|
I fully understand the historic
everlasting debate among surgeons on how
a specific procedure in treating
specific medical condition should be
done, you know the popular saying “There
are many ways to skin a cat”...and
“There is the wrong way and there is my
way”...etc... Although I don’t
particularly like these sayings...They
are mostly true...but, I don’t claim
that my techniques are the best and they
are the only way things should be done
in proctology...I am simply transferring
to you what I found during this unusual
rich experience in proctology what
worked the best...what made the patients
happy...what got rid of their symptoms
without the traditional suffering. You
have also to know that I tried almost
every technique there is in treating
hemorrhoids and other proctology
cases...from band ligation to stapler
hemorrhoidectomy and every thing in
between...including Ultrasound guided
hemorrhoidal vessels ligation,
Cryosurgery , Laser excision ,
traditional Ferguson’s Closed
hemorrhoidectomy , open hemorrhoidectomy
, Ultrasonic device hemorrhoidectomy,
sub mucosal excision of hemorrhoids,
Microphlebectomy of hemorrhoids...etc.
Every and each one of these
techniques has its benefits and its
drawbacks but none of them is
perfect...I wasn’t bias to any of
them...I just needed to know what
actually works and causes the least
amount of postoperative discomfort...I
was so excited about stapler
hemorrhoidectomy at first… especially
because it caused only little pain
postoperatively until I found out that
it can be done on really a small portion
of patients... Only those with pure
Prolapsing Internal Hemorrhoids…( most
of these patients in real life they have
advanced mixed hemorrhoids by the time
they reach this stage ) and it leaves -
the stapler method that is- half of the
hemorrhoids behind, making long term
recurrence of symptoms a problem, and
then, came the reports of increasing
rate of postoperative pelvic infections
to add to my fears ...so I decided to
leave it for only a small number of
selected cases.
I can talk about every technique and
tell you about my experience with it..
But that would be an abuse of precious
time…what you need to know from this
course is what works and not what
doesn’t work..
| |
|
 |
|
|
The use of Ellman’s Surgitron RF unit in
treating external Hemorrhoids. |
|
|
 |
|
|
The use of Ligasure in treating advanced
stage 3 and 4 Internal and mixed
Hemorrhoids. |
|
| |
|
|
