Hemorrhoids (Piles) Surgery

Surgery is referred to the patients who are unable to make compliance with medications and minimally invasive procedures. Surgical procedures offer long term relief from pain and recurrence as compare to non-surgical procedures.

Kinds of Hemorrhoid Surgery

There are mainly three options for patients who want to undergo surgery for hemorrhoids. These procedures are:

Hemorrhoidectomy

Hemorrhoidectomy is defined as surgery for the removal of hemorrhoid. The procedure involves following steps:

• A local anaesthesia (only part of the body where surgery is being performed is numbed) or general anaesthesia (whole body goes into sleep) is given to the patient.
• A circular incision around the anus is made to remove the hemorrhoid.
• The patient is kept under observation for 24 hours or usually sent home on the same day

Complications: As the surgery is performed in highly sensitive area, therefore, the area becomes painful and tender which may temporarily cause uncomfortable. Also, urinary tract infections or difficulty in urination for temporary period are also associated with complication of this procedure.

Stapled Hemorrhoidectomy

This procedure is less painful than the conventional hemorrhoidectomy. The following steps are performed during this procedure:

• Hemorrhoid tissue is removed using circular stapling device without making any incision.
• The hemorrhoid is lifted from the base and then placed back into the anal canal and “stapled” over there. This step cuts off the blood supply to the hemorrhoids.

Thus hemorrhoids shrink and die. This surgery is more expensive.

Complications: include recurrence of hemorrhoids and rectal prolapse. Rectal prolapse is painful condition in which rectum protrudes from lower part of anus.

Doppler-guided Hemorrhoidectomy

In this procedure, a special probe is used to locate arteries of the hemorrhoid and then less tissue is incised and removed.

Post Surgery Care

Following care is required pot surgery:

• Keep your proper diet. Drink maximum liquid and take bland diet like plain rice , dry toast etc in the first few days after surgery, then gradually increase fibre content in your diet.
• One can apply anaesthetics ointments before and after bowel movements to get relief from pain.
• To reduce swelling and inflammation around anal area, ice-packs are useful.
• Bathing with warm water also help to reduce muscle spasms and pain.
• Antibiotics are prescribed after surgery to prevent infections.
• Follow ups should be done to avoid any complication after every 2- 3 weeks.