PLICATION OF HAEMORRHOIDS (HAEMORRHOIDORRHAPHY)

Introduction: Haemorrhoidal disease (HD) involves prolapse of vascular cushions limited to the anal canal and perianal area. Symptomatic HD is dealt with by non operative and operative methods which aim at reducing the haemorrhoidal cushions and their covering mucosa. Surgical treatment offers the best chance of permanent cure. The ideal procedure for treatment of HD should be simple, minimally invasive, correct all the anatomical abnormalities and avoid early recurrence of symptoms. HD, however disabling, is harmless. Treatment should therefore never induce a significant element of risk to the patient. Aim of the work: Is to suggest and try a simple but an effective method of surgical treatment for HD that suits all symptomatizing degrees of the disease. Patients and methods: The suggested method depends on the use of interrupted stitches that tailor the lining of the anal canal almost back to normal without incisions or excisions. Results: The results of this plication or haemorrhoidorrhaphy are obliteration of vascular ectazia, occludsion of feeding vessels, refashioning the redundant mucosa and providing support for the disintegrated fibromuscular submucosal tissue that precipitates the HD. Conclusion: This method minimizes, almost to nil, per- or postoperative bleeding; and leaves no rait areas however advanced is the disease