Definition Histologically, anorectal haemorrhoids(Piles) can be defined as an enlargementof the normal anal cushions, as well as a displacement of the cushions distally. Millions of people worldwide are affected by them, and they are a majormedical and socioeconomic problem..
Hemorrhoids can be caused by a variety of factors, including constipation and excessive straining. As a result of abnormal dilation and distortion of the vascular channel, hemorrhoidal disease is marked by the destruction of connective tissue within the anal cushion. SYMPTOMS Self-diagnosis is the norm. Most people experience discomfort at some point, especially when going to the bathroom or sitting down. Itching and bleeding are two other symptoms that can occur. The following is a list of possible symptoms that individuals may encounter: Anxiety points: The rectum. Situations where pain is likely to occur include: sitting Pain, itchiness, swelling or bleeding in the genital area. Constipation is another common ailment. TREATMENT ADVANCED( laser surgery) Hemorrhoid laser procedure (LHP) is a new laser procedure for outpatient hemorrhoid treatment that uses laser coagulation to stop hemorrhoidal arterial flow feeding the hemorrhoidal plexus.
In the lithotomy position, a disposable proctoscope with a diameter of 23 mm was inserted into the anal canal. To reduce unwanted degeneration of periarterial normal tissue, laser shots were delivered in a pulsed fashion using a 980-diode laser through a 1000-nm optic fibre. The power and duration of the laser beam can be used to control the depth of shrinkage. Five laser shots at a power of 13 W with a duration of 1.2 s each and a pause of 0.6 s delivered through a 1000-micron optic fibre caused tissue shrinkage to a depth of approximately 5 mm. This procedure was done on an outpatient basis. There was no need for bowel preparation. Two enemas were given two hours before the intervention. CONVENTIONAL SURGERY For some people, a healthy diet and lifestyle, as well as over-the-counter medications, are insufficient to treat haemorrhoids. Some procedures, such as using a laser to shrink or remove them, can be performed in your doctor’s office. Although these may be less painful and have fewer complications, surgery may be a better long-term option, particularly if your haemorrhoids are large, painful, or bleeding. Most of the time, haemorrhoid surgery is both safe and effective. To help prevent new haemorrhoid flare-ups, you’ll still need to eat a high-fiber diet, avoid constipation, and take care of your bottom. Haemorrhoidectomy Haemorrhoidectomy is the surgical removal of haemorrhoids. To remove the hemorrhoids, the doctor makes small cuts around the anus. Local anaesthesia or general anaesthesia may be used. Hemorrhoidectomy is frequently performed as an outpatient procedure, and you can usually return home the same day. Because the skin is extremely sensitive near the cuts and you may require stitches, the area may be tender and painful afterward. Recovery usually takes about two weeks, but it can take anywhere from three to six weeks to feel like you’re back to normal. Prolapse and Hemorrhoids Surgery (PPH) A stapled hemorrhoidectomy is another name for PPH. The doctor will reposition the haemorrhoids and cut off their blood supply with a stapler-like device. They will eventually shrivel and die because they do not receive blood. It can treat haemorrhoids that have prolapsed anus, as well as those that have not. This procedure relocates the hemorrhoid to an area with fewer nerve endings, making it less painful than a traditional hemorrhoidectomy.
You will also recover faster and experience less bleeding and itching. In addition, there are fewer complications. Laser Procedure v/s Conventional Invasive Surgery- Which one ‘You’ prefer ? Newer technologies are developing every day. You can’t stay behind those who are mastering such state of the art technologies. Revolution in the treatment of proctology has started about 30 years ago. Consistent improvements in this field have made laser treatment highly reliable. But why should one reliquish the conventional surgical methods adopted for treating fissures,fistulas,piles and pilonidal sinus? What are the comparative advantages of the laser surgical methods that have to offer over the traditional ones ? Not only the patients but also the doctors benefit from laser proctology.Once the patients feel that laser methods have significant advantages over the traditional ones ,the satisfaction that a doctor gets is enormous.Apart from that, hearing the success stories of the laser surgery by the patients,doctors are likely to get more oppurtunity to treat more patients . The common pre-surgical fears and post surgical effects of the patients often reported worldwide are: Factors Conventional (Invasive) Surgery Laser Surgery Fear factor Anesthesia-Side effects 3 star nil Functional damages 2 star nil Pain 4 star 1 s Infection 3 – Recovery period 4 1 post-surgical complications 4 1 Follow-up visits 3 1 recurrence rates 3 1 success rates 3 4 resumption of activities-time period 3 1 Fear of surgery Many patients are afraid of invasive procedures.But laser technology is a minimally invasive procedure. Most of them donot like to stay in hospitals too. While invasive surgery necessitates hospital stay for a few days laser surgery does not ask for the stay. It is an out-patient procedure. Risks of general anesthesia Conventional surgery uses general anesthesia.It has to be administered very carefully and requires the help of a well experienced anaesthetic doctor. On the other hand laser surgery is done using local anaesthesia.It is free of any side effects and complications. Damages to sphincteral tract and surrounding tissues In the case of conventional procedure in fistula there is a considerable chance of sphinteral tract getting damaged resulting in the stool and gas incontinence.This condition is very harmful since it hampers the quality of life to a greater degree. Surrounding tissues are also likely to get damaged during this types of surgical methods.However laser beams are very precise and accurate and the damage to the sphincter and surrounding tissues is prevented. Pain and discomfort Most patients are afraid of the pain that they experience after the conventional surgery.Every bowel movement couldbe extremely painful in the days after surgery.However,with laser surgery with minimal tissue damage,the pain and discomfort are minimal,making it a preferred surgical option for patients.
Risk of infection While the convetional surgery causes open wound and sutures, the risk of infection is looming large .But there is no risk of post operative infection in the case of laser surgery.As a result patient is more at ease and suffers from less pain. Longer road to recovery Conventional surgeries require general anesthesia, intense post-operative monitoring, and hospital stay for patient recovery. In contrast, laser surgeries are associated with quicker recovery period due to the need of local anesthesia, no need of intense monitoring, and less time needed for healing. Risk of post-surgical complications The risks of post-operative complications are higher with conventional surgery. The complications may include side effects of general anesthesia, bleeding at the affected area, infection of the incision, and pain and discomfort. However, with laser surgery, the risks of such complications are minimal. More Follow-up visits After a conventional surgery for piles, the patient may need to visit the doctor multiple times, for monitoring the patient recovery. Many times, these multiple follow-up visits could be inconvenient for the patients. However, with laser surgery, fewer follow-up visits are needed to monitor the patient recovery. High recurrence rates Undergoing a conventional surgery for piles does not mean that one is free of piles forever. Despite the surgery, piles may recur. However, the recurrence rates of piles are much less with laser surgeries, and the patients are reported to be disease-free for a longer time. Low success rates The patient outcomes of the laser surgery for piles are much better than that with the conventional surgery. Late resumption of activities Patients who undergo laser surgery for piles can resume the normal activities within a short span of time, usually 1 to 3 days. However, it may take several weeks for patients who undergo conventional surgeries to get back to work, which can lead to financial setbacks for the patients and their families, among other consequences. OREOL’S SPECIAL Oreol’s luxurious infrastructural facilities provide comfortable stay in hospitals.
Every rooms we own have same set of amenities that emulates a five star hotel room.Our executives assist our patients in every way possible. Our pool of doctors and supporting staffs are highly experienced and effcient. They ensure your journey towards recovering health is hazzle free and overwhelming. Oreol has an ecosystem of 40+ clinics, 80+ partner hospitals, and 100+ in-house super speciality surgeons for Proctology, Urology, ENT, Gynaecology, Vascular, Laser, and Laparoscopic surgeries. Oreol has its wings in 20+ cities across India including tier 1 , tier 2 and tier 3 cities. Every advanced technology available in developed countries will be made available in India via Oreol with the aim of reducing patient’s sufferings to a greater degree. Oreol ensures that the treatment is carried out by super specialist surgeons who are highly experienced, efficient and interactive. Oreol adopts a holistic approach to provide adequate care for its patients right from the discovery of disease until they make a complete recovery. Oreol assists them in consulting the Right doctor, getting the Right diagnosis and getting the Right post operation care. So Oreol will be there with them throughout their journey . Oreol will ensure that it will return their happiness to them.
