Piles Surgery (Haemorrhoidectomy) Made Simple

Safe, painless, and effective treatments for haemorrhoids with quick recovery.

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Minimally Invasive Options
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What is Piles Surgery (Haemorrhoidectomy)?

Haemorrhoidectomy is a surgical procedure performed to remove haemorrhoids (piles) –swollen and inflamed veins in the rectum or anus that cause pain, bleeding, and discomfort. Itis usually recommended when non-surgical treatments (like lifestyle changes, medications, orminimally invasive procedures) fail, or when haemorrhoids are severe (Grade III or IV).

Symptoms

Bright red bleeding during bowel movements
Pain or discomfort in the anal area
Itching or irritation around the anus
Mucus discharge after passing stool
Swelling or a lump near the anus
Difficulty cleaning after bowel movement

Haemorrhoids Causes

 Low-fiber diet
Sitting for long periods on the toilet
Straining during bowel movements
Pregnancy
(increased pressure in pelvic veins)
Obesity
Chronic diarrhea
Aging
(weakening of rectal tissues)

Types of Haemorrhoids

 Internal Haemorrhoids
External Haemorrhoids
Prolapsed Haemorrhoids
Thrombosed Haemorrhoids

Diagnosis

Physical Examination
Digital Rectal Examination (DRE)
Anoscopy/ Proctoscopy
Colonoscopy/ Sigmoidoscopy

Haemorrhoids Treatment

01
Conventional (Open) Haemorrhoidectomy

In this surgical procedure, the surgeon removes excess hemorrhoidal tissue causing bleeding and prolapse. The wound is left open or stitched depending on the approach. This method is effective for large, recurrent, or grade 3–4 piles. Recovery may take 1–2 weeks with mild postoperative discomfort.

02
Stapler Haemorrhoidectomy

The surgeon uses a circular stapling device to remove a ring of excess tissue and pull the hemorrhoids back inside the rectum. This reduces blood flow to the hemorrhoids, causing them to shrink. It is usually less painful and has faster recovery compared to conventional methods. Ideal for internal hemorrhoids.

03
Laser Haemorrhoidoplasty:

In this minimally invasive procedure, the surgeon directs a controlled laser beam into the hemorrhoidal mass. The laser causes the tissue to shrink from within, resulting in less pain, minimal bleeding, and quicker healing. Suitable for early to moderate-stage piles.

04
Doppler-Guided Hemorrhoidal Artery Ligation

This procedure uses a Doppler probe to identify the arteries supplying blood to the hemorrhoids. The surgeon then ties off these arteries, reducing blood flow and shrinking the hemorrhoids. This method avoids cutting and is associated with quicker
recovery.

05
Rubber Band Ligation

A minimally invasive OPD procedure where a small rubber band is placed around the base of the internal hemorrhoid, cutting off its blood supply. The hemorrhoid shrivels
and falls off within a week. Most effective for grades 1–2 piles.

06
Infrared Coagulation (IRC)

The surgeon uses infrared light to coagulate and shrink small internal hemorrhoids. It is a quick, almost painless procedure done in the OPD for early-stage haemorrhoids

Why You Should Not Delay

If left untreated, piles can become more painful and severe over time. Delaying treatment may lead to continuous bleeding, anemia, infection, or prolapsed haemorrhoids that are harder to manage. Early treatment ensures quicker recovery, less discomfort, and prevents long-term complications.

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Frequently Asked Questions

Do all piles need surgery?

No, mild piles can be managed with medicines, diet, and lifestyle changes. Surgery is usually recommended for severe cases or when other treatments fail.

Is piles surgery painful?

Modern procedures like laser haemorrhoidoplasty cause minimal pain compared to traditional surgery, and recovery is much faster.

How long does recovery take after haemorrhoidectomy?

Most patients can return to routine activities within a week. Full recovery may take 2–3 weeks depending on the procedure.

Can piles come back after surgery?

The treated haemorrhoids are permanently removed, but new ones can form if constipation, straining, or poor lifestyle habits continue.

Is piles surgery safe?

Yes, with experienced surgeons and modern techniques, piles surgery is safe and effective, with very low risk of complications.

Still unsure about treatment?

Don’t worry, our expert team will guide you through diagnosis, treatment options, and recovery. Share your question and we’ll respond quickly.

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