CHIVATE’S PROCEDURE IN THE MANAGEMENT OF HAEMORRHOIDS: A REVIEW
Dr. Sanket S. Sangale, Dr. Madhavi S. Banarase*, Dr. Neha P. Shelake
ABSTRACT
Haemorrhoids (Arsha) are one of the most common anorectal disorders encountered in clinical practice. They are characterized by the dilatation and inflammation of the haemorrhoidal venous plexus, leading to symptoms such as bleeding per rectum, prolapse, pain, and discomfort during defecation. Conventional surgical procedures like haemorrhoidectomy are effective but are often associated with postoperative pain, bleeding, and longer recovery periods. Chivate’s procedure is a minimally invasive technique developed as an alternative approach for the management of haemorrhoids. This procedure involves lifting, repositiong, and anchoring prolapsed anal cushions to the rectal muscles using double-interlocked, circumferntial stitches above the dentate line using a specially designed instrument, leading to gradual shrinkage and fibrosis of the haemorrhoidal mass without extensive tissue excision. The technique is simple, cost-effective, and can be performed with minimal complications. It reduces operative time, postoperative pain, and hospital stay while providing satisfactory clinical outcomes. Chivate’s procedure has gained importance in proctology due to its effectiveness in controlling bleeding and prolapse in selected grades of haemorrhoids. This review highlights the concept, procedure, advantages, and clinical significance of Chivate’s technique in the management of haemorrhoids.
Keywords: Haemorrhoids, Arsha, Chivate’s Procedure, Ligation Technique, Anorectal Disorders, Minimally Invasive Surgery.
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