Dr Chivate’s Procedure

Discription

• Repositioning and fixation: The procedure involves repositioning and fixing prolapsed hemorrhoidal mucosa and submucosa to the underlying rectal muscles using sutures.
• Minimally invasive: Chivate’s Mucopexy is considered a minimally invasive technique, preserving anal sphincter function and minimizing tissue removal, potentially leading to less postoperative pain and faster recovery compared to traditional hemorrhoidectomy.
• Suture placement: Sutures are typically placed at two different levels, approximately 2 cm and 4 cm proximal to the dentate line (an anatomical landmark in the anal canal).
• Double-locking sutures: A specific interlocking suture pattern, including double-locking passes, is often used to ensure stability and reduce the risk of suture slippage.
• Preserving blood supply: The technique aims to ligate hemorrhoidal vessels and fix the lax mucosa, potentially reducing the chances of recurrence due to collateral formations. 

• Minimally invasive approach.
• Reduced postoperative pain compared to traditional procedures.
• Faster recovery time and shorter hospital stays.
• Low recurrence rate. 

• Potential for minor bleeding episodes.
• Possible postoperative pain if sutures are placed below the dentate line.
• May be difficult to perform in patients with very narrow anal canals or those with thrombosed hemorrhoids.
• Some patients might experience constipation in the postoperative period, requiring laxatives for longer durations.