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This relatively new, Food and Drug Administration (FDA)-approved outpatient procedure may bring an end to the chronic discomfort of hemorrhoids.
This minimally invasive surgical technique uses a circular stapling device to lift hemorrhoidal tissue to its original position and trims a band of tissue above the pain line. The process reduces blood flow to internal hemorrhoids, which causes them to shrink over several weeks following the procedure.
PPH is done in a different area of the rectum than traditional hemorrhoidal operations. As a result, no pain fibers are present, and the discomfort after surgery is minimal. Patients can go back to work and normal activities more quickly.
According to a study presented at the annual meeting of the American Society for Colon and Rectal Surgeons (ASCRS), the new procedure appears not only to be less painful, but also to reduce the risks of symptoms returning.
While results from the treatment are rapid and recovery nearly pain free, the technique is not simple. Surgeons of the Anorectal Disorders Program at Cedars-Sinai have been specially trained in the PPH procedure.
This procedure is most appropriate for patients with third- or fourth-degree hemorrhoids and certain patients with second-degree hemorrhoids.