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Hemorrhoidectomy
Hemorrhoidectomy is the medical term for surgery to eliminate haemorrhoids or piles. To remove them, the surgeon makes incisions in the affected area around the anus. The surgery is done with local or general anaesthesia.
After surgery, the incised area may remain tender for a few days. The average time for recovery is two weeks, but it can take anywhere from three to six weeks to return to normal activities.
Haemorrhoidal Artery Ligation and Recto Anal Repair (HAL-RAR)
A new surgery called Haemorrhoidal Artery Ligation and Recto Anal Repair (HAL-RAR) involves inserting a tiny Doppler sensor into the anus to identify the arteries that provide blood to the piles.
The surgeon can identify the arteries feeding the piles and cut off circulation. Within a few days, the piles are no longer evident. It works well and is less painful than other surgeries.
Prolapse and Piles treatment methods (PPH)
Another name for PPH is a stapled hemorrhoidectomy. The doctor will relocate the piles and cut off their blood supply using a surgical tool resembling a stapler. They’ll eventually perish without blood.
Piles that have prolapsed or slipped out of the anus can be treated with it.
It hurts less than a standard hemorrhoidectomy because the piles are moved to an area with fewer nerve endings. Additionally, you’ll heal more quickly and have less bleeding and itch.
Sclerotherapy
Internal piles up to Grade 2 are treated with this technique. A substance is injected into the piles in this procedure causing them to shrink and stop bleeding. Most people experience minimal or no pain during the shot.
It is an outpatient procedure with few known complications. It is a preferred option for those on blood thinners as no cuts are made. It is the most effective treatment for very small internal piles.
Coagulation therapy
Infrared photocoagulation is another name for coagulation therapy. Internal piles in Grades 1-3 are treated with this method. To make piles retract and contract, it uses infrared light, heat, or extremely low temperatures.
It’s an outpatient procedure done concurrently with an anoscopy. An anoscopy involves inserting a scope several inches into your rectum during a visualisation treatment. The doctor can see the extent and position of the piles, thanks to the scope.
Most patients feel slight discomfort or cramps while receiving piles treatment.
Hemorrhoidopexy
Sometimes hemorrhoidopexy is referred to as stapling. It often occurs in a hospital as same-day surgery and necessitates general, regional, or local anaesthetic.
Prolapsed piles, Grades 3–4, are treated by stapling. With the blood supply cut off, the prolapsed piles are fixed back into place with a surgical staple, causing the tissue to contract and be reabsorbed.
Recovery from a staple procedure is quicker and less painful than recovery following a hemorrhoidectomy. According to research, persons who undergo this operation spend less time going to the bathroom and have fewer open wounds after four weeks.
A higher prevalence of piles and prolapse recurrence is also apparent, though.
Here are a few more treatments to treat piles:
1) First-line treatment aims to soften stools and relieve constipation. To do this, consume at least 25 to 30 grams of insoluble fibre daily. Cereals, whole grains, fruit, and vegetables fall under this category. The patient is advised to avoid caffeine-containing beverages, including tea, coffee, and aerated drinks, and drink at least 6 to 8 glasses of water daily.
2) In certain people, piles may not always cause symptoms. The symptoms may get worse due to causes like pregnancy, constipation, etc. Frequently, under these circumstances, over-the-counter lotions and gels from pharmacies might assist in lessening discomfort and itching around the anus.
3) To minimise erosions and bleeding, self-care measures include not straining to pass stools, cleaning with wet wipes or baby wipes rather than dry toilet paper, and taking warm baths, known as Sitz baths to reduce pain and blood vessel enlargement.
4) A few examples of over-the-counter drugs are lotions, gels, ointments, and suppositories. These numb the region and reduce pain and inflammation.
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