Procedure for Pile Excision

What are Piles?

Haemorrhoids (Piles) are one of the commonest human diseases. The advancements in the surgical management of this condition have made great progress. In this aspect, pile excision is the simpler technique that allows the patient to lead a normal life within a short period. A high-fiber diet prevents constipation and aggravation of the bleeding piles. Let's get to know more about this condition and its management/treatment. The most frequent questions one has about this condition are how to treat Haemorrhoids and what causes piles. Over the counter hemorrhoid treatment is also available but it should be opted only after consulting the physician. These days laser treatment for piles is also available.

What is the Procedure About? (Detailed Explanation)

The best treatment for external hemorrhoid removal is prevention. However, the disease once established has a tendency to get worse over time (to become 'chronic'). Application of ointments can relieve pain but hardly ever provide the long-term benefit. Diagnosis is made by examining the anal canal, and causes of bleeding. As per the symptoms, haemorrhoids are best managed surgically. Recent advances in medical field have led to the development of the bipolar electro-thermal devices, circular stapler and the ligature vessel-sealing systems.

What is the Average Length of Stay for Pile Excision?

In case of pile excision, patients need to stay in hospital from 3 - 4 days post operation. The doctor will advise further stay based on the patient's condition.

Pile Excision Symptoms

The symptoms of Pile (Excision) include:

• Bleeding during or after defecation
• Pain
• Itching
• Peri-anal soiling

Indications of Pile Excision

• Severe case of piles that are non-treatable by natural treatment for piles
• Excessive bleeding

Pile Excision Complications

The following are the complications that may emerge post hemorrhoid operation:

• Excess bleeding.
• If the anal sphincter has been damaged, it will lead to loss of control in defaecation.
• Temporary inability to pass urine in the first 24 hours after the surgery.

Pile Excision Risks

Following are some of the possible Pile Excision risks:

• Bleeding
• Infection
• Difficulty in passing stool and urine
• Stool leakage

Post discharge care/Rehabilitation Information

Do's and Don'ts

• Consume stool softeners to keep the bowel movement painless during piles treatment.
• Take "Sitz baths" on daily basis.
• Do not strain while passing stool.

Regular Follow Up

1. It is recommended that one should visit the clinic post-surgery for the doctor's follow-up.
2. Moderate exercise is healthy. You may walk as much as you like. You are permitted to go up and down stairs slowly while using a handrail. Resume normal activities after 10-14 days. Avoid heavy lifting
3. In the event of any medical complication, contact your physician immediately.
4. Post 3-4 weeks of surgery, the surgeon will examine the healing process.

Taking Medication as Prescribed

Avoid taking medications or pain- killers in case of stomach pain, constipation or diarrhea. Rest; meet your doctor for any other ailment.

Dietary and Lifestyle Advice to be Followed

• Consume fiber enriched diet
• Oral fluids
• Regular exercise