Piles are highly prevalent in India, with the risk of developing the condition increasing with age. While there are various lifestyle changes and treatments available, if these options do not bring relief, there is no need to feel discouraged. Surgery is a safe and effective treatment for piles and can significantly improve quality of life.
Piles, usually referred to as hemorrhoids, are swollen blood vessels located within the anal and rectal areas. These blood vessels can become inflamed, leading to symptoms such as pain, itching, and bleeding. Hemorrhoids are a prevalent condition-in fact, studies show that nearly 50% of adults will suffer from hemorrhoids sometime in their lifetime. The condition is especially common in India, where lifestyle, dietary habits, and healthcare access significantly influence its prevalence.
Piles primarily develop due to chronic constipation, excessive straining during bowel movements, pregnancy, obesity, and a sedentary lifestyle. Understanding these factors is crucial for both prevention and effective treatment. If you are planning a pile surgery, explore the scope of advanced pile surgery in Delhi.
♦ External Symptoms:
Located around the anus and can cause:
• Pain, swelling, and itching: Many patients face this discomfort or irritation, which may aggravate with prolonged sitting or bowel movements.
• Bleeding during bowel movements: Patients may notice bright red blood on the toilet paper or in the toilet pan after defecation, which can be alarming.
• Thrombosed hemorrhoids: A swelling in the anal region that causes sharp, severe pain due to blood clot. Sometimes it may need immediate medical care.
♦ Internal Symptoms:
Piles that develop inside the rectum and may not be immediately diagnosed:
• Blood in stool: One of the most common symptoms, internal piles can cause blood in the stool which may appear on the toilet paper as well.
• Prolapse: Sometimes, the internal piles may even protrude through the anus and thus become a prolapsed hemorrhoid which could also lead to irritation and discomfort.
• Inflammation: Inflammation and swelling in the rectal area could be experienced by a patient, thereby giving them a feeling of being full or being under pressure.
Knowing the causes of piles is essential for both treatment and prevention by making certain lifestyle changes:
• Poor dietary habits and Constipation: Low-fibre diets can cause constipation and straining during bowel movements, leading to hemorrhoid formation.
• Dehydration: Lack of adequate fluid intake results in hard stools, increasing the likelihood of straining during bowel movements.
• Prolonged sitting: Jobs or habits that require long periods of sitting can put additional pressure on the anal region.
• Age: Hemorrhoids commonly occur in adults over the age of 50. The tissues supporting the veins in the rectum and anus can weaken with age.
• Sedentary lifestyle: A sedentary lifestyle often becomes the cause of obesity as a result of which there is increased pressure within the abdominal cavity, which leads to piles.
• Genetic predisposition: A family history of hemorrhoids can increase an individual's risk.
• Straining during bowel movements: Frequent straining, whether from constipation or other factors, can lead to the formation of piles.
When non-surgical treatments are ineffective or when piles are severe, surgical intervention may be necessary. There are mainly two types of surgeries - minimal invasion or advanced procedures. Let's explore them further:
1. Laser Piles Surgery: This procedure uses focused laser energy to remove hemorrhoids. unlike traditional surgery, it is less invasive, so it tends to be less painful and has a quicker recovery time. This method is gaining popularity for its precision and effectiveness.
2. Rubber Band Ligation: In this approach, a small rubber band is placed around the base of hemorrhoid, blocking its blood supply. This causes hemorrhoid to shrink and fall off within a few days. It is a quick and effective treatment for small to moderately-sized hemorrhoids.
3. Sclerotherapy: Here, a sclerosing solution is injected directly into hemorrhoid, which induces shrinkage. It is less invasive and therefore can be done on an outpatient basis.
1. Hemorrhoidectomy: This is one of the traditional surgeries, wherein very large or recurrent hemorrhoids are totally removed. Its effectiveness is high, but recovery will take longer periods of time compared to other minimally invasive procedures.
2. Stapled Hemorrhoidopexy: Hemorrhoidopexy, also known as stapled hemorrhoidectomy, is an advanced method in which the hemorrhoids are stapled back in, pulling them into the rectum and cutting off the blood supply. It reduces the recurrence rate and is associated with less pain after a traditional hemorrhoidectomy.
3. Hemorrhoidal Artery Ligation: This approach involves identifying and tying off the blood vessels that supply the hemorrhoids, leading to their shrinkage. It is a less invasive option with good success rates.
Among all types and approaches to piles surgery, laser surgery appears to be the most popular option.
» Less Invasive: Laser surgery does not involve cuts or stitches, resulting in relatively less postoperative pain and discomfort.
» Faster Recovery: Patients can be discharged on the same day and resume their normal activities in a matter of days instead of weeks like in traditional surgery.
» Lower Recurrence Rate: The complication rates in laser treatment are lower than in the traditional methods, thus patients can have long-term relief.
» Precision: The use of lasers involves targeted treatment, thereby minimizing damage caused to other surrounding tissues.
Recovering from piles surgery is crucial for ensuring optimal healing and preventing complications. Here are some important guidelines to follow for a smooth recovery:
» Manage Discomfort: Take prescribed pain relievers as directed to help alleviate discomfort.
» Dietary Changes: Continue to maintain a high-fibre diet and drink plenty of water to prevent constipation and straining during bowel movements and include plenty of fruits, vegetables, and whole grains into your meals to prevent constipation.
» Hygiene Care: Keep the anal area clean to prevent infection. Gentle cleansing after bowel movements and keeping the area dry can reduce the possibility of infection.
Recovery time can vary depending on the type of surgery performed; however, based on common experiences, here are some general timelines:
• Laser Surgery: Most patients can return to normal activities within 3-5 days.
• Rubber Band Ligation and Sclerotherapy: Recovery is usually quick, with minimal downtime.
• Hemorrhoidectomy: This traditional method may require 1-2 weeks for complete recovery, with patients advised to take it easy during this period.
Delhi has emerged as a leading destination for medical treatment, including piles surgery. Here are several compelling reasons to consider Delhi for your procedure:
⇒ World-Class Medical Facilities
Delhi is one of those cities that have established itself as a hub for medical tourism, offering world-class medical facilities for piles surgery. The city boasts advanced technology, including laser and robotic-assisted surgical options, available at numerous accredited hospitals.
⇒ Affordability and Accessibility
The cost of piles surgery in Delhi is often much lower than in many Western countries, making it a popular choice amongst local and international patients. High-quality care is available at a fraction of the cost without compromising quality.
Additionally, Delhi's well-connected transport infrastructure, including multiple airports and extensive public transportation, makes it easy for patients to reach healthcare facilities and attend appointments.
Finding the right surgeon is crucial for successful treatment and recovery. Here are some factors to keep in mind:
» Expertise in techniques: Look for surgeons with experience in both, traditional and minimally invasive surgical methods. This flexibility ensures you receive the most appropriate care for your condition.
» Experience in robotic surgeries: Those surgeons who are experienced in robotic techniques offer you more precise care, especially when handling complex cases.
» Patient Testimonials and Success Rates: Research reviews and success rates of potential surgeons. Testimonials from previous patients can offer valuable insights into the surgeon’s skills.
Dr. Atul N.C. Peters, Senior Director and Head of the Department (Bariatric, Minimal Access, and Robotic Surgery Dept., Max Hospital, Saket, Delhi), is renowned for his expertise in performing successful bariatric, minimal access, and robotic surgeries over the past two decades.
Dr. Peters is a leading expert in robotic-assisted surgery in Delhi, specializing in advanced procedures for piles and other colorectal conditions. With years of experience, he has earned a reputation for his innovative use of robotic technology in minimally invasive techniques. His approach emphasizes patient comfort and faster recovery times.
He has further established the department as a Centre of Excellence (CoE). With serious contribution and dedicated care towards patients, he has emerged as an international practitioner, thereby being acclaimed as a 'Surgeon of Excellence' by the Surgical Review Corporation.
Common symptoms include pain, swelling, itching around the anus, and bleeding during bowel movements.
Laser surgery is less invasive, involves minimal pain, and generally results in faster recovery compared to traditional surgery, which can involve larger incisions and longer recovery times.
Recovery time varies by procedure but typically ranges from a few days to a couple of weeks, depending on the type of surgery performed.
Robotic surgery often provides greater precision, can lead to fewer complications, and typically results in faster recovery, making it a preferred choice for many patients.
Maintaining a high-fibre diet, staying hydrated, and avoiding prolonged sitting are essential measures to prevent recurrence after surgery.
The cost can vary widely based on the type of surgery, hospital, and surgeon's fees. However, Delhi is known for offering competitive pricing compared to other regions and countries.
