Overview
Haemorrhoids, commonly known as piles are swollen veins in the lower rectum and anus that can cause pain, bleeding, itching, and discomfort. They are classified as internal (inside the rectum) or external (under the skin around the anus) and graded on a scale of I to IV based on severity. While mild haemorrhoids often respond to dietary modifications, increased fibre intake, sitz baths, and topical treatments, advanced or persistent haemorrhoids may require surgical intervention. Haemorrhoidectomy, the surgical removal of haemorrhoids is the most effective and long-lasting treatment for grade III and IV haemorrhoids that have failed conservative management.
The Procedure
At ILS Hospitals, haemorrhoidectomy is performed under spinal or general anaesthesia. The procedure involves the precise excision of the enlarged haemorrhoidal tissue, with careful ligation of the supplying blood vessels to minimise bleeding. Modern techniques including closed haemorrhoidectomy, open haemorrhoidectomy, and stapled haemorrhoidopexy are available, and the most appropriate technique is selected based on the type, grade, and number of haemorrhoids present. The procedure typically takes 30 to 45 minutes. Patients are counselled on the procedure, expected recovery, and the importance of post-operative dietary habits in maintaining long-term results.
Recovery
Post-operative pain following haemorrhoidectomy is managed with analgesics, sitz baths, and stool softeners to minimise discomfort during bowel movements. Most patients are discharged within 24 hours and can return to light activity within a week, with full recovery in 2 to 4 weeks. A high-fibre diet and adequate hydration are essential to prevent constipation and recurrence. At ILS Hospitals, our colorectal surgical team provides expert, compassionate care for all anorectal conditions, ensuring that patients receive the most effective surgical treatment with minimal discomfort and rapid return to daily life.
