Minimally Invasive Technique for Hemorrhoids in a Nonagenarian (>90 years)
Doctor’s Profile
Name
Dr. Rajeev Premnath
Specialization
General, Laparoscopic Surgeon
Qualifications
MBBS, MS (Gen Surg.), Diploma in Laparoscopy (France)
Clinic
Ramakrishna Hospitals – Jayanagar, Bengaluru
Contact
- 24 & 26, 15th Cross, 3rd Block, Jayanagar, Bengaluru, Karnataka 560011
- Tel: 080-67 800 103/116
Patient Information
Patient's Name
Mr. C
Age
92 years
Gender
Male
Medical History
- Known case of Diabetes Mellitus
- Bilateral Glaucoma
- Benign Prostatic Hyperplasia
Symptoms
Long-standing history of prolapsing haemorrhoids
Diagnostic Method and Disease Diagnosis
Mr. C presented with a long history of prolapsing haemorrhoids. After a detailed clinical evaluation and a limited colonoscopy, the diagnosis was confirmed as prolapsing haemorrhoids.
Treatment Plan and Post-Surgery Guidelines
Treatment Plan
Given Mr. C’s advanced age and underlying health conditions, Dr. Rajeev Premnath, Laparoscopic Surgeon in Jayanagar, recommended a minimally invasive procedure known as stapled haemorrhoidopexy. This technique is designed to excise the prolapsing haemorrhoidal tissue and restore the anorectal anatomy with minimal risk and discomfort.
Post-Surgery Guidelines
- Pain Management: Post-surgery, the patient was prescribed paracetamol to manage any mild discomfort.
- Follow-Up: Follow-up appointments were scheduled at one week and one month after surgery to ensure a smooth recovery.
Surgical Procedure and Outcome
Procedure
Mr. C underwent stapled haemorrhoidopexy under epidural anaesthesia, a safe and effective method for excising prolapsing hemorrhoidal tissue. A limited colonoscopy was performed prior to surgery to ensure there were no additional concerns.
Outcome
- Surgery: The surgery was uneventful and successful, with minimal complications.
- Pain: The patient reported minimal pain during the recovery process, effectively managed by paracetamol
- Patient Satisfaction: During the follow-up visits at one week and one month, Mr. C was very satisfied with the results. He was pleased with the quick recovery and minimal pain associated with the surgery.
- Recovery: The minimally invasive nature of the procedure allowed Mr. C to recover quickly, with minimal downtime and discomfort.
Long-Term Expectations
As a result of the minimally invasive technique employed, Mr. C is expected to have a high quality of life post-surgery. This procedure offers significant long-term benefits, such as:
Minimal complications
Faster recovery
Lower pain levels
Reduced scarring
The patient’s recovery process has been swift, and he can expect to return to his regular activities in the coming months without the need for further intervention.
Patient Feedback
Mr. C and his family were extremely pleased with the results of the procedure. They particularly appreciated the low-risk nature of the surgery and the quick recovery time, especially considering his advanced age of 92. The family reported high levels of satisfaction, both with the procedure and the care provided by Dr. Rajeev Premnath
In his follow-up visits, Mr. C expressed his satisfaction with the procedure, noting the minimal pain and effective recovery. He praised the approach taken by Dr. Premnath, which ensured a smooth and stress-free experience for him.