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  Painless Piles Clinic
  Piles to smiles...

 
 
 

                                                     Painless Piles and fistula surgery.

Conventional piles surgery consists of ligation of the veins causing piles at the top of anal canal. This involves a lot of cutting and exposure to the anal sphincter. This results in the following
1. Spasm of Anal sphincter >> This causes the post operative pain faced by patients. It can extend to 2 months for some patients.
2. Damage to Anal sphincter >> This causes shrinking of anal opening in most cases. Once this develops the patient will have a lifelong need for laxatives to form loose stools.
In our experience this complication is as high as 20% of operated cases. It is more in 3rd degree piles.
3. Sometimes the damage can cause non-functioning of Anal sphincter  and the patient can loose control over his/her motions.

Above complications happen in best of surgeons hands and therefore anyone is prone to develop them.

Painless piles and fistula surgery follow the following principles
   1. The Anal Sphincter is not touched or exposed.
   2. No Cutting of tissues at the Anal canal.
   3. The primary cause of constipation is tackled by modifications in diet.
   4. There should be no need of drugs beyond 3 weeks.
 

The methods employed by painless piles and fistula surgery are
 

   
Infra Red Coagulation offers a very simple and effective method for treatment of Piles. Results are better than Laser treatments
   
   
The Haemorrhoidal Artery Ligation Operation (HALO) is a new operation designed to eradicate piles without the need for cutting or a general anaesthetic.

The operation uses a miniature Doppler ultrasound device to locate all the arteries supplying the haemorrhoids as they come down from the rectum under the lining of the bowel. The device also has a small window which allows a stitch to be placed around the artery (marked) thus cutting off the blood supply to the pile. During the course of the procedure all the arteries supplying the piles are located (up to 6) and tied off. Over the next few days and weeks the pile shrinks away and the symptoms resolve.Because the stitch is placed in the lower rectum, where there are virtually no pain nerves, rather than in the anus the procedure is virtually painless and can be performed under mild sedation rather than a general anaesthetic. Naturally, patients who are a little squeamish about have a procedure to their bottom can elect to have a general anaesthetic if they wish but it is not necessary. Because all of the blood vessels to the piles are accurately located the operation is more successful than injection; and as the blood vessels are properly ligated rather than just looped with a band they will not dislodge, producing a better response with far less risk of bleeding after the procedure.

Most patients are back to work after 24-48 hours with only a minimum of discomfort, which if there is any, is no more than a mild a throbbing in the rectum.

This procedure has been performed in Europe and North America now for a few years with excellent results. 85% of patients have a complete resolution of their symptoms and over 90% are thoroughly pleased with the result even if there are some very minor residual symptoms. This is due to the relative ease of recovery from the operation compared to more conventional treatments.
 
   




Hemorrhoid Stapler

The newest surgical procedure for advanced hemorrhoids is called the Procedure for Prolapse and Hemorrhoids (PPH). This endoscopic surgery technique was developed in the early 1990s to reduce the prolapse of hemorrhoidal tissue to allow a patient to experience less pain and recover faster than patients who undergo the conventional hemorrhoidectomy procedure.

Conventional hemorrhoidectomy procedures are painful because hemorrhoidal tissue is surgically removed, affecting many nerve endings. In comparison, PPH reduces the prolapse of hemorrhoidal tissue by utilizing a circular stapler to trim out a band of tissue above the dentate line, or "pain" line, within the anal canal.

The PPH surgical procedure essentially "lifts up" or repositions the anal canal tissue and restores the hemorrhoidal tissue back to its original anatomical position, without cutting sensitive nerve endings. The internal hemorrhoids, then, shrink within four to six weeks after the procedure.

PPH Procedure for Advanced Hemorrhoids Involves Less Pain and a Quicker Recovery

In clinical trials, the Procedure for Prolapse and Hemorrhoids (PPH) has been shown to be a less painful procedure for removal of advanced hemorrhoids when compared to conventional hemorrhoidectomy.

PPH is a technique that reduces the prolapse (enlargement) of hemorrhoidal tissue. With the PPH procedure, patients experience less pain and recover faster than patients who undergo conventional hemorrhoidectomy procedures.

Since the PPH procedure was first introduced in Italy in 1997, it has become a common procedure around the world for the surgical treatment of hemorrhoids. The procedure was first introduced in the United States in October 2001.

How PPH Works

Using a hemorrhoidal circular stapler device, the procedure for prolapse and hemorrhoids procedure essentially "lifts up," or repositions the mucosa, or anal canal tissue, and reduces blood flow to the internal hemorrhoids. These internal hemorrhoids, then, typically shrink within four to six weeks after the procedure. The PPH procedure results in less pain than traditional hemorrhoidectomy procedures because it is performed above the "pain" line, or dentate line inside the anal canal. The advantage is that this hemorrhoid treatment method affects few nerve endings, while traditional hemorrhoidectomy procedures are performed below the dentate line, affecting many sensitive nerve endings

 
 
 
 
Decoring Fistulectomy

Decoring fistulectomy specimen showing no skin removal and total removal of the fistula

 

 

 

 

 

 
 
 
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