Best Surgical Treatment for Piles

‘Piles’ is the generic term for hemorrhoids. The collection of inflamed tissue in and around the anus and anal canal are called piles. These piles contain support tissues, blood vessels, muscles as well as elastic fibers. The collection of tissues and veins inflame and swell causing irritation, discomfort, and bleeding. The size of the muscle growth in the rectum or anus varies. Chronic constipation and diarrhea are the major causes of forming piles. Lifting heavy weights, pregnancy, or straining while passing stool are some of the causes of the muscle growth. Everyone has hemorrhoids, but due to inflammation, the tissues stretch and become thin and big causing irritation while passing stool. Piles get broadly classified under two categories, and anyone can get affected by piles.

The complications of Hemorrhoids vary! It may stop without any treatment within two weeks with proper attention and diet. But, severe conditions of hemorrhoids need medical attention. Surgical removal is the best option and effective for severe cases. The surgical removal of hemorrhoids gets termed as hemorrhoidectomy. The surgeon will decide whether the surgery will be effective without anesthetic or it is essential to use anesthetic after diagnosing the severity of the patient’s condition.

Let’s discuss about the surgeries done without anesthetic

1. Banding

   Banding is a simple surgical process for treating internal hemorrhoids. This simple process involves a rubber band which the surgeon ties around the base of the extruded muscle. The rubber band cuts off the blood supply to the muscle growth. This procedure is also called rubber band ligation. This procedure will take two or more times and two months time for the complete cure. This process is not painful, but the patient may experience mild discomfort. Patients with bleeding complications must not opt for this procedure.

2. Sclerotherapy

   Sclerotherapy is another treatment procedure without anesthetic. Under this procedure, the surgeon injects a chemical into the muscle growth. The injected chemical shrinks hemorrhoid and prevents it from bleeding. The patients experience little or no pain for the injection. The success rates of this procedure for treating small and internal hemorrhoids are high.

3. Coagulation Therapy

   Coagulation therapy uses infrared light, extreme cold or heat that causes retraction of hemorrhoid and the muscle growth shrinks. This treatment is also called infrared photocoagulation. This procedure gets done with anoscopy. In the anoscopy procedure, a scope gets inserted into the rectum which allows the doctor to visualize the interiors. The patients experience mild discomfort or minor cramps during the treatment.

4. Hemorrhoidal Artery Ligation

   Hemorrhoidal Artery Ligation is another effective treatment for removing hemorrhoid without anesthetic. This method also gets termed as transanal Hemorrhoidal dearterialization. In this treatment procedure, the surgeons use ultrasound and ligate to locate the blood vessels that cause Hemorrhoid. This treatment costs high and the patients experience long-lasting pain.

Now, let’s generate idea about the treatment methods with anesthetic.

1. Hemorrhoidectomy

   Hemorrhoidectomy is an effective treatment method for treating large external hemorrhoids as well as internal Hemorrhoid that doesn’t respond to nonsurgical treatment. The surgeons will decide the best anesthesia during the surgery. The surgeon may use local, regional or local anesthesia.

   After giving the anesthesia and it starts working, the surgeon will cut off the big Hemorrhoid. The patients will remain under observation for a few days after the operation. The medical team will ensure complete recovery and stable condition before discharging the patient. The patients may experience pain and infection after the surgery if the patient doesn’t get proper care and medical attention.

2. Hemorrhoidopexy

   Hemorrhoidopexy also gets termed as stapling. This treatment procedure is a same-day surgery. The surgeons may use general or regional or local anesthesia depending on the diagnose report of the patient. Stapling is the best surgical method to treat prolapsed Hemorrhoids. The surgical staple places the extruded muscle growth back to the place in the rectum or anus.

   The surgeons cut off the blood supply to the muscle growth for which the tissue shrinks and get reabsorbed into the rectum. The patients experience less pain in the Staple treatment procedure, and the surgery takes less time in comparison to Hemorrhoidectomy.

After the surgical treatment for piles, the medical team will give proper medical attention and care. Considering the improvements and diagnose reports, the surgeons will provide the aftercare steps and care at home to recover from the pain. Your condition may or may not require surgical treatment and the severity level may or may not require anesthetic surgical treatment. Consult an expert for the best advice, treatment, and care tips!

Also Read:

• Q&A on Hemorrhoid or Piles: Is It A Serious Disease?
• Dos & Don’ts for Piles