Classical Ferguson haemorrhoidectomy
This involves the time-tested technique of excision using sharp dissection. The wounds are closed with suture resulting in easily controlled postoperative pain and discharge. The results are well proven with low morbidity rates and excellent clinical outcomes.
The excision is performed typically with cautery or the newer energy devices. The wounds are left open to granulate primarily resulting in excellent wound healing outcomes. Results are similar to the above technique.
This is ideal for patients with multiquadrant or circumferential prolapsing haemorrhoids. Studies have shown lower postoperative pain scores. Postoperative down time is minimal with quicker resumption of normal activities.
Laser Hemorrhoidoplasty is a minimally invasive laser therapy of haemorrhoids, in which the haemorrhoidal arterial flow feeding the haemorrhoidal plexus is stopped by laser coagulation.
Haemorrhoidal artery ligation (HAL) and recto anal repair (RAR)
Hemorrhoidal Artery Ligation (HAL) and Recto Anal Repair (RAR) – is a form of treatment for all grades of haemorrhoids. In HAL, the surgeon uses doppler technology to locate and then ligate haemorrhoidal arteries.
The RAR method is used to treat more advanced, prolapsing haemorrhoids. A special probe helps the surgeon stitch up the prolapsing tissue after the haemorrhoidal arteries have been ligated.
HAL-RAR can be effective even in advanced haemorrhoidal disease and has the benefit of minimal pain and a quick recovery.
Band ligation of haemorrhoids
This is a highly effective method of treating haemorrhoids in the office. It is best suited for 1st or 2nd degree haemorrhoids. Post-procedure discomfort is minimal with proven treatment efficacy. This procedure is associated with almost no down-time.