Hemorrhoids, often referred to as piles, can be described as swollen and inflamed veins that are located in the rectum as well as in the anus. They cause pain, bleeding and itching. While lifestyle modifications and non-surgical treatment options are usually efficient, in extreme or ongoing instances, surgery for hemorrhoids becomes imperative to offer permanent relief.
What is Hemorrhoids Surgery: Understanding what is hemorrhoids surgery
Hemorrhoids are a common disease that affects millions of people across the globe. They can be caused by:
- Diarrhea or constipation chronically
- Sitting for long periods of time (especially in the toilet)
- Straining during bowel movements
- Childbirth and pregnancy
- Diets that are high in fiber and overweight
- There are two types of hemorrhoids.
- Internal Hemorrhoids are located in the rectum, they are usually not painful but they may also bleed.
- External Hemorrhoids These are located in the skin, around the anus, they can cause pain, swelling and itchy.
Moderate to mild hemorrhoids are often treated with topical creams, sitz baths modifications to diet, or even minimally surgical procedures. If symptoms continue to persist or complications such as thrombosis, prolapse are present, surgery is usually the best option.
Why Hemorrhoids Surgery is Recommended
Hemorrhoids surgery, also known as hemorrhoidectomy, is recommended to those who
- Are large hemorrhoids in the internal area that prolapse (fall out of the anus)
- Insufficiency of bleeding, which leads to anemia
- Feeling pain or discomfort, despite non-surgical treatment
- Are you suffering from hemorrhoids on your externals that have blood clots (thrombosed hemorrhoids)
Do you require long-term relief following a unsuccessful rubber band ligation or sclerotherapy
Benefits of Hemorrhoids Surgery:
- Permanent elimination of hemorrhoids
- Recurrence reduced
- Long-term relief from symptoms
- Better quality of life
Types of Hemorrhoids Surgery
There are many options for surgery, based on the severity and type of hemorrhoids. Here are the most commonly used kinds:
1. Conventional Hemorrhoidectomy:- It is the most common procedure in which hemorrhoidal tissue is removed using the scalpel, scissors or electrocautery. It’s very effective, however it involves greater postoperative pain as well as an extended recovery time.
- Ideal for: Extreme hemorrrhoids both external and internal.
- The recovery time is A couple of weeks
2. Stapled Hemorrhoidopexy:- Also referred to as PPH (Procedure to treat Prolapse as well as Hemorrhoids) This method involves repositioning hemorrhoids back in the rectum, and then cutting off their blood supply with an stapling device that is circular.
Advantages:
- A lesser amount of postoperative pain
- Speedier recovery
- Shorter hospital stay
- Limitations: It may have a greater chance of having recurrence in comparison to traditional procedures.
3. Laser Hemorrhoids Surgery:- Laser hemorrhoidectomy is an minimally invasive and sophisticated procedure that uses laser energy used to shrink and then remove blood vessels. It’s a painless, bloodless and more efficient alternative to conventional surgery.
Advantages:
- A small amount of bleeding and minor discomfort
- Rapid healing time
- Daycare procedure (same-day discharge)
- Recovery The recovery time is 3-7 days
4. Rubber Band Ligation (RBL):-Although it isn’t a surgical procedure however, it is a very common outpatient procedure to treat internal hemorrhoids. In this procedure, a rubber band is put on the bottom of the hemorrhoid, cutting off blood flow, which causes it to shrink, and then fall off.
- The best choice is for small to medium-sized internal hemorrhoids.
- Time to recover: 1 week
What to Expect Before and After Hemorrhoids Surgery
Preoperative Instructions:
- Stop all blood-thinning medication if recommended
- Eat light, fiber-rich meals throughout the day prior to surgery
- Keep a clean and healthy anal region
- Fast for 6-8 hrs prior to surgery (as as)
Postoperative Care:
- Utilize pain relievers only as directed.
- Relax in warm sitz baths to help ease pain and promote healing
- Ice packs are a great way to minimize swelling
- Make sure you eat a high-fiber diet and consume plenty of fluids
- Avoid straining during bowel movements
- Be physically active and keep moving by walking
Most patients are able to return to their routine within about a week or so dependent on the kind of procedure performed and the individual’s health.
Risks and Complications of Hemorrhoid Surgery
Although hemorrhoids procedure is usually safe and efficient as is any other surgical procedure, it comes with some risk:
- The pain and discomfort that comes with recuperation
- Infections at the site of surgery
- Urinary retention or difficulty in urinating
- Ail discharge or bleeding
- Rarely, anal stasis or the incontinence of feces.
Selecting a skilled colorectal surgeon or proctologist and adhering to the post-operative care guidelines can greatly minimize the risks.
Conclusion
Hemorrhoids surgery is an extremely beneficial treatment option for people who suffer from severe or chronic piles. While the idea of surgery can be intimidating Modern techniques like laser hemorrhoid surgery as well as hemorrhoidopexy with staples offer secure quick, speedy, and less painful options. An early diagnosis, a suitable method of treatment, and the right post-operative care are essential to a long-lasting and smooth recovery. If you or someone close to you has piles that are affecting their everyday life Don’t be afraid to talk with an expert for advice and research your options for surgical treatment.
