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Piles Surgery Health Feed

Haemorrhoids - When To Opt For A Surgery?

Haemorrhoids - When To Opt For A Surgery?

The anus is a highly vascular area, and these blood vessels dilate, leading to a condition called hemorrhoids, which are external and protrude into the anus (external) or into the rectum (internal). While most hemorrhoids are self-limiting and can be managed with conservative care, about 10% to 20% of the hemorrhoids may require surgical removal.

When is surgery needed?

  1. Thrombosed hemorrhoid
  2. Prolapsed hemorrhoids
  3. Relentless bleeding (maybe painless also)
  4. Recurrent hemorrhoids

Types of surgery required

The exact location of the hemorrhoid and the severity will dictate the type of surgery required. Read on to know some of the common techniques are used to treat hemorrhoids.

  1. MIPH (minimal invasive surgery for haemorrhoids): Also known as hemorrhoidopexy, it involves the use of surgical staples to keep a recurrently prolapsing hemorrhoid in place. These staples ensure they do not prolapsed again. It also cuts off blood supply, so the growth is curtailed. This is done as a same-day procedure under local or general anesthesia. This is the procedure of choice for grade 2 and grade 3 bleeding piles. It is a totally painless procedure and is widely accepted by patients.
  2. Hemorrhoidectomy: It is done under general anaesthesia or spinal anaesthesia in people where conservative and in-office procedures have failed. The hemorrhoids are often large, prolapsed, and cause bleeding. This requires hospitalization and may need about a week to recover completely. This was the standard procedure earlier. It is still very useful for prolapsed large piles.

Post surgery, there could be rectal pain and discomfort. In addition, the patient should drink water adequately, eat a high-fiber diet, and use a stool softener to prevent a recurrence.

Stapler Piles Operation - What Should You Know?

Stapler Piles Operation - What Should You Know?

Piles or haemorrhoids are one of the most common and painful anal disorders. It refers to a collection of veins and tissues that become swollen and inflamed. The size may differ and are found either outside or inside the anus. Haemorrhoids or piles usually result from chronic diarrhoea, constipation, or heavy weight lifting. Timely treatment is essential to cure the condition. Otherwise, piles may affect your routine activities and lead to anal bleeding, infections, or anal fistula

Various surgical methods are available to treat piles. One such surgery is the Stapler Piles Operation. It is an advanced, minimally invasive procedure, mainly performed to cure third or fourth-degree haemorrhoids.

What is the procedure?

Stapler Piles Operation is performed under general anaesthesia. The steps to the procedure are as follows –

  • The surgeon inserts a circular hollow tube into the anal canal. A long woven thread, known as the suture is circumferentially placed within the anal passage and above the internal piles through the tube.

  • Next, the stapler – a disposable instrument with an attached circular stapling device – is placed through the tubes. The ends of the thread are pulled. 

  • The stapler finally cuts off the circumferential ring of enlarged haemorrhoidal tissues trapped within the stapler. The device staples the lower and upper edges of the cut tissues simultaneously. 

  • The surgery disconnects the supply of blood to the piles, causing them to shrink

The entire procedure takes about 30 minutes. 

Advantages of Stapler Piles Operation 

The surgery has gained immense popularity owing to several advantages –

  • Less pain

  • Minimal loss of blood

  • Faster recovery

  • Shorter hospital stay

  • Smaller incisions

  • Higher accuracy

Stapler Piles Operation does not involve the risks of major complications, like in the case of traditional surgery. The procedure is preferably used by Gastroenterologists far and wide. In most cases, patients have shown improvement in the condition and the overall quality of life following the operation. Patients are advised to strictly follow the doctor’s instructions immediately after the surgery for a speedy recovery. 

 

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Piles - How Efficient Is Surgery In It?

Piles - How Efficient Is Surgery In It?

Many people suffer from hemorrhoids or piles at some point in their life. This condition affects the rectum. It is rarely dangerous but it can be extremely painful. Hemorrhoids can be described as swollen veins in the walls of the lowest section of the rectum and anus. This is the most common cause of rectal bleeding. This may also be a symptom of rectal or colon cancer and hence should never be ignored. A doctor must be consulted if the rectal pain lasts longer than a week or if there is severe swelling and pain around the anus. Hemorrhoids can be treated in a number of different ways but the best form of treatment is surgery.

The procedure to remove hemorrhoids completely is known as a hemorrhoidectomy. A hemorrhoidectomy can be used to treat internal and external piles. This surgery aims at relieving the pain, bleeding, discharge and itchiness caused by piles by cutting away the hemorrhoids. A hemorrhoidectomy is performed while the patient is under general anesthesia. The doctor will begin by making one or many incisions around the anus. The hemorrhoids are them cut off and the incisions are closed. In some cases, the patient may need to stay overnight in the hospital but in most cases, he or she can go back home on the same day. Recovering from a hemorrhoidectomy can take 2-3 weeks.

One of the biggest advantages of surgery to treat this condition is the permanent removal of the swollen blood vessels. This makes passing stool painless and also relieve all the other associated symptoms. Thus, the patient will not have to deal with hemorrhoids on a daily basis. Surgery can be used to treat small or large hemorrhoids. Thus, when all other modes of treatment fail, surgery is often the last resort. As compared to other forms of treating hemorrhoids, only surgery offers long-term results. In 95% of cases, piles do not recur once surgically removed.

However, to ensure this, the patient must follow aftercare instructions and make a few lifestyle changes. For example, it is essential to have a well-balanced diet with plenty of fibre to prevent piles. The patient must also drink at least 8-10 glasses of water a day to ensure that undigested waste can pass through the digestive system smoothly and that stools are soft. Exercise is also very important for the prevention of piles.

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Internal Hemorrhoids - How To Get Rid Of Them?

Internal Hemorrhoids - How To Get Rid Of Them?

Hemorrhoids or piles are diagnosed by swelling of veins in the lower part of anus and rectum. Due to swelling, the walls of rectum and anus are stretched and thus become irritated. Hemorrhoids are of two types: Internal and External hemorrhoids.

Internal Haemorrhoids: As the name suggests, the piles are not visible from outside. These are present deep inside the rectum, located above the pectinate line and these are covered with the cells that are present through the rest of intestines. Internal hemorrhoids are normally painless. The first sign of internal hemorrhoids is rectal bleeding. However, straining can push internalhemorrhoid and it protrudes through the anus and this can be painful.

Causes of Haemorrhoids
The swelling of hemorrhoid occurs only when the pressure in the small vessels of rectum and anus is increased and is engorged with blood. The size of the hemorrhoids is also increased. The increased pressure may be due to various factors:

  • Consuming low fiber diet and pushing or straining while passing stools, thus blood vessel pressure is increased.
  • Pregnancy also is a cause of swelling as there is the increased pressure of the uterus on rectum and anus.
  • Sitting for long on toilet also increases pressure.
  • Obesity is also a cause of hemorrhoids.
  • People suffering from diarrhea, both acute and chronic.
  • A person having colon cancer might have hemorrhoids.

Signs and Symptoms of Haemorrhoids:

  • The most common symptoms of hemorrhoids are painless bleeding, itching in anal, swelling and feeling of the presence of lump at the anus.
  • All these symptoms are associated with inflamed hemorrhoid.
  • Inflamed internal hemorrhoid can cause swelling, but is painless as there are no fibers attached to veins above the pectinate line that cause pain. However, passing hard stools can scrape off the thin lining of hemorrhoid, which can cause the painless bleeding.
  • Spasms of the rectum and anal muscles caused by these swollen hemorrhoidscause pain, especially when they are protruded through the anus.
  • Internal hemorrhoids can form a clot or thrombose resulting in severe pain.
  • The presence of inflammation, stool, and constant moisture and these can lead to itching and burning sensation in the anus among patient of internal hemorrhoid.

Treatment of Haemorrhoids

  • Diet: Haemorrhoids can be treated when individuals consume a fiber-rich diet in order to soften the stools and ease their bowel movements. Fiber-rich foods include fresh fruits, dry fruits, grains, vegetables, and cereals. About 20 to 30 grams per day of fibrous foods is recommended. Dietary fiber will help create bulk in the intestines which will help in softening of stools and ease bowel movement. Supplemental fiber available in the marketincludes psyllium husk, methylcellulose, and calcium polycarbophil. Other recommendations include increased intake of liquids and having stool softeners. Drinking enough water and liquids will prevent stool from hardening.
  • Over-the-counter topical treatment: There are various products available to treat hemorrhoids, such as gels, hydrocortisone creams, ointments, foams, pads, and suppositories.
  • Home remedies: Soaking anus in a warm sitz bath might also help in hemorrhoids for about 10 to 15 minutes per day. One should practice good hygiene and clean anus with warm water while showering. Avoid using soap and dry toilet paper. One can also use a cold compress on the anus.

Minimally Invasive Procedure for Hemorrhoids (MIPH)

Out of the various types of medical and surgical interventions available to treat Piles, Minimally Invasive Procedure for Hemorrhoids (MIPH) 0r painless stapler surgery is known to be very popular since it acts an alternative approach to surgical interventions made for piles.

MIPH is defined as a minimally invasive surgical technique in which a band of loose or prolapsed mucosa and sub mucosa in the rectum is excised, proximal to the piles and disrupted mucosa is fixed by ‘stapled end to end mucosal anastomosis.

This will ultimately occlude the blood supply to the superior hemorrhoidal artery above the hemorrhoidal tissue, resulting in the retraction of prolapsed mucosa back to its original anatomical position. A special circular stapler known as PPHO3 is used in the anastomosis and the whole maneuver will take around 30–45 minutes.

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Piles - Why Non Surgical Treatment Graded Ksharsutra Therapy Is Better Than Surgery?

Piles - Why Non Surgical Treatment Graded Ksharsutra Therapy Is Better Than Surgery?

Piles are engorged veins in the anal area. They can be internal or external depending on their location; external being outside the anal opening and internal inside rectum. External always remain outside while internal piles are inside but as the disease progresses; they start coming out from anal opening while passing stool.

Treatment for Internal Piles:

For external Piles; Ksharsutra ligation of Pile mass is the treatment of choice. Internal Piles: Treatment is given according to the stage of Piles. In 1st and 2nd stage Piles Kshar Karma along with oral medicine is advised. While in 3rd and 4th stage Ksharsutra ligation of Pile mass is the treatment of choice.

Why Graded Ksharsutra Therapy is Better than Surgery?

Graded KsharsutraTM Therapy refers to a minimally invasive Para surgical procedure in Ayurveda. It is a tried and tested Ayurvedic technique, which helps in managing Anorectal disorders. In this treatment; Graded KsharsutraTM - A specialized medicated thread is ligated at the root of Pile mass. As a result Pile mass shrinks and sheds off in a week or 10 days interval. No hospitalization; No bed rest required in this treatment and patient can continue his normal routine activities as usual.

Graded KsharsutraTM Treatment is better than surgery in Piles for the reasons as below:

1. Hemorrhoids treated by Ksharsutra do not recur while after surgery incidences of recurrence are very high.

2. Complications like stool incontinence (inability to hold stool) etc. are reported in many cases in surgery for Piles which is not seen in Graded KsharsutraTM Treatment.

3. In Ksharsutra therapy there is no cutting of tissues hence the chance of post operative bleeding are not there however after surgery; the chances of post operative bleeding or infection are always there.

4. Ksharsutra therapy is done under Local Anesthesia which is always safer than general anesthesia/ Spinal Anesthesia required for surgery.

5. Ksharsutra therapy is also more economical than Surgery.

6. Patient can continue his normal routine activities as usual during Graded Ksharsutra Treatment which is not possible in surgery.

Hence, it is being concluded that Ksharsutra Treatment is the best treatment for Piles in all its stages.

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Piles - How Laser Proctology Can Treat It?

Piles - How Laser Proctology Can Treat It?

Proctology refers to the study of the structure and diseases of the anus, rectum, and sigmoid colon. Laser surgery in proctology field enables excellent cutting, limiting thermal damage to the surrounding tissues reducing the post-operative pains. Piles are also called hemorrhoids. They are swellings in blood vessels found in or around the rectum and anus. Piles manifest symptoms like bleeding after passing stool, itchy bottom, hemorrhoid mass hangs out of the anus that pushes back in after passing of stool (prolapse), a mucus discharge, soreness, redness and swelling around the anus. Proctology conditions like piles might not be life-threatening, but they’re associated with poor quality of life and embarrassment.

Laser Treatment for Piles
Piles are classified into grades based on their severity.

  • Grade one is the initial stage where a person has bleeding or itching but no prolapse. At this stage conservative measures are recommended.
  • In grade two, the mass of hemorrhoids begins prolapse during defecation but goes back in, on completion of the act. 
  • In Grade three, the prolapsed haemorrhoidal mass does not go back on its own, and manually pushed back. LHP is recommended for early stages of Grade 3; however, stapler surgery is recommended for advanced stages.

The LHP process
A laser fiber is passed through the anal opening and laser energy is applied to the haemorrhoidal mass. The controlled emission of laser energy reaches the submucosa zone, causing the haemorrhoidal mass to shrink. Fibrosis reconstruction generates new connective tissue, ensuring the mucosa adheres to the underlying tissue preventing the recurrence of prolapse.

Benefits

  • Reduced pain, faster healing, higher outcome, and shorter procedures.
  • Optimal treatment and outcomes.
  • Presets enabling ease of use improved surgical control and accurate dosage.
  • Requires no incisions and suturing.
  • The procedure leaves no foreign material in the body.
     
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Anal Surgery - Fistula, Piles (Hemorrhoids), Fissure, Prolapse!

Anal Surgery - Fistula, Piles (Hemorrhoids), Fissure, Prolapse!
Rectal Surgery is the only approach to treat Rectal Prolapse. True or False? Take the quiz to know more about Anal Surgery: Fistula, Piles (Hemorrhoids), Fissure, and Prolapse.
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Haemorrhoids - How Can Surgery Be Of Help?

Haemorrhoids - How Can Surgery Be Of Help?

The anus is a highly vascular area, and these blood vessels dilate, leading to a condition called hemorrhoids, which are external and protrude into the anus (external) or into the rectum (internal). While most hemorrhoids are self-limiting and can be managed with conservative care, about 10% to 20% of the hemorrhoids may require surgical removal.

When is surgery needed?

  1. Thrombosed hemorrhoid
  2. Prolapsed hemorrhoids
  3. Relentless bleeding (maybe painless also)
  4. Recurrent hemorrhoids

Types of surgery required:

The exact location of the hemorrhoid and the severity will dictate the type of surgery required. Read on to know some of the common techniques are used to treat hemorrhoids.

  1. MIPH (minimal invasive surgery for haemorrhoids): Also known as hemorrhoidopexy, it involves the use of surgical staples to keep a recurrently prolapsing hemorrhoid in place. These staples ensure they do not prolapsed again. It also cuts of blood supply, so the growth is curtailed. This is done as a same-day procedure under local or general anesthesia. This is the procedure of choice for grade 2 and grade 3 bleeding piles. It is a totally painless procedure and is widely accepted by patients.
  2. Hemorrhoidectomy: It is done under general anaesthesia or spinal anaesthesia in people where conservative and in-office procedures have failed. The hemorrhoids are often large, prolapsed, and cause bleeding. This requires hospitalization and may need about a week to recover completely. This was the standard procedure earlier. It is still very useful for prolapsed large piles.

Post surgery, there could be rectal pain and discomfort. In addition, the patient should drink water adequately, eat a high-fiber diet, and use a stool softener to prevent recurrence.

2711 people found this helpful

Surgery For Piles - Is It Really Effective?

Surgery For Piles - Is It Really Effective?
Hemorrhoidectomy is the comprehensive surgical treatment option for piles. True or False? Take this quiz to know more.
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27 people took this quiz

Piles - Is Surgery Really Effective?

Piles - Is Surgery Really Effective?
Hemorrhoidectomy is the comprehensive surgical treatment option for piles. True or False? Take this quiz to know more.
Start Quiz
28 people took this quiz
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