Difference Between Open And Laser Surgery for Piles
Piles! Are you feeling ashamed or disgusted? It’s a common condition that many people will experience at some point in their lives. Piles are common in everyone. Piles are vascular structures located in the anus. Over half of all people over 45 have suffered from piles. These symptoms include itching, bleeding during bowel movements, swelling, and other discomforts. Piles can be treated at home with sitz bath, witch hazel, and other natural remedies. Get to know more about the Difference Between Open And Laser Surgery for Piles.
Piles are a condition where the vascular veins of the rectum become swollen, causing discomfort and bleeding. Sometimes, this can also spread outward from your anus. There are four types:
- Internal hemorrhoids- They are hidden in the rectum so we can’t see them. This type of cancer is usually not serious and does not require medical attention. It heals naturally over time.
- Prolapsed hemorrhoids – These are caused by internal hemorhoids becoming visible (i.e. They can bulge out from your anus and are easily visible. This category can be divided into four grades depending on how severe the condition is. Grade 1 is mild, grade 4 is very severe, and cannot be removed from the anus. Grade 4 requires surgery.
- External hemorrhoids- They occur at the anus’ tip, which is the area from which the stool emerges. It is usually not severe. The most severe pain is felt when the tip of your anus touches the seat.
- Thrombosed hemorrhoids- Thrombosed piles, which have no blood flow because of blood clots, are the most dangerous type of pile. This condition can be very painful. Consult a doctor if the discomfort persists for more than 48 hours.
SYMPTOMS & CAUSES
You might feel pain or itchiness in the rectum, particularly during bowel movements. There may be blood in your stool. These symptoms should be reported to a doctor as soon as possible. If not addressed promptly, it can become more serious. It may heal itself if you don’t see any blood or lumps in your bowel movements.
Hemorrhoids can be caused by a variety of factors, including poor eating habits, excessive oily or spicy foods, constipation, diarrhea, frequent trips to the toilet, heavy lifting, and pregnancy.
Also Read: Piles During Pregnancy
TREATMENT
Piles Open surgery:
- This is when there are high chances of infection or where the disease location makes wound closure difficult.
- Local anesthesia is used to anesthetize the anal region and the area around the sphincter muscle is sedated. The patient won’t feel any pain from this procedure. This surgery can be performed in many different ways, including with staplers.
- To operate on piles, the surgeon will make a long cut.
- Because there are important muscles in the area, the doctor must be careful.
- The wound is closed by the surgeon. This takes some time.
- Because the procedure is complex, the first two to three days after surgery are extremely painful. The wound can be left open to allow it to heal naturally, or it can be stitched.
- Open surgery recovery takes about a week. If there are any wound infections or bleeding, the patient may need to remain in the hospital.
Laser surgery for Piles:
- This is the most advanced method of healing hemorrhoids/piles.
- During the procedure, general anesthesia is administered to the patient.
- The surgery is painless.
- This technique is extremely helpful for treating severe hemorrhoids, especially if they are of higher grade.
- This procedure involves inserting the laser fiber inside the rectum. Laser energy is then used to destroy piles precisely.
- This is a very effective treatment for hemorrhoids that have not been treated in a while. The surgery is performed without scarring or wounds.
- The procedure takes about 30 minutes. After the surgery, the patient is able to go home that day.
- Post-surgery complications in this minimally invasive treatment for piles are negligible. After 2-3 days, the patient can return to normal activities but must avoid strenuous work
DIFFERENCES BETWEEN OPEN SURGERY AND LASER SURGERY
Inclusions
Open Surgery
Laser Surgery
Pain
Painful
Painless
Blood Loss
High
Minimal
Hospital Stay
3 - 5 days
Same Day Discharge
Recovery
Prolonged Bed Rest
Quick recovery
Cuts
Multiple
No
Scar
Yes
No
Recurrence
High
Minimal
Infection
High
Minimal
Dressing
Yes
No
Contact the best Piles Specialist in Kolkata for Piles Treatment.
About Docor
Dr. Azhar Alam
MBBS (Honours), MRCS A (UK),
DNB General Surgery
FIAGES (Gastro Intestinal Surgery)
FMAS (Minimal Access Surgery),
MNAMS (New Delhi)
Consultant Gastrointestinal, Advanced Laparoscopic and Laser Surgeon
Assistant Professor of Surgery, KPC Medical College and Hospital
