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Last Updated: Jul 27, 2020
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Piles - Know Surgical Ways Of Handling It!

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Dr. Biswanath GoudaGeneral Surgeon • 23 Years Exp.MBBS, MPH, Fellowship - Advanced Laparoscopic Surgery, DNB - General Surgery, Fellowship - Hepatobiliary and Liver Transplant Surgery, Fellowship - Bariatric Surgery, Fellow in International HPB Surgery( FIHPBA)
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For some people, lifestyle changes along with a healthy diet cannot do the needful when it comes to hemorrhoids, commonly referred to as piles. There are numerous options like the laser that can shrink the swelling and inflammation in non-invasive ways. But even though it takes lesser time and involves much lesser complications, surgical intervention can be the best way to achieve a long-term solution. It is particularly suitable for those who are suffering from intolerable pain and discomfort along with occasional bleeding.

What are the different surgical options for treating piles?
Surgery is the best way to treat piles in those who have failed to recover through other modes of treatment. In other words, you should consider getting piles surgery done in case you have hemorrhoids that cannot be treated through non-surgical means. There are numerous surgical options available for piles, and the primary types are mentioned below:

Hemorrhoidal artery ligation: This operation is used for reducing the flow of blood to the hemorrhoids. It is normally carried under general anesthesia while a tiny ultrasound probe is inserted into the anus. The probe then produces high-frequency sound waves which let the surgeon detect the vessels that are supplying blood to the affected area. Each of these vessels is stitched for blocking the supply of blood to the piles that eventually leads to shrinkage after a few days or a week. It is also suitable for treating hemorrhoids that prolapse and hang down from the anus.

According to the National Institute for Health and Care Excellence, the hemorrhoidal artery ligation is an effective procedure which can be used for treating piles. It causes lesser pain than other surgical options, and a higher level of satisfaction has been reported as well. The recovery time is also shorter in the case of hemorrhoidal artery ligation. There is minimal risk of bleeding and pain while passing stools and there is little chance of hemorrhoid prolapsing after this procedure. It can thus be concluded that this process is best suited for most people suffering from hemorrhoids.

Hemorrhoidectomy: This is yet another way of treating hemorrhoids through surgical intervention. It is typically carried out under general anesthesia which indicates that you will be unconscious during the entire procedure and won’t feel any pain or discomfort. A conventional process of hemorrhoidectomy involves opening up of the anus to scrape out the hemorrhoids. It takes about a week or two to recover from the process, and you are likely to experience a significant amount of pain after the process. Even though you will be given painkillers, it is important to consult an expert if the pain continues for a long span of time.

In case you have a concern or query you can always consult a specialist & get answers to your questions!
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