Piles, or hemorrhoids, are a common and often uncomfortable condition affecting many people. While most cases of piles can be treated with lifestyle changes and non-surgical piles treatments, there are instances when surgical intervention may be necessary. This blog post will explore the surgical piles treatment options available for piles and what you need to know before deciding.
Common Types of Surgical for Piles Treatment:
Hemorrhoidectomy for Piles Treatment
Hemorrhoidectomy is a surgical procedure for piles treatment that removes piles and swollen veins in the rectum or anus. This procedure is typically recommended for severe cases of piles that do not respond to other treatments, such as topical medications or minimally invasive procedures. During a hemorrhoidectomy, the surgeon makes incisions around the piles and removes them. The incisions are then closed with stitches. This procedure is typically done under general anesthesia and requires recovery time. While it is an effective treatment for piles, it can also be associated with significant pain and discomfort during recovery.
Stapled hemorrhoidopexy for Piles Treatment
Stapled hemorrhoidopexy, a procedure for prolapse and piles (PPH), is a minimally invasive surgical procedure used for piles treatment. During the procedure, a circular stapling device removes a portion of the tissue causing the piles to protrude. The remaining tissue is then stapled back into place, which cuts off the blood supply to the piles and causes them to shrink. This procedure is typically done on an outpatient basis and requires less recovery time than a traditional hemorrhoidectomy. It is often recommended for patients with prolapsed hemorrhoids, which are piles that protrude from the anus and cannot be pushed back in. While it is generally considered a safe and effective procedure, there is a small risk of complications such as bleeding, infection, or recurrence of the piles.
Doppler-guided hemorrhoidal artery ligation (DGHAL) for Piles Treatment
Doppler-guided hemorrhoidal artery ligation (DGHAL) is a minimally invasive surgical procedure that uses ultrasound technology to identify the arteries that supply blood to the piles. During the procedure, a small ultrasound probe is inserted into the anus to locate the hemorrhoidal arteries, which are then tied off using a special suture. By cutting off the blood supply to the piles, they will eventually shrink and disappear. This procedure is typically done on an outpatient basis and is considered less painful than a traditional hemorrhoidectomy. It also has a lower risk of complications, such as bleeding and infection. DGHAL is most effective for treating early-stage piles and is not recommended for patients with large or prolapsed piles. While it is generally considered safe, there is a small risk of complications, such as bleeding or recurrence of the piles.
Rubber band ligation for Piles Treatment
Rubber band ligation is a commonly used non-surgical treatment for hemorrhoids. During this procedure, a small rubber band is placed at the base of the piles, cutting off their blood supply. This causes the piles to shrink and fall off within a few days. Rubber band ligation is a relatively simple procedure that can be performed in a doctor’s office without anesthesia. It effectively treats internal piles that are not too large or prolapsed. While this procedure is generally considered safe, there is a small risk of complications, such as bleeding or pain after the procedure. Patients may experience discomfort a few days after the procedure, but it resolves within a week. Rubber band ligation has a high success rate and is a good option for patients who want to avoid surgery or are not good candidates for more invasive procedures.
Sclerotherapy for Piles Treatment
Sclerotherapy is a non-surgical treatment for piles that involves injecting a chemical solution into piles, causing it to shrink and eventually disappear. This treatment is typically used for small, internal hemorrhoids. The procedure is relatively simple and can be performed in a doctor’s office. A small needle injects the solution, and patients may experience a mild burning or tingling sensation during the injection.
Sclerotherapy is generally considered safe, but there is a risk of complications, such as bleeding or pain, after the procedure. In rare cases, the chemical solution can cause ulceration or scarring of the anal canal. Patients may also experience discomfort for a few days after the procedure, but it typically resolves within a week.
Sclerotherapy has a high success rate and is a good option for patients who want to avoid surgery or are not good candidates for more invasive procedures. However, it may not be as effective for larger or prolapsed hemorrhoids. Your doctor can help determine if sclerotherapy is the right treatment option for you.
Piles Laser Treatment
Piles laser treatment, also known as laser hemorrhoidoplasty or laser hemorrhoidectomy, is a minimally invasive surgical procedure that uses laser energy to shrink and remove hemorrhoids. Here’s an overview of the procedure:
- Preparation: Before the procedure, you will receive instructions on how to prepare. This may include dietary changes, bowel preparation, and stopping certain medications.
- Anesthesia: The procedure is usually performed under local anesthesia, which numbs the area around the hemorrhoids.
- Laser treatment: A tiny laser fiber is inserted into the rectum, and laser energy is used to shrink and remove the hemorrhoids. The laser energy seals off the blood vessels that supply the hemorrhoids, causing them to shrink and eventually fall off.
- Recovery: Recovery time is usually faster compared to traditional surgery. Patients may experience discomfort, bleeding, or swelling for a few days after the procedure. Stool softeners and pain medications may be prescribed to help manage these symptoms.
- Follow-up: Patients typically need to follow up with their doctor for a post-operative visit to ensure the piles have healed properly.
Overall, piles laser treatment is a safe and effective option for those who suffer from hemorrhoids. However, like any medical procedure, there are risks and potential complications, so it’s important to discuss the procedure with a qualified healthcare provider to determine if it’s the right option for you.
Preparing for Surgery:
Preparing for surgery is an important part of the process, and patients need to be aware of what to expect before, during, and after the surgery. Here’s some more information on what patients can expect when preparing for surgery for piles:
- Discussing the Procedure: Patients should discuss the surgical procedure with their doctor or surgeon, including what the procedure entails, what to expect during the surgery, and what the recovery process will look like. It’s important to ask any questions or voice any concerns that you may have during this discussion.
- Anesthesia: Depending on the procedure, patients may need to fast or adjust medication before surgery. It’s important to follow any instructions your piles surgeon provider gives to ensure a safe and successful surgery.
- Transportation: Patients should arrange transportation to and from the piles surgical clinic or hospital. Having someone to drive you home after the surgery is essential, as you may be groggy from anesthesia and unable to drive yourself.
- Preparing for Recovery: Patients should prepare their home for recovery, including arranging for help with daily tasks and stocking up on supplies like pain medication, ice packs, and soft foods. It’s also important to follow your healthcare provider’s post-operative care instructions, such as avoiding certain activities and taking prescribed medication as directed.
By being prepared and following these steps, patients can help ensure a successful surgery and smooth recovery.
Recovery and Post-Operative Care for Piles Surgery:
Patients may also be advised to avoid heavy lifting, to drive, or sitting for long periods. They may also be instructed to avoid certain foods and drinks that can cause constipation or irritation in the affected area, such as spicy foods, alcohol, and caffeine.
Patients must follow their piles’ doctor’s instructions carefully to avoid complications and ensure a smooth recovery. They should also attend all follow-up appointments to monitor their progress and address concerns.
Patients may sometimes experience complications such as bleeding, infection, or difficulty passing urine. It’s important to seek medical attention immediately if these symptoms occur.
While piles surgery can be an effective option for some patients, it’s essential to carefully consider all piles treatment options and discuss the risks and benefits with your doctor. By following proper preparation, recovery, and post-operative care, patients can increase their chances of a successful outcome and a return to normal activities.
