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Synopsis

For those suffering from chronic or severe piles, opting for laser treatment for piles in Bangalore ensures quick healing, minimal complications, and a faster return to normal activities. Haemorrhoids that cannot be treated with traditional medical procedures are required to be treated with open haemorrhoidectomy.

 

Gleneagles Hospital is the best piles hospital in Bangalore, with advanced technology and diagnostic tests, in addition to experienced doctors and nurses who help make the procedure easier. 

What Is Laser Or Open Haemorrhoidectomy?

A haemorrhoidectomy is a surgical procedure done to remove severe or persistent haemorrhoids. Laser and open haemorrhoidectomy are the major types of procedures done, depending on the severity of the condition and the patient’s medical history.

 

  • Open haemorrhoidectomy involves the surgical removal of haemorrhoids using a scalpel or surgical tools to cut out the affected tissue. The wound is then stitched and wrapped, and proper care is taken to heal it. The procedure is highly effective for large or prolapsed haemorrhoids but involves a longer recovery time and more post-operative discomfort.
  • Laser haemorrhoidectomy, on the other hand, is a minimally invasive surgery using a laser to shrink haemorrhoidal tissue. The laser seals blood vessels & nerve endings, reducing pain, bleeding, and the risk of infection. Patients undergoing laser treatment for piles in Bangalore often experience faster recovery and less post-surgical discomfort compared to traditional methods.

 

Both procedures help treat internal and external haemorrhoids, especially when non-surgical treatments like medications and dietary changes fail to provide relief. Symptoms such as - pain, bleeding, swelling, and itching can significantly impact daily life, and procedures like these can help patients gain long-term relief.

Benefits Of Laser Or Open Haemorrhoidectomy

Open Haemorrhoidectomy 

 

  • Permanent relief for severe cases.
  • Highly effective large, prolapsed, or chronic haemorrhoids.
  • Lower recurrence rates compared to non-surgical treatments.

 

Laser Haemorrhoidectomy 

 

  • Faster healing with minimal post-operative care.
  • Less pain and bleeding due to precise laser targeting.
  • Lower risk of complications such as infections or excessive bleeding.
Benefits Of Laser Or Open Haemorrhoidectomy

Why Is Laser Or Open Haemorrhoidectomy Done?

A laser or open haemorrhoidectomy is performed when haemorrhoids become severe, painful, or unresponsive to non-surgical treatments. Haemorrhoids, also known as piles, can cause persistent discomfort, bleeding, itching, and other discomforts that may make daily activities challenging. This is mostly done when all other treatments do not work.

 

The procedure is done to prevent chronic pain, excessive bleeding, and complications like anaemia or infections. It helps treat large, prolapsed, or thrombosis haemorrhoids that can interfere with bowel movements. Thus leading to discomfort and difficulty in passing stool. In some cases, untreated haemorrhoids may worsen over time, increasing the risk of clotting, strangulation, or persistent inflammation.

 

Laser open haemorrhoidectomy removes or shrinks the affected tissue and improves bowel function. Patients who experience frequent flare-ups or severe symptoms benefit from this procedure as it eliminates the root cause of the problem. 

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Preparation For Laser Or Open Haemorrhoidectomy

It is important to prepare for the laser or open haemorrhoidectomy surgery. This helps in successful procedures and smooth recovery. Before the surgery, doctors typically advise stopping blood-thinning medications such as - aspirin, warfarin, or NSAIDs to prevent excessive bleeding. If the patient has diabetes, hypertension, or heart disease, medication adjustments may be necessary.

 

They may also recommend a high-fibre diet, increased water intake, and stool softeners for smooth bowel movement before and after the surgery. Some patients may need a laxative or enema to clear the bowels before the procedure. Furthermore, they may advise to undergo the following tests to assess the patient’s overall health -

 

  • Blood Tests - To check for infections, clotting issues, or anaemia.
  • Electrocardiogram (ECG) - Required for patients with heart conditions to ensure safe anaesthesia use.
  • Colonoscopy or Sigmoidoscopy - To rule out underlying conditions such as - polyps, colorectal diseases, or tumours. 

 

Additional Preparations 

 

Patients are advised to fast for 6-8 hours before the surgery to ensure a safe anaesthesia process. Comfortable, loose clothing should be worn on the day of surgery, and arrangements should be made for transportation and post-surgical care at home. Proper preparation reduces risks, enhances recovery and ensures the best possible results.

Laser Or Open Haemorrhoidectomy Procedure

Laser Haemorrhoidectomy Procedure: Laser haemorrhoidectomy is a minimally invasive surgical procedure that uses a laser to remove haemorrhoidal tissue. It is commonly recommended for grade 2, and 3 haemorrhoids that do not respond to medications are preferred over traditional surgery. Here’s how laser haemorrhoidectomy is done -

 

Anesthesia 

 

  • Before the surgery, the patient is asked to lie down on the operating table, typically in the lithotomy or jackknife position, depending on where the haemorrhoid is located.
  • The surgical site is then cleaned and disinfected to prevent infection.
  • After that, doctors administer local, spinal, or general anaesthesia based on the patient’s condition and pain tolerance.
  • Most spinal or general anaesthesia ensures a painless experience during the surgery.

 

Laser Application
 

  • Once the anaesthesia takes effect, the surgeon uses a high-energy laser beam to target and vaporise the haemorrhoidal tissue.
  • The laser precisely coagulates the blood vessels, cutting off the blood supply to the haemorrhoid and causing it to shrink over time.
  • Because the laser simultaneously seals nerve endings and blood vessels, this technique results in less bleeding and minimal post-operative pain.
  • There are no sutures involved, as the treated tissue gradually heals naturally. 

 

Open Haemorrhoidectomy: An open haemorrhoidectomy is a traditional surgical procedure mainly used for large, severe, prolapsed, or thrombosed haemorrhoids. It involves the complete removal of the piles. Here’s how the procedure is done -

 

Anesthesia

 

  • Before the surgery, the anal area is cleansed and disinfected.
  • Then, general or spinal anaesthesia is administered to ensure the patient does not feel any pain during the surgery.
  • In some cases, a local anaesthetic with sedation may cause smaller haemorrhoids.
  • Once the effect takes place, the surgeon prepares for the excision of the haemorrhoidal tissue.

 

Surgical Removal
 

  • The surgery involves cutting out the haemorrhoidal tissue using a scalpel, electrocautery, or surgical scissors.
  • Then, the blood vessels supplying the haemorrhoids are tied off to prevent excessive bleeding.
  • Depending on the condition of the patient, the surgical wound is either left open to heal naturally (open technique) or sutured closed (closed technique).
  • The open technique is typically used when there is a higher risk of infection.

 

No matter the technique used, the patient is kept at the hospital for monitoring. 

Aftercare And Recovery

Recovery from an open haemorrhoidectomy is longer and more painful compared to laser treatment. Patients may take 2-4 weeks to recover fully. Also, they may feel discomfort throughout the recovery procedure. Doctors advise strict aftercare to avoid complications post-surgery. 

 

  • Pain Management - Doctors prescribe stronger pain medication, including opioids, to deal with pain after an open haemorrhoidectomy. Ice packs and topical numbing creams can also be used to relieve swelling and discomfort.
  • Bowel Care - Constipation and straining can delay healing and cause pain. Patients are prescribed stool softeners and fibre supplements to ensure smooth bowel movement. During the first few days, patients are advised to be on a liquid diet.
  • Activity and Bed Rest - It is advised to get good bed rest after the procedure, with minor movement to improve circulation. Doctors advise not to sit for too long or lift heavy weights. Also, it is recommended to avoid physical activities for at least 2-3 weeks. Patients can use a doughnut pillow or cushion pillow to sit comfortably. It reduces pressure on the surgical site and makes life after surgery easier.
  • Wound Care And Hygiene - Patients must take sitz baths at least 2-3 times a day. This helps to reduce swelling and keep the area clean. Soft and mild cleansing methods should also be used to clean the wound. Mostly, antibiotics are prescribed to prevent infections.
  • Follow-Up Appointments - To monitor the healing process, it is recommended to go for regular follow-ups. It is advisable to immediately contact the doctor if they experience severe bleeding, fever, or signs of infection.

 

Both procedures require careful aftercare. However, the laser procedure allows quicker recovery and less discomfort than the open procedure.

Risks And Complications

  • Excessive bleeding if the nerve endings are not sealed properly.
  • The risk of infection is higher in open haemorrhoidectomy.
  • Temporary constipation or difficulty passing stool.
  • Post-surgical pain and discomfort.
  • Red wound and hot to the touch.
  • Recurrence of haemorrhoids.
  • Loss of bowel control.
  • Difficulty peeing.

 

If someone has certain medical conditions such as - inflammatory bowel syndrome, bleeding disorders, portal hypertension, etc., they are advised not to undergo the surgery. However, if the surgery is much needed, doctors may decide on a course of action before conducting the procedure. 

Why Choose Gleneagles Hospital For Piles Treatment In Bangalore?

Gleneagles Hospital is one of the most trusted and advanced hospitals for piles treatment in Bangalore. With advanced medical facilities, experienced specialists, and cutting-edge technology,  we offer world-class treatments for piles (haemorrhoids).

 

We are equipped with modern diagnostic tools, which include colonoscopy and sigmoidoscopy. These tools assess the severity of haemorrhoids accurately, which helps our doctors chart a treatment plan. After surgery, our post-surgical team ensures a smooth recovery with regular follow-ups and guidance on diet and lifestyle changes to prevent recurrence. We always take a patient-centred approach so that our patients feel comfortable and supported throughout the treatment journey. 

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Frequently Asked Questions

How much does piles laser treatment cost in Bangalore?

The cost of laser treatment for piles in Bangalore varies from INR 35,000 to INR 80,000, depending on the patient’s condition, the severity of the piles, the type of clinic/hospital, the doctor’s experience and expertise, etc.

What are the latest techniques of pile operations?

Modern piles treatment includes laser haemorrhoidectomy, stapler haemorrhoidectomy, Doppler-guided haemorrhoidal artery ligation (DG - HAL), and rubber band ligation (RBL). You can consult the top doctors at Gleneagles for effective laser treatment for piles in Bangalore.

Can I undergo laser haemorrhoidectomy if I have other anal conditions?

If you have conditions like - fissures, fistulas, or abscesses, you may require alternative treatments. The doctor will assess whether a laser or open procedure is best for you. 
 

What happens if I don’t treat severe haemorrhoids?

Untreated haemorrhoids can lead to chronic bleeding, anaemia, prolapse, infections, and thrombosis (blood clot formation), making surgical intervention necessary for long-term relief. 

How soon after haemorrhoidectomy can I have a bowel movement?

You can have a bowel movement within 24 hours. Open haemorrhoidectomy may cause delayed or painful bowel movements, requiring stool softeners. 
 

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