Piles surgery, also known as hemorrhoidectomy, is a surgical procedure performed to treat severe or recurring hemorrhoids. Hemorrhoids are swollen blood vessels in the rectum or anus that can cause discomfort, pain, bleeding, and itching. When other non-surgical treatments fail to provide relief, piles surgery may be recommended.
There are different techniques used in piles surgery, and the specific approach depends on the size, location, and severity of the hemorrhoids, as well as the surgeon’s preference. Some common surgical techniques for piles include:
Open Hemorrhoidectomy: In this traditional approach, the surgeon makes incisions around the hemorrhoids to remove them. The incisions are typically left open to heal over time. Open hemorrhoidectomy is effective for larger or more complex hemorrhoids but may result in more postoperative pain and a longer recovery period.
Stapled Hemorrhoidopexy: Also known as stapled hemorrhoidectomy or procedure for prolapse and hemorrhoids (PPH), this technique involves using a circular stapling device to remove excess tissue and reposition the hemorrhoids. The stapled technique aims to reduce blood flow to the hemorrhoids, allowing them to shrink and heal. Stapled hemorrhoidopexy may lead to less postoperative pain and a faster recovery compared to open surgery.
Transanal Hemorrhoidal Dearterialization (THD): THD is a minimally invasive procedure that uses Doppler ultrasound to identify and tie off the arteries supplying blood to the hemorrhoids. By reducing blood flow, the hemorrhoids shrink and symptoms are alleviated. THD is associated with less postoperative pain and a shorter recovery time compared to open surgery.
The recovery period after piles surgery varies depending on the surgical technique used and the individual’s healing process. It is common to experience some discomfort and pain during bowel movements in the initial stages of recovery. Pain medications, stool softeners, and dietary modifications may be recommended to facilitate healing and minimize discomfort.