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Piles

Piles

WHAT IS PILES?

We provide Piles treatment at Harsh Hospital & Maternity Home, Surat. Piles (Haemorrhoids) is a bunch of broadened veins in the anus and the lower rectum. The rectum is the last range of digestive tract which continues as the anus, from where stools are excreted.

Piles (Haemorrhoids) is generally classified into two:

  • Internal piles starts in the lower rectum and doesn’t come out of the anal opening.
  • External piles starts in the lower rectum and remain outside the anal opening.

SYMPTOMS OF PILES

Enlarged Piles are associated with symptoms such as

  • Painless bleeding while passing stools.
  • Itching
  • Mucus discharge
  • Burning on and around the anus.
  • Severe pain, if the complication occurs.
  • The sensation of incomplete evacuation.
 

CAUSES

Few things that can cause piles are:

  • Chronic constipation
  • Obesity, Pregnancy, Cirrhosis of the liver
  • Standing or sitting for long durations
  • Consuming low fiber diet
  • Over consumption of junk, spicy and fried food. i.e people who are always in hurry, mostly worry and eat spicy curry
Usual Treatment options for Piles
  • Change of diet and lifestyle (Grade I)
  • Lotions, Medicaments, Ointments (Grade I)
  • Rubber Band, Sclerotherapy, Infrared Coagulation (Grade I +II)
  • Laser Hemmorrhoidoplasty
  • Closed Surgery: Stapler Hemorrhoidopexy (Grade III+IV) M.I.P.H.
  • Open Surgery: Milligan-Morgan, Parks (Grade III+IV)
Advantage of Laser Haemorrhoidoplasty
  • Postoperative period is least painful
  • Daycare procedure
  • Chances of postoperative bleeding are minimal
  • Generally, postoperative dressing is not required
  • No rectal stenosis
  • No incontinence
  • Can be done in post-C.A.B.G and postpartum patients
  • Several repetitions possible
J & J Stapler for Piles
  • 33 mm hemorrhoidal circular stapler.
  • Suture threader
  • Circular Anal Dilator
  • Purse-string suture anoscope
Stapled Haemorrhoidopexy (M.I.P.H)
Pros Cons
Procedure for prolapse and hemorrhoids (PPH). Although rare, there are risks that accompany PPH.
Place hemorrhoids back into the anal canal rather than just treating or cutting it off. If a lot of muscle tissue is drawn into the device, it might result in damage to the rectal wall.
30-45 minute procedure. The internal muscles of the sphincter may stretch, resulting in short or long term dysfunction.
Recovery is less painful when compared to open surgery that requires cutting. Sometimes post-operative bleeding might occur.
The procedure is performed above the dentate line, hence minimizing pain. Severe post-operative pain if stapler is fired below the dentate line.
The patient returns to its normal activity in 2-3 days.  
Can be performed under local, regional or general anesthesia.  
 
 
Open Haemorrhoidectomy

Performed in 2 ways:

  • Milligan-Morgan (Open)
  • Ferguson (Closed)

Disadvantages of Open Surgery are:

  • Hospital stay 5-7 days.
  • Pain for 2-4 weeks.
  • High chances of post-op bleeding.
  • Infections.
  • Abscess & Rectal Stenosis.
  • Problems in s
  • Open wounds need 4-6 weeks to heal.
  • The necessity of taking Sitz baths.