapse. It is held there for a minimum of 30 seconds prior to it firing, and then 20 seconds afterward to promote homeostasis. When the instrument is fired, it releases titanium stapes that pierce and repair the tissue and at the same time. There is a circular shaped knife that is able to excise any remaining tissue. Once the procedure is complete it is thoroughly examined. If there is found to be any bleeding, there may need to be further sutures used.

What are the Advantages to Using the PPH Method in Los Angeles, Beverly Hills and Santa Monica?
•  The biggest benefit of PPH is that it is a minimally invasive procedure for the repair of hemorrhoidal tissue. Because it can be performed in a short time and under general anesthesia, it is not considered a major surgery, and in most cases can be done on an outpatient basis.

•  Compared to other procedures in the field, it is one that is minimally painful and seems to have the most successful outcomes for those who have it done. Also there are not many who require repeat, or further procedures, to be performed in the future.

•  The recovery time is normally minimal with most people being able to return to their normal activities very quickly after the procedure is done. As opposed to other more invasive corrective surgeries, many have few complications, or need for extensive recovery time.

What Risks are Assumed When using the Procedure?
The complications to having the PPH procedure performed in Los Angeles, Beverly Hills and Santa Monica are minimum and not witnessed frequently. There are some that are experienced and reported in a small segment of the population including:

•  If there is too much tissue that is manipulated by the stapling device the result, in some cases, can be extensive enough to cause insult to the wall of the rectum.

•  When the procedure is performed it may cause the sphincter muscle to stretch which can result in long term and substantial damage its overall function. That can lead to future dysfunction being experienced by the individual.

•  As is a complication with almost any surgical procedure, there is always the risk of sepsis of the pelvis. Again, although rare, they have been reported

•  If hemorrhoidal tissue is too expansive the procedure may do little to help them find relief. The procedure may be hindered by the swollen nature of the area and it may be unsuccessful at repairing the damage, or even tackling the problem of the prolapse or hemorrhoid at all.

•  Some who have had the procedure performed have reported extensive and continual pain that is not alleviated at the sight and in some cases there have been reports of a sensation of fecal urgency that fails to subside.

PPH is an effective procedure for those experiencing prolapse and hemorrhoids. A less invasive procedure than other conventional treatments, most who have it done are able to return to their normal activities and report an increase in their overall quality of life after having it done. Perhaps if more people knew about the overall satisfaction and ease of the procedure for the long term, they would opt to seek medical attention and stop suffering needlessly. With so many positive outcomes reported, it is a viable first defense against prolapse and hemorrhoids. 


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    PPH is a technique developed in the early 90's that reduces the prolapse of hemorrhoidal tissue by excising a band of the prolapsed anal mucosa membrane with the use of a circular stapling device. 

    In PPH, the prolapsed tissue is pulled into a device that allows the excess tissue to be removed while the remaining hemorrhoidal tissue is stapled. This restores the hemorrhoidal tissue back to its original anatomical position.

    This is just a blog - it is NOT a replacement for medical advice.  Please go see a proctologist (colorectal surgeon).