Principle: under anaesthesia, the excess bleeding &/or prolapsing (sliding) hemorrhoid is tied at the base, cut & removed out of the body. The bleeding from the resulting wound is stopped by various means and the wound is either left open to heal or is closed (stiched). The healing takes about 4-6 weeks and then one can actually forget about the piles provided one avoids constipation and straining.
What is LASER surgery for piles?
LASER is a precise directed light ray which causes destruction of the target tissue.
There are 2-different lasers used:
- CO2 laser–when the non-contact beam is applied over the pile mass, the laser evaporates the piles.
- Argon Laser – it is like a precise knife and the hemorrhoidectomy is done similar to open surgery.
Advantages: pin-point precision of surgery, Less bleeding & Less pain ( NB: laser is not painless – as perceived by majority of patients)
Any better treatment than LASER?
YES
BLOOD LESS ULTRASONIC SCALPEL (B.U.S.) Hemorrhoid surgery
As the name itself suggests, this is a bloodless surgery with not even a single drop of bleeding occurring during the surgery for piles. Though the principles of surgery are the same, the ultrasonic scalpel is an instrument works on a vibration principle (vibrating at a speed of 5,500 vibrations per second). This produces heat that brings about the bloodless removal of the pile masses under anesthesia. Also the wound size is relatively small. So less post-operative pain & faster recovery. Please see video for better understanding.
What is Stapler Hemorrhoidopexy?
This is a M.I.P.H. (minimal invasive procedure fro haemorrhoids). Here a circumferential cuff of the inner wall of the rectum, from where the sliding of the piles start, is removed & the sagging wall of the anus is pulled up and stapled to its original position at the same time using a circular stapler. Please see video to get better understanding of the procedure. It is the most physiological scientific treatment for piles / hemorrhoids.
Advantage:
- not only the 3/7/11 o’clock primary piles but also the accessory or secondary piles are removed at the same time. Thus avoids recurrence.
- There is no wound outside on the skin at the anal opening. Therefore pain after stapler surgery is comparatively 80% less than open surgery for piles.
- There is no bleeding wound to be nursed after the surgery.
- Healing is faster and return to routine activities is much earlier.
