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Piles Care Clinic : 1. Laser Ablation 2. Haemorrhoidectomy 3. Rubber band Ligation 4. IRC Sclerotherapy, etc Piles Surgery (Hemorrhoidectomy): Piles (hemorrhoids) often improve with diet changes, medications, and non-surgical treatments, but severe or recurrent cases may require surgery. Here’s a detailed guide on surgical options, recovery, and post-op care. When is Surgery Needed? Grade III or IV hemorrhoids (prolapsed, cannot be pushed back manually). Thrombosed hemorrhoids (extremely painful blood clots). Excessive bleeding causing anemia. Failed non-surgical treatments (rubber band ligation, sclerotherapy). Types of Piles Surgery 1. Hemorrhoidectomy (Traditional Surgery) Procedure: Surgical removal of hemorrhoids under anesthesia. Best for: Large, external, or prolapsed hemorrhoids. Recovery: 2–4 weeks (moderate pain, requires wound care). Success rate: >95% long-term cure. 2. Stapled Hemorrhoidopexy (PPH Procedure) Procedure: A circular stapler removes excess tissue and repositions hemorrhoids. Best for: Prolapsed internal hemorrhoids. Recovery: Less pain than traditional surgery (1–2 weeks). Risks: Slight chance of recurrence or rectal stricture. 3. Laser Hemorrhoidectomy Procedure: Laser seals hemorrhoidal veins with minimal bleeding. Best for: Small to moderate hemorrhoids. Recovery: Faster healing, less pain (1–2 weeks). Disadvantage: Higher cost, not suitable for large hemorrhoids. 4. THD (Transanal Hemorrhoidal Dearterialization) Procedure: Ultrasound-guided stitching of blood vessels to shrink hemorrhoids. Best for: Bleeding internal hemorrhoids. Recovery: Minimal pain, quick return to work. 5. Rubber Band Ligation (Non-Surgical but Invasive) Procedure: A band cuts off blood supply, making hemorrhoids shrink. Best for: Grade II-III internal hemorrhoids. Recovery: Mild discomfort (1–2 days).

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