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Institute of Laparoscopic Surgery

Leparoscopic Surgery Training


piles Piles or hemorrhoids are swollen blood vessels in the anal passage. Veins that swell inside the anal canal form the internal hemorrhoids whereas, veins that swell near the opening of the anus form the external hemorrhoids. One can have both types at the same time.


What causes piles?

Piles may develop due to chronic constipation which leads to excessive straining resulting in swelling of the veins in the rectal area. Pregnant women may also develop piles due to increased pressure on the veins in the pelvic area.


Are piles harmful?

Piles can cause rectal pain, itching and bleeding during bowel movements. Piles tend to worsen with time which may result in excessive bleeding requiring blood transfusion. Protruding external hemorrhoids can be extremely painful. They are often associated with discharge and irritation. Serious complications include anemia, thrombosis, strangulation, ulceration, infection spreading into the liver system.



Physical examination and proctoscopy aid in the diagnosis of piles.



Depending on the diagnosis, the doctor advises if home treatment is all you need or further intervention is required. Lifestyle and dietary modifications such as regular physical exercise, plenty of fluids and a high fibre diet provide symptomatic relief.


Surgical Management

When conservative management techniques fail to provide relief, surgery is recommended. Depending in the diagnosis, we recommend the following surgical options:

  • Haemorrhoidectomy (open surgery of the piles)
    This is an open surgical technique wherein the pile masses are removed. Regular dressings are required at the surgical site thus making the post operative recovery period painful and long. There are chances of re-occurrence of piles on the same region or on other location.
  • Minimally Invasive Procedure for Hemorrhoids (MIPH) involves minimal pain and there is no external cut. In this technique, the vessels at the base of hemorrhoids or piles are stapled and divided high up in the anal canal. The external piles get pulled inside. The recovery is much faster involving lesser post operative discomfort and shorter hospital stay.