Which Type of Surgery Is Best for Piles (2024)

Understanding Hemorrhoids

Hemorrhoids can develop internally or externally:

• Internal Hemorrhoids: These develop within the rectum and usually don't cause pain unless they prolapse or protrude outside the anus.
• External Hemorrhoids: These develop under the skin around the anus and can be painful if a blood clot forms (thrombosed hemorrhoid).
  

When Is Surgery Needed?

Surgery for hemorrhoids is typically considered when:

• Conservative treatments have failed to provide relief.
• Hemorrhoids are large or severe.
• There is persistent bleeding.
• Internal hemorrhoids are causing symptoms like prolapse (protrusion through the anus).
• External hemorrhoids are thrombosed and cause severe pain.
  

Types of Hemorrhoid Surgeries

1-Hemorrhoidectomy:

• Description: Hemorrhoidectomy is a surgical procedure to remove hemorrhoids. It is effective for both internal and external hemorrhoids, especially large ones.
• Procedure: The surgeon removes the hemorrhoidal tissue and closes the wound with stitches.
• Benefits: Provides long-term relief, especially for severe cases.
• Considerations: Recovery can be painful and may require a few weeks.
  

• Description: RBL is a non-surgical procedure where a rubber band is placed around the base of the hemorrhoid to cut off its blood supply, causing it to shrink and fall off.
• Procedure: Quick and relatively painless, often done in outpatient settings.
• Benefits: Effective for smaller internal hemorrhoids, minimal recovery time.
• Considerations: May require multiple sessions.
  

Sclerotherapy:

• Description: Sclerotherapy involves injecting a chemical solution into the hemorrhoid, causing it to shrink.
• Procedure: Outpatient procedure, relatively painless.
• Benefits: Simple and effective for smaller hemorrhoids.
• Considerations: Multiple sessions may be needed.
  

Coagulation Techniques (Infrared Coagulation, Laser Coagulation):

• Description: These techniques use heat or laser light to shrink hemorrhoids.
• Procedure: Quick outpatient procedure, minimal discomfort.
• Benefits: Effective for small to medium-sized hemorrhoids, minimal recovery.
• Considerations: May require multiple sessions.

3-Stapled Hemorrhoidopexy (Procedure for Prolapse and Hemorrhoids - PPH):

• Description: PPH involves stapling the hemorrhoidal tissue to reduce blood flow to the hemorrhoid and shrink it.
• Procedure: Less painful than traditional hemorrhoidectomy, faster recovery.
• Benefits: Effective for prolapsed hemorrhoids.
• Considerations: Possible risks include recurrence and rectal prolapse.

Choosing the Right Surgery

The best type of surgery for hemorrhoids depends on several factors, including:

• Severity of Hemorrhoids: Larger or more severe hemorrhoids may require a more invasive procedure like hemorrhoidectomy.
• Patient Preference: Some patients may prefer non-surgical options due to concerns about pain and recovery time.
• Surgeon's Recommendation: Your surgeon will recommend the most appropriate procedure based on your specific condition and medical history.
  

Know your Doctor for Piles Surgery at Felix Hospital

Dr. Ritesh Agarwal, with 15 years of experience, excels in general, laparoscopic, laser, vascular, and proctology surgeries. He is an expert in various open and laparoscopic surgeries, including lap cholecystectomy (gall bladder stone removal), hernia repair, laparotomy, and non-cancerous breast surgeries (breast lump, pain, nipple discharge). Additionally, Dr. Ritesh is a trained laser surgeon, specializing in proctology procedures such as piles, fissure, fistula, pilonidal sinus, varicose veins, and circumcision.

Book an Appointment at helpdesk@felixhospital.com. Or call at 9667064100.

Conclusion

Hemorrhoids are a common problem that can cause significant discomfort and pain. While many cases can be managed with conservative treatments, some require surgical intervention for relief. The choice of surgery depends on the severity of the hemorrhoids, patient preference, and the surgeon's recommendation. From traditional hemorrhoidectomy to minimally invasive procedures like rubber band ligation and coagulation techniques, there are several options available to treat hemorrhoids effectively.

FAQs

1-Which Type of Surgery Is Best for Piles?
Ans. Here are the main types of surgery for piles (hemorrhoids):

• Hemorrhoidectomy
• Rubber Band Ligation
• Sclerotherapy
• Coagulation (Infrared, Laser, or Bipolar)
• Stapled Hemorrhoidopexy (PPH)
  

2-What is the reason for piles?
Ans. Piles develop due to increased pressure in the lower rectum, causing veins to swell. Common causes include straining during bowel movements, chronic constipation or diarrhea, prolonged sitting, low-fiber diet, obesity, pregnancy, aging, and genetic factors. These issues can lead to inflammation and discomfort in the anal area, resulting in the formation of hemorrhoids.

3-How to avoid piles?
Ans. To prevent piles, consider the following tips:

• Diet: Eat a high-fiber diet including fruits, vegetables, and whole grains to soften stool and increase its bulk.
• Hydration: Drink plenty of fluids, particularly water, to help keep stools soft.
• Exercise: Regular physical activity helps prevent constipation and reduces pressure on veins.
• Bathroom Habits: Avoid straining during bowel movements and do not sit on the toilet for prolonged periods.
• Prompt Response: Go to the bathroom as soon as you feel the urge to prevent hard stools.
  

4-Can piles be cured?
Ans. Yes, piles can be effectively treated and managed. Mild cases often respond well to home treatments and lifestyle changes, while more severe cases may require medical or surgical interventions.

5-What should I do if I have piles?
Ans. If you suspect you have piles:

• Consult a Doctor: Seek medical advice for proper diagnosis and treatment.
• Home Treatments: Use over-the-counter creams, ointments, or suppositories designed for hemorrhoid relief.
• Diet and Hydration: Increase fiber intake and stay hydrated to soften stools.
• Avoid Straining: Be gentle during bowel movements and avoid prolonged sitting on the toilet.
  

6-What is the first stage of piles?
Ans. The first stage of piles, also known as Grade 1 hemorrhoids, involves swollen veins that do not prolapse (protrude) outside the anus. Symptoms may include itching, discomfort, and occasional bleeding during bowel movements. Early-stage piles can often be managed with dietary changes, increased water intake, and over-the-counter treatments.