The anus is a highly vascular area. There are main three blood vessels who can dilate, leading to a condition called piles or hemorrhoids. They may be in the outer side and protrude into the anus (external) or inside into the rectum (internal). While most piles (hemorrhoids) can be managed with conservative care or less invasive treatments, about 10% to 20% of the hemorrhoids may require surgical removal.
When is surgery needed for piles ?
Surgery may be required if you have the following diagnosis
- Thrombosed hemorrhoid
- Prolapsed hemorrhoids
- Relentless bleeding (maybe painless also)
- Recurrent hemorrhoids
Types of surgery required for piles
The exact location of the hemorrhoid and the severity will dictate the type of surgery required. Some of the common techniques are used to treat hemorrhoids are
- MIPH (minimally invasive procedure for haemorrhoids):
Also known as stapled 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 spinal 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.
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. The patient should drink water adequately, eat a high-fiber diet, and use a stool softener to prevent recurrence.
In case you have a concern or query you can always consult an expert & get answers to your questions!