Permanent solution for Haemorrhoids with advanced minimally invasive surgery

Haemorrhoids or Piles removal through surgical procedures improved from complex ligation, excision to advanced methods. Various options are presently available for the surgical management, and these options permit patients to get the best results, with less pain and lesser complications. Here is important information that will help patients and family members understand about the procedure and the advantages of MIPH.

Overview and different types of haemorrhoids

Piles or haemorrhoids refers to swollen veins inside the rectum or around the anus. This is similar to varicose veins and this condition develops gradually.

Types of haemorrhoids

• • Internal haemorrhoids – this occurs inside the rectum, causing bleeding and irritation, but may not cause pain.
• • External haemorrhoids – this occurs around the anus, and can be felt like slightly hardened lumps covered by skin, causing pain, irritation and bleeding.

Diagnosis

Diagnosis typically involves physical examination of the area around the anus for external haemorrhoids, physical rectal examination for internal haemorrhoids and procedures such as Anoscopy, and sigmoidoscopy. In a significant number of cases, the condition is detected when the patient is undergoing diagnosis or treatment for other related conditions. For instance, a specialist performing diagnosis or treatment for digestive tract issues, or colon related health problems, may detect piles in the patients. This may involve the use of colonoscopy and flexible sigmoidoscopy. During various diagnosis/examinations, the specialist typically looks for swelling, formation of lumps, prolapsed haemorrhoids, blood clots in veins, mucus discharge, skin tags, anal fissures, muscle tone in the anus, and formation of lumps.

Symptoms

There are symptoms that can help identify the condition, but confirmation involves diagnosis/examinations. Symptoms commonly associated with the condition include:
• Discharge of blood after passing stool. Blood may appear bright red in color.
• Itching sensation around the anus.
• Urge to pass stool, even after having passed stool.
• Mucus discharge from anus.
• Formation of lumps/swollen flesh around the anus.
• Pain and discomfort while passing stool, inability to pass stool, pain in the anus
 

Best procedure to resolve the condition

 
Various procedures have been developed over the years to deal with haemorrhoids, and many involved extended stays, with the possibility of complications, and painful procedures. The latest procedure that is used as a form of advanced treatment for haemorrhoids is MIPH (Minimally Invasive Procedure for Prolapse and Haemorrhoid). As the name suggests, this is minimally invasive, and patients will undergo lesser discomfort, during or after the procedure. Important information about the procedure.
 
• Performed under general or local anaesthesia.
• The hemorrhoidal tissue, mucosa, sub mucosa is carefully excised, and the wound is closed.
While various procedures are available, MIPH has acquired the reputation of being one of the most effective procedures to deal with haemorrhoids. When performed by specialist teams, with advanced equipment, training and required infrastructure and resources, the outcomes help restore a person to normalcy quickly.
 
Experience and protocols are important in procedures, and this plays decisive role in the outcomes.
Contact us for an appointment or additional information.
 

Q & A with renowned surgeon on haemorrhoids treatment

 
Here is a compilation of questions that we frequently hear from patients during consultation. Our founder Prof. Dr.K.P.Haridas has shared his expert opinion on these questions.
 

Q.1. Who is at a higher risk of ending up with piles?

 
The possibility of piles is common to both males and females, and could actually afflict anyone. However, you are more likely to end up with the condition, if:
• You are above 50 years.
• You find yourself exerting pressure while passing stool.
• You have a habit of sitting on the commode for a longer time.
• You have been suffering from either chronic constipation or chronic diarrhea. Remember, this is different from diarrhea or constipation that may occur at times.
• You lift heavy objects routinely, which ends up exerting stress repeatedly.
• Your dietary preferences gave you lesser fibre intake.
• You are pregnant.
• Your family has a history of piles.
 

Q.2. Can one return to normal routines after the procedure?

 
Yes, patients who have undergone minimally invasive procedure for haemorrhoid can return to most normal routines after three or four days. Other physically intensive or demanding activities can be resumed, after some time, gradually.
 

Q.3. What are the changes that one will experience after the procedure?

 
During the first week or so after the procedure, there could be slight discomfort with the following changes being experienced. However, these resolve naturally and will not typically require any additional treatment. For instance,

• You may experience mucous discharge in the first few days after the procedure, and this could stain your undergarments.
• A few drops of blood may be observed along with faeces, for a few days after the procedure.
• Pain or burning sensation or discomfort may be experienced while passing stool.
• The site of surgery may be tender, and this could leave some people with some discomfort or pain, which will wear away with healing.
 

Q.4. Any dietary restrictions after the procedure?

 
Yes, there are recommended practices that one should follow in the period immediately after the procedure. The purpose of this is to prevent any constipation or diarrhea, as this could have an impact on your recovery. You need to consume a diet that comprises plenty of fibre vegetables, fruits, and consume lots of water. It is absolutely necessary to intake atleast 3 litres of water daily. You are to strictly avoid chicken, red meat, banana, apple, tea and stop smoking during recovery and if possible, after recovery.
 

Q.5. What about pain, during and after the procedure?

 
Minimally invasive procedures come with the advantages of lesser pain and faster healing, as the procedure focuses only on the affected veins, flesh. However, anaesthesia administered during the procedure, will cut off the pain sensations, and after the procedure, you will also be given suitable pain relievers, to ease the pain and discomfort. This pain will not be extreme or unbearable, but easily tolerable, and is not a cause for concern.
 

Q.6. Is the cure permanent?

 
Yes, the procedure is permanent. However, if you do not follow recommended practices in the period immediately after the procedure, the healing could be affected in some way. The outcomes and results also depend to a large extent on how you handle the first week post the procedure. This includes your diet, physical activities, and hygiene.