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What are Haemorrhaidectomy (Piles)

Haemorrhoidectomy is a surgical procedure performed to remove haemorrhoids, which areswollen and inflamed blood vessels in the anus and lower rectum. Haemorrhoids, also knownas piles, can cause symptoms such as pain, itching, bleeding, and discomfort during bowelmovements. Haemorrhoidectomy is usually considered when other non-surgical treatments, such asdietary changes, stool softeners, topical creams, and rubber band ligation, have not providedsufficient relief from the symptoms of haemorrhoids. The procedure is typically performedunder general anesthesia or spinal anesthesia.

Symptoms
  1. Pain: Haemorrhoids can be painful, especially during bowel movements or when sitting forextended periods.
  2. Itching and Irritation: The swollen haemorrhoids may cause itching and discomfort around theanus.
  3. Bleeding: Haemorrhoids can bleed, leading to bright red blood on the toilet tissue or in the stool.
  4. Discomfort: The presence of haemorrhoi ds can cause a feeling of discomfort or fullness in therectal area.
  5. Protrusion: In some cases, haemorrhoids can prolapse or protrude outside the anus.
  6. Pain and Discomfort: Pain at the surgical site is common afterhaemorrhoidectomy. The intensity of pain can vary depending on theextent of the surgery and the individual's pain tolerance. The pain istypically most pronounced during the first few days after the procedure.
  7. Anal Discomfort: Patients may experience discomfort and sensitivityaround the anus, making sitting and bowel movements uncomfortable.
  8. Bleeding: Some bleeding may occur during bowel movements or in thedays immediately after the surgery. This is normal, but patients shouldinform their healthcare provider if the bleeding is excessive.
  9. Swelling and Bruising: Swelling and bruising around the surgical site arecommon after haemorrhoidectomy and may take some time to subside.
  10. Difficulty with Bowel Movements: Bowel movements can be challengingand painful for some time after the surgery. Patients may experienceconstipation or difficulty passing stools.
  11. Itching and Irritation: Itching and irritation around the anus are commonduring the healing process.
  12. Urinary Symptoms: Some patients may experience temporary urinaryretention or difficulty urinating after the surgery.
  13. Stool Softening: Stool softeners are often prescribed afterhaemorrhoidectomy to prevent straining during bowel movements andreduce discomfort.
  14. Dietary Changes: Patients may be advised to follow a specific diet toavoid constipation and promote healing.
  15. Limited Activities: Patients are typically advised to limit physicalactivities, avoid heavy lifting, and refrain from strenuous exercise duringthe recovery period.
Notes
Haemorrhoidectomy is considered when non-surgical treatments, such as dietary changes, stoolsofteners, topical creams, rubber band ligation, or sclerotherapy, have not provided sufficient reliefor when the haemorrhoids are particularly large, painful, or causing significant bleeding.
Procedures
During a haemorrhoidectomy, the surgeon removes the swollen haemorrhoidal tissuethrough various techniques. The traditional haemorrhoidectomy involves excision of thehaemorrhoids using a scalpel or surgical scissors. In more modern techniques, like stapledhaemorrhoidopexy (PPH procedure) or laser haemorrhoidectomy, a stapler or laser is used toremove the haemorrhoids while simultaneously promoting tissue healing.
  1. Anesthesia: The patient is given general anesthesia to ensure they are unconsciousand pain-free during the surgery.
  2. Positioning: The patient is placed in a suitableposition for the surgery, usually lying on their back or in a modifiedlithotomy position.
  3. Accessing the Haemorrhoids: The surgeon uses a special instrumentcalled an anoscope or proctoscope to visualize and access thehaemorrhoids in the anal canal.
  4. Removal of Haemorrhoids: The surgeon will excise thehaemorrhoids using various techniques. Traditionalhaemorrhoidectomy involves cutting out the swollen blood vesselswith a scalpel or surgical scissors. More modern techniques, such asstapled haemorrhoidopexy (PPH procedure) or laserhaemorrhoidectomy, may also be used in some cases.
  5. Closure: After removing the haemorrhoids, the surgeon may suturethe wound closed or use other techniques to promote healing.
  6. Recovery: The patient is closely monitored inthe recovery area before being transferred to a hospital room. Therecovery period after haemorrhoidectomy may vary, but most patientscan go home the same day or the following day.
  7. Pain Management: Patients may experience some pain anddiscomfort after the procedure. Pain medications and stoolsofteners are often prescribed to manage pain and ease bowelmovements during the healing process.
  8. Diet and Activity: The patient is usually advised to follow a specialdiet and avoid straining during bowel movements to promotehealing and prevent recurrence.
  9. Healing Time: The healing time for ahaemorrhoidectomy can vary from several days to a few weeks,depending on the extent of the procedure and the individual's healingability.
  10. Follow-up: Patients typically have follow-up visits with the surgeonto monitor the healing process and ensure there are no complications.
Includes
  1. Doctor Fees
  2. OT charges
  3. Anesthetic charges
  4. Drugs
  5. Investigation
  6. Professional charges
  7. Room Rents
  8. Nursing & Administrative charges
Procedure Fee : 32400 35640 (Inclusive of all charges)
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