Disease Index

Hemorrhoid Surgery (Piles Surgery)

Monika Pawar   by Monika Pawar, MS    Last updated on July 16, 2018,

hemorrhoid surgery

 

Surgery for the treatment of hemorrhoids

Surgical treatment of hemorrhoid is done in two ways as follows:

Surgeries without anesthetic

Some types of hemorrhoid surgeries can be done in a doctor’s office without the need of any anesthetic. These are such as:

Banding

Banding is a procedure that is used to treat internal hemorrhoids. This procedure is also called rubber band ligation. In this procedure, a tight band is tied around the base of a hemorrhoid to cut off its blood supply. When the area does not get any blood supply, it will die, shrink and then fall off.

Banding is done in two or more procedures that take place about two months apart. This process is not painful, but the patient may feel slight pressure or a mild discomfort.

This procedure is not recommended if the patient is taking blood thinners.

Sclerotherapy

This procedure is considered best for small and internal hemorrhoids. In this procedure, a chemical is injected into hemorrhoids. The chemical causes the hemorrhoids to shrink and stop them from bleeding.  Read about bleeding haemorrhoids.

A little or no pain is experienced in the procedure during the shot.

Coagulation therapy for treating hemorrhoids

Coagulation therapy is another type of hemorrhoid surgery. It is also called infrared photocoagulation because this treatment method uses infrared light or heat. The infrared light is used to retract and shrink the hemorrhoid.

data-matched-content-ui-type="image_card_sidebyside"

The procedure is usually carried out along with an anoscopy (a visualization procedure in which a scope is inserted several inches into your rectum to look inside it). Only mild discomfort or cramping is experienced during the treatment.

More: Sitz Bath For Relief From Hemorrhoids

More: Can Hemorrhoids Go Away On Their Own?

Hemorrhoidal artery ligation

Hemorrhoidal artery ligation (HAL) is also known as transanal haemorrhoidal dearterialization (THD). In this method, an ultrasound is used to locate the blood vessels which supply blood to hemorrhoids. After locating, these blood vessels are ligated or closed off.

This procedure is more effective than rubber banding but it is costly and results in longer-lasting pain.

Surgeries with anesthetics

Other types of surgeries are performed in a hospital under an anesthetic. The patient feels no pain or discomfort during these surgeries too.

Hemorrhoidectomy for treating hemorrhoids

A haemorrhoidectomy is a haemorrhoids surgery and is used for the treatment of two types of hemorrhoids:

  • large external hemorrhoids
  • internal hemorrhoids (that have prolapsed or are causing problems and not responding to nonsurgical treatments)

The choice of anesthesia is done by the doctor and the patient. Various types of anesthesia during piles surgery may include such as:

  • general anesthesia (the patient gets into a deep sleep throughout the surgery)
  • regional anesthesia (numbs the patient's body from the waist down, being delivered by a shot into the back)
  • local anesthesia (numbs only the anus and rectum).

Once the anesthesiais is given and it shows its effect, the surgeon will cut out the large hemorrhoids. After the operation, the patient is taken to a recovery room for a brief period of observation. Once the medical team is sure that the patient’s vital signs are stable, he will be discharged from the hospital.

Main risks of a piles surgery are pain and infection.

See also: Different Medicines For Hemorrhoids

See also: How Can Piles Pain Be Relieved?

Hemorrhoidopexy

Hemorrhoidopexy is sometimes referred to as stapling and is used to treat prolapsed hemorrhoids. It is usually a day surgery in a hospital, and it requires general, regional, or local anesthesia (according to the need).

In this procedure, the surgeon fixes the prolapsed hemorrhoid back into place using a surgical staple. After this, the blood supply to the area is cut off so that the tissue will shrink and be reabsorbed.

Stapling is less painful than haemorrhoidectomy and also takes less time in the recovery process.

Hemorrhoid surgery recovery time

The first few days after a piles operation can be quite painful but most people recover quickly within about 10 to 14 days and they also return to all of their regular activities. Still, there are certain care considerations that a patient should be careful about, such as:

  • not able to drive while taking narcotics
  • avoiding vigorous exercise and heavy lifting for about ten days

The first week of the surgery is very crucial. During this period, it is important to watch for any sign of complications from the procedure. Presence of any of the following conditions may require to call the doctor immediately:

  • Inability to urinate
  • Heavy bleeding from the surgical wound
  • A blood blister (hematoma) inside the incision
  • Fever or chills
  • Fecal matter trapped in the rectal canal

Hemorrhoids Home

Hemorrhoids Graphics

you may like these

Related coverage

What Causes Constipation?
What Causes Constipation? Causes of constipation Constipation happens when the colon absorbs too much water from the stool making it hard and dry. This situation arises when the muscles in the colon contract. . . .
What Are The Causes And Risk Factors of Hemorrhoids?
What Are The Causes And Risk Factors of Hemorrhoids? Hemorrhoids are not a result of one day. Instead, persistent pressure and repeated straining of anal muscle during bowel movement cause hemorrhoids (piles) which cause the veins present. . . .
What are the Causes of Cirrhosis of Liver?
What are the Causes of Cirrhosis of Liver? Causes of Liver Failure: What Causes Liver Cirrhosis? Cirrhosis, a chronic disease is caused mainly by long-term disease or injury to the liver. The process is gradual and it does. . . .
Diagnosing Diverticulitis
Diagnosing Diverticulitis   Severe abdominal pain on the lower left side of the belly is the main indicator of diverticulitis. Diagnosis of diverticulitis is usually done during an acute pain attack.. . . .
What are the Causes of Celiac Disease?
What are the Causes of Celiac Disease?   What Causes Celiac Disease? Celiac disease is an autoimmune disorder that is caused by the reaction of an abnormal immune system to gluten (a protein found in bread,. . . .
Risks with Gallbladder Removal Surgery: What Happens When You Have Your Gallbladder Removed?
Risks with Gallbladder Removal Surgery: What Happens When You Have Your Gallbladder Removed?   Do you need a gallbladder? The gallbladder is a pear shaped hollow sac that sits right below the liver and stores and concentrates the bile produced by the liver. The. . . .
What are the Signs and Symptoms of Cirrhosis?
What are the Signs and Symptoms of Cirrhosis?   Liver Cirrhosis Symptoms and Signs The main function of liver is to purify the blood, break down toxins and clotting-protein production. Due to cirrhosis, when the. . . .
Gallbladder: Location, Anatomy, Function
Gallbladder: Location, Anatomy, Function   Anatomy of the gallbladder The gallbladder is a long pear-shaped membranous sac (hollow structure) that sits just under the liver. It stores and concentrates the bile. . . .
Symptoms of Diverticulitis
Symptoms of Diverticulitis   Diverticulitis is a condition of the gastrointestinal (GI) tract caused by bacterial infection in small pouches present in the large intestine. Symptoms take a few days. . . .
What is the Treatment of Cirrhosis ?
What is the Treatment of Cirrhosis ?   Cirrhosis Treatment There is no treatment for cirrhosis and for repairing the scarred tissue developed due to cirrhosis. However, treatments to prevent the further. . . .