When is Surgery Required?
Surgery for piles is recommended when the non-surgical treatments fail to provide the desired relief to provide relief or in more severe cases. Indications for requirement of surgical intervention include:
1.Continuous Symptoms: If the symptoms of bleeding, pain and discomfort don’t go away despite the treatment, then a surgery may be considered.
2.Larger Piles: Large sized piles or prolapsed (fallen down) piles may need surgical removal.
3.Further Complications: If piles create complications like thrombosis (blood clotting), excessive bleeding or anal fissures, then a surgery may be necessary.
4.Recurrent Piles: Recurring piles which significantly impact the patient’s life may require surgical intervention.
The surgical intervention includes the below:
1.Hemorrhoidectomy: The surgical procedure of Hemorrhoidectomy involves the complete removal piles. It is performed under general anesthesia. The surgeon cuts out the hemorrhoids and stitches back the remaining tissue. It is effective in cases of severe or recurrent piles but involves a longer recovery period and more discomfort.
2.Hemorrhoidopexy: This surgical procedure also known as stapled hemorrhoidectomy or stapled hemorrhoidopexy involves use of a special stapling device to remove and reposition the piles back into its normal position. The procedure restores blood flow to the affected area and reduces the risk of recurrence. It causes less pain and promotes a faster recovery.
3.Sclerotherapy: The hemorrhoids are injected with a chemical solution which causes them to shrink and eventually wither away. Sclerotherapy is a non-invasive procedure which treats smaller internal hemorrhoids.
4.Rubber Band Ligation: This procedure involves a rubber band placed around the base of the hemorrhoid which cuts off its blood supply. The hemorrhoid shrinks and falls off after a few days. It is effective way for treating internal hemorrhoids.
5.Laser Hemorrhoidoplasty: It is a minimally invasive procedure which uses laser energy to shrink and coagulate the hemorrhoids. The laser closes the blood vessels because of which the hemorrhoids shrink and eventually disappear. It includes less post-operative pain and a shorter recovery period.
It is to be noted that the choice for the surgical procedure depends upon the severity of the piles, overall health of the patient and the surgeon’s expertise. Healthcare professionals can determine the most suitable surgical option for the patient after thorough evaluation and discussions.