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 Haemorrhoids(Piles)...


Q What is the latest in the understanding of disease process of Piles?


Now the latest research has changed the way we look at piles. Earlier piles was thought to a dilated bunch of veins but now it has become clear that the basic defect in piles along with dilatation of veins is mucosal prolapse [ i.e. the inner covering layer(mucosa) of rectum becomes loose and that’s why it protrudes out]. This understanding of the disease process has led to the improved treatment. Earlier all treatment of piles i.e. Banding, Cryotherapy, Injection treatment, Trans rectal Doppler haemorrhoidal ligation (THD)and conventional surgery removed or treated bunch of dilated veins(piles) without addressing the basic cause i.e mucosal prolapse. Stapler haemorrhoidectomy is the only treatment modality available today which by removing 1-2 cm of mucosal cuff corrects the underlying basic pathology while giving painless relief to problem of piles at the same time.



 

 

 

 


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