Piles Surgery – When is piles surgery recommended?
When non-surgical treatment methods like change in diet, exercises, and medicines prescribed have no significant improvement in piles condition, surgery is recommended by your piles specialist. For the stage or grade of piles where the piles or haemorrhoids is prolapsed (jutting out of the anus and cannot be pushed back), surgical treatment is the only option. There are many surgical options let us see them one by one. Even if the piles is minor but the bleeding is profuse and makes the patient anemic, surgery becomes a mandate.
Piles surgery of Stapling
Stapling is a minimally invasive procedure where the prolapsed piles is moved and repositioned. This surgical procedure is done with a stapler-like device with an intention to reduce the blood flow to the veins that cause piles. The piles becomes smaller gradually because of less blood supply. But due to few complications associated with this procedure, less number of piles specialists opt for this treatment method.
Rubber band Ligation – A Minimally Invasive Piles Surgical Treatment
In this minimally invasive surgical procedure, a rubber band is placed around the base of the haemorrhoid tissues. The base of the piles veins shrink as a result of these rubber bands and cut the blood supply. The piles veins hence reduce in size and eventually gets destroyed to provide relief.
Sclerotherapy – Another Minimally Invasive Piles Surgical Treatment
In this method a chemical is injected into the blood vessels that supply blood to the piles veins. This chemical shrinks and eventually destroys the piles veins.
Haemorrhoidectomy – Surgical Treatment of Piles
By far haemorrhoidectomy is the gold standard treatment of piles. Haemorrhoidectomy is performed only for severe grades of piles where the condition has become very painful and all medications have not given any result.
In this piles surgery method, the piles surgeon would make incisions around the anus and remove the piles veins. After a successful surgery, the surgery done area is stitched to close the surgical wound. Since anus is a very tender area, recovery might be a bit painful and may take 3-4 weeks. But after that it is found that patients have better recovery from piles.
General Information on Piles surgery
Dr. Kalanidhi informs us that most of the above explained piles surgical methods are done under spinal / general anaesthesia. Most patients undergoing these piles treatment may have a hospital stay for 2-3 days depending on the complexity of the case and also other factors like age, presence of other medical conditions, etc. Dr. Kalanidhi further opines that the patient needs to take a lot of fibre in their food to avoid constipation. This can go a long way in ensuring that piles do not return, although the risk of piles returning is very minimal after any pile surgery.