One-Day Surgery

Minor Surgical / Proctological Procedures

At Medi Medic Medical Center in Kolbudy, we offer minimally invasive surgical and proctological procedures as part of one-day surgery.

Hemorrhoid Treatment with the Barron Method (Rubber Band Ligation)

The Barron method, also known as rubber band ligation of hemorrhoids, is one of the most commonly used techniques for treating moderate hemorrhoidal disease. The procedure involves placing a special rubber band at the base of the hemorrhoidal node, which cuts off blood supply, leading to necrosis and eventual detachment of the hemorrhoid. The treatment is performed on an outpatient basis, does not require anesthesia, and is characterized by high effectiveness with minimal discomfort for the patient.

 

Typically, one (maximum two) rubber bands are applied to a hemorrhoid during a single session, not more than once a month. The procedure is performed with the use of a proctological anoscope and does not require anesthesia. After the treatment, the patient can return home immediately. Pain or a feeling of rectal pressure is generally mild — 4 out of 5 patients do not need any pain medication. The procedure can be safely performed in an outpatient treatment room.

Hemorrhoid Treatment with the DGHAL Technique and Hemorrhoidopexy (RAR)

DGHAL (Doppler-Guided Hemorrhoidal Artery Ligation) with hemorrhoidopexy (RAR – Recto Anal Repair) is an advanced method for treating grade II and III hemorrhoids. The procedure involves ligating the hemorrhoidal arteries under Doppler guidance and lifting and securing the prolapsing mucosa. Using a Doppler probe integrated with a specialized proctoscope allows for precise localization and ligation of the arteries. The procedure is performed either under spinal anesthesia — in which case the patient stays in the hospital until the following morning — or with short intravenous sedation combined with local anal anesthesia, allowing the patient to leave the clinic after a few hours.

Minor Surgical Procedures in Proctology

As part of one-day surgery, we also perform minor surgical procedures such as:

  • Excision of small skin lesions around the anus – performed under local anesthesia, without the need for hospitalization.
  • Removal of a thrombosed external hemorrhoid – the procedure involves making a small incision in the skin and anoderm under local anesthesia and evacuating the clot, without the need for suturing.