Often, piles are not associated with any symptoms and people are not even aware that they have them. This blog concentrates on the old and new advanced options for the treatment of piles for you.
Haemorrhoidectomy is the surgical procedure carried out for large external haemorrhoids and prolapsed internal haemorrhoids. Piles that cause problems and don’t respond to nonsurgical management are considered for surgical treatment. This procedure is conducted in a hospital under the best anaesthesia suitable to the patient for surgery.
Procedure for Prolapse and Haemorrhoids (PPH), is the advanced version of haemorrhoidectomy and is also called a stapled haemorrhoidectomy. The procedure is done using a stapler-like device to reposition the prolapsed haemorrhoid and cut off the blood supply to eventually allow the haemorrhoid to shrivel and die. This procedure is less painful than the traditional haemorrhoidectomy as the haemorrhoid is moved to a position where there are fewer nerve endings.
Stapling recovery takes less time and is less painful than recovery from a haemorrhoidectomy. The recovery is comparatively faster but certain publications highlighting that the technique is associated with high risk complications due to excision of anorectal skin.
In view of the complications, modern treatment methods for piles were directed towards aiming for procedures to be performed without anorectal excision and above the anatomical junction called the dentate line. Bleeding and prolapsing internal haemorrhoids refractory to conservative treatment can undergo ablation.
Procedures including injection sclerotherapy, infrared coagulation and rubber-band ligation are some of the commonly applied surgical methods of ablation for haemorrhoids. All procedures accomplish shrinkage and scarring of the internal haemorrhoid.
Injection sclerotherapy involves injecting a chemical into the haemorrhoid making it to shrink and stop bleeding. Little or no pain is experienced with the shot. This is the best optional procedure for small, internal haemorrhoids. The skin is not cut open requiring sutures and hence is a low risk procedure.
Infrared photocoagulation otherwise called the coagulation therapy, uses infrared light, heat or extreme cold to make the haemorrhoid retract and shrink. This type of procedure is usually performed with the help of an anoscopy. An anoscopy procedure uses a scope that is inserted several inches into the rectum to visualise and evaluate the haemorrhoid. Only mild discomfort or cramping is reported during treatment.
Banding, also called rubber band ligation is a procedure that involves using a tight band around the base of the haemorrhoid to cut off its blood supply. This procedure is best suitable for treating internal haemorrhoids. Banding usually requires successive procedures that take place about two months apart. The procedure is not reported to be painful, but may cause pressure or mild discomfort. There is a high risk of bleeding complications and hence not safe for all haemorrhoid patients.
Haemorrhoid laser procedure (LHP) is a new laser procedure for outpatient treatment in which hemorrhoidal arterial flow feeding the hemorrhoidal plexus is stopped by laser coagulation. The laser haemorrhoidectomy procedure is more effective than open surgical haemorrhoidectomy.
Laser haemorrhoidectomy has the advantages of being haemostatic, bactericidal, fast healing, not affecting neighbouring structures, less postoperative complications and less haemorrhage and stenosis. Open surgical haemorrhoidectomy is the most widely used procedure in the surgical management of haemorrhoids.
However, haemorrhoidectomy is associated with significant complications including pain, bleeding and wound infection which can result in a prolonged hospital stay.
At Chennai Laser Gastro Centre, we carefully choose the medical procedure and treatment required for your treatment of piles. Our top-grade LASER devices handled by our Expert LASER Surgeons to offer effective, safer and least painful treatment to you.
Chennai Laser Gastro Centre - The best Piles treatment hospital in the city, has some of the best doctors and surgeons and uses the latest technologies to mitigate the piles sufferings of the patients.