PILES SURGERY (hemorrhoid)

What is Piles Surgery?

Piles or hemorrhoids are defined as the swollen veins inside or outside the rectum. Most hemorrhoids stop hurting within two weeks without having any treatment. It can be managed by eating a high-fiber diet and drinking approximately 8 to 10 glasses of water /day, promoting softer and more regular bowel movements. One can also use stool softeners to reduce strain during bowel movements.

Sometimes, piles or hemorrhoids can lead to other severe complications.

External haemorrhoids blood clots that are often painful; this condition is called thrombosed hemorrhoids. It irritates and requires surgery. Like less than 10% for haemorrhoid cases requires surgery. Internal hemorrhoids drop through the rectum and bulge from the anus.

Surgery Without Anesthesia

Some types of hemorrhoid surgery can be done without anesthetic.


Banding is the procedure to treat internal hemorrhoids. Also referred to as rubber band ligation. It involves the use of a tight band around the haemorrhoid base to stop its blood supply. It requires two or more procedures with two months apart.

Banding usually requires more than one procedure that takes place after two months. It’s not a painful procedure, but you may feel pressure or mild discomfort.


This procedure usually involves injecting a chemical into the haemorrhoid to shrink and stops it from bleeding. It offers little or no pain with the shot. You can have this procedure if you are having blood thinners as the skin is not cut open. For small and internal hemorrhoids, this is the best procedure with a high success rate.

Coagulation therapy

Also referred to as infrared photocoagulation. This procedure involves infrared light, heat, or extreme cold so haemorrhoid may retract and shrink. It is usually performed along with an anoscopy, which is a procedure for visualization. A scope is inserted into the rectum. You will feel only mild discomfort and cramping during the treatment.

Hemorrhoidal artery ligation

Hemorrhoid artery ligation (HAL), also called transanal hemorrhoid dearterialization locates the blood vessels that cause haemorrhoid. It involves an ultrasound and ligates too closes off those blood vessels. It’s more beneficial than rubber banding, results are long-lasting, but it is the expensive one.

Surgeries With Anesthetic

These types of surgeries have to be performed in a hospital.


A hemorrhoidectomy is best for external hemorrhoids and internal hemorrhoids that are causing the problem or not responding to any non-surgical management. The surgeon will decide the best anesthesia for you. It can be general, regional, or local anesthesia. 

The surgeon will cut the large hemorrhoids out, and you will be taken into a recovery room for observation after the treatment. Once the medical team is satisfied with your vital sign and health condition, you can go home. The side effects related to this is pain and inflammation.


Hemorrhoidopexy or stapling also requires general, regional, or local anesthesia. It is used in the treatment of prolapsed hemorrhoids. The surgeon will use a surgical staple that fixes the prolapsed hemorrhoids back into the rectum and stop the blood supply so that it gets shrink. The recovery time of stapling is relatively less, and the process is less painful.