Before we start, I would like to add a personal note here. Piles treatment in mumbai is a very common problem seen in women. Most people, especially women, feel uncomfortable visiting and being examined by male doctors and tend to neglect symptoms like blood in stools, piles and any other peri-anal problem. Unfortunately, neglecting symptoms and delaying treatment not only leads to complications but may also sometimes lead to missing an entire diagnosis of something much more serious such as cancer of the large intestine. Being a lady doctor for piles in mumbai, I understand the inhibitions that women have about getting checked. Please do come forward and get treated at the earliest. It is really not worth the delay.
I urge my fellow women to not neglect their symptoms and find a good piles doctors in mumbai /piles specialist in mumbai at the earliest and get treated to avoid disastrous complications.
Hemorrhoids or piles
Hemorrhoids or piles are dilated veins within the anal canal in the sub-epithelial region formed by the radicles of the superior, middle and rectal veins.
Hemorrhoids or piles can be external or internal
- Internal hemorrhoids or piles are inside the anal canal. They are covered with mucous membrane and are bright red or purple in color. They are normally not visible externally.
- External hemorrhoids or piles are situated on the outside of the anal canal and are covered by the skin.
Causes of internal hemorrhoids or piles
- Hereditary
- Anatomical
- Straining at stools, constipation, diarrhea, enteritis, dysentery
- Low fiber diet
- Secondary hemorrhoids or piles due to cancer of the rectum, pregnancy, chronic constipation, difficulty in passing urine and rarely portal hypertension
Signs and symptoms piles
- Bright red, painless bleeding along-with passage of stools. This may continue for months or years.
- Prolapse of hemorrhoids or piles can be divided into 4 categories-
- First degree- hemorrhoids or piles does not come out of the anal canal
- Second degree- hemorrhoids or piles come out during passage of stools and reduce spontaneously
- Third degree- hemorrhoids or piles come out during passage of stools and do not return spontaneously. Instead they have to replaced manually.
- Fourth degree- hemorrhoids or piles are permanently prolapsed.
- Pain is present only when there is thrombosis or inflammation
- Mucous discharge
- Itching sensation around the anal canal
- Anemia due to persistent/profuse bleeding
Clinical Examination
- Per rectum examination
- Proctoscopy
- Sigmoidoscopy/Colonoscopy in selected cases
Piles Treatment in Mumbai, India
While piles operation in India is now commonly performed in the form of stapled hemorrhoidectomy surgery in India, conservative treatment also has a major role to play in early stages.
- Conservative management-
- Regulation of diet
- Regulation of bowel movement
- Avoidance of prolonged straining at stools
- Increased fiber content in the diet
- Laxatives to help constipation
- Local ointments to reduce pruritus
- Piles treatment in India can be done in the form of Injection sclerotherapy which is the method of treatment of small vascular piles and first degree piles.
- Piles surgery in India may not be needed for some patients and a Rubber band ligation may be enough.
- Stapled hemorrhoidectomy surgery in Mumbai
Stapled hemorrhoidectomy or Piles Operation in Mumbai, India
Stapled hemorrhoidectomy surgery or piles operation in mumbai is a surgical procedure for treating hemorrhoids. Generally, stapled hemorrhoidectomy is used as a treatment option for third-degree hemorrhoids. Third-degree hemorrhoids are hemorrhoids which bulge with straining, and they can be visualized via a physical examination outside the anal margin. The surgery is considered as a misnomer, because it does not remove the hemorrhoids, but it removes the abnormally lax and the extended hemorrhoidal supporting tissue which made the hemorrhoids to prolapse outward. Stapled hemorrhoidepexy surgery in Mumbai is performed by piles specialist.
Indications for stapled hemorrhoidectomy surgery or Piles Treatment in Mumbai, India
Stapled hemorrhoidectomy in Mumbai and elsewhere is mostly indicated in the case of severe cases of internal hemorrhoidal prolapse, mostly 3rd and 4th degree hemorrhoidal prolapse. Stapled hemorrhoidectomy surgery in Mumbai and elsewhere can also be indicated for patients with 2nd degree hemorrhoids which are non-responsive to conservative treatment methods. Stapled hemorrhoidectomy which is also known as stapled hemorrhoidopexy can be contra-indicated in severe cases of fibrotic piles which can’t be repositioned physically or in case one cushion is prolapsed. Your piles doctors in mumbai will be the best judge to advice regarding the kind of treatment best suited for you.
Also, a piles doctor can recommend stapled hemorrhoidopexy in India and elsewhere because of the following:
- Extra-large internal hemorrhoids
- Both internal and external hemorrhoids
- Large external hemorrhoids which cause significant pain and also make it difficult for the patient to keep the anal area clean
- If other treatment methods like rubber and band ligation have failed.
How is the stapled hemorrhoidopexy in Mumbai and elsewhere performed?
During stapled hemorrhoidopexy surgery in Mumbai and elsewhere, the piles treatment doctors in mumbai inserts a circular, hollow tube into the canal. The tube is used to introduce a long suture thread, which is woven circumferentially within the anal canal, above the internal hemorrhoids. A hollow tube known as anoscope is then used to bring out the ends of the suture out of the anus. Then, a stapler, known as PPH, with a circular stapling device at the end is used. PPH means procedure for prolapse hemorrhoid.
The piles doctor in mumbai inserts the stapler through the first hollow tube and then pulls the ends of the suture. Once the suture is pulled, the expanded hemorrhoidal supporting tissue is also pulled as purse string into the stapler’s jaws. Next, the hemorrhoidal cushions are then pulled back into their original position in the anal canal. The piles specialist in mumbai then fires the stapler. Once fired, the stapler cuts off the circumferential ring of the extended hemorrhoidal tissue confined in the stapler. At the same time, the stapler staples together the lower and upper edges of the cut tissue. After firing the staple, the stapler should remain in place pressed for around a minute to prevent capillary bleeding.
Even though stapled hemorrhoidopexy surgery in India and elsewhere can be used to treat second-degree hemorrhoids, it is mostly reserved from serious hemorrhoids, mostly third and fourth degree. Same is the case for piles operation in Mumbai. Apart from the internal hemorrhoids, there can also be external hemorrhoid which can be still problematic. But, the external hemorrhoids can be less problematic once the stapled hemorrhoidectomy procedure is complete.
In stapled hemorrhoidopexy, the arterial blood vessels which travel within the stretched hemorrhoidal tissue to the hemorrhoidal vessels are cut. This procedure is very critical as it reduces the blood flow to the hemorrhoidal vessels, thus reducing the size of the hemorrhoids. As the patient heals, scar tissue forms around the cut tissue staples and the scar tissue positions the hemorrhoidal cushions in their ordinary position. The staples should be in place until the tissue heals, and then fall off and pass through the stool after a few weeks. This is rarely noticed. The procedure is meant to treat internal hemorrhoids, but it can also be used to reduce external hemorrhoids.
Link to you-tube animated video- https://www.youtube.com/watch?v=Xv2y8XtGCCY
Advantages of doing stapled hemorrhoidopexy surgery or piles treatment in mumbai, india
Stapled hemorrhoidopexy surgery in India and elsewhere takes a shorter time compared to traditional hemorrhoidectomy. If the piles doctors in mumbai is experienced, the procedure takes approximately 30 minutes. Also, the procedure is less painful than traditional hemorrhoidectomy, and the patient can resume their usual activities faster.
Side effects or complications of the procedure
Complications after stapled hemorrhoidopexy surgery in Mumbai and elsewhere are infrequent. Sometimes there may be complications such as bleeding or trauma to the rectal wall. Rarely there may be other complications and the doctor will explain to you in detail during your consultation. However, many patients are very comfortable with the outcome of stapled hemorrhoidectomy and usually recover without any complications.
Post-operative care of piles treatment in mumbai
After stapled hemorrhoidectomy surgery, a patient should expect some degree of anal and rectal pain. The doctor will, however, prescribe pain medication to deal with the pain. But, a patient can aid his or her recovery through:
- Eating high-fiber meals
- Keeping their bodies hydrated by taking 8 to 10 glasses of water every day.
- Using stool softener to avoid strain during bowel movements.
- Numbing medication can be used before and after bowel movements to manage pain.
- The patient can use ice packs over the anal area to reduce pain and swelling.
Patients should avoid activities which involve heavy pulling and lifting. Some patients find that sitz baths assist in easing postsurgical discomfort. A sitz bath is where a patient soaks his or her anal area in warm salty water several times every day.
Even though patient recovery time is not the same for all patients, most patients recover within around 10 to 14 days after stapled hemorrhoidectomy surgery. Complications are very rare, but a patient should seek immediate medical attention in case they feel dizzy, have pain while urinating or cannot urinate at all or if they have a fever.
It is important to understand that stapled hemorrhoidopexy surgery success depends on the patient’s ability to change their daily bowel habits to ease the passing of stools. Most internal hemorrhoids tend to get smaller, and the pain reduces with stapled hemorrhoidectomy or home treatment. When compared to open surgery, stapled hemorrhoidectomy involves less risk, less painful and it allows the patient to recover faster.
Stapled hemorrhoidopexy or piles treatment cost in mumbai, india
The stapled hemorrhoidopexy surgery cost in mumbai or piles treatment cost in mumbai varies depending on the type of the hospital, type of room selected. Cost of piles operation in Mumbai also depends on duration of stay in the hospital. Most of the times this is a day care procedure. Piles surgery cost in Mumbai may also vary as per the type of stapler used. Piles operation cost in Mumbai is covered by insurance. piles operation cost in mumbai has come down with the advent of newer staplers in the market. Cost of piles treatment in Mumbai also depends on the type of treatment that is required.
Stapled hemorrhoidopexy surgery or best piles treatment in Mumbai is performed by Lady Doctor For Piles In Mumbai – Dr. Aparna Govil Bhasker at the following hospitals:
- Gleneagles Global Hospital, Parel, Mumbai, India
- Saifee Hospital, Charni Road, Mumbai, India
- The Esthetic Clinics, Kandivali East, Mumbai, India
- Namaha Hospital, Kandivali West, Mumbai, India
- Suchak Hospital, Malad East, Mumbai, India
- Apollo Spectra Hospital, Tardeo and Chembur, Mumbai, India
- Apollo Hospital, CBD Belapur, Navi Mumbai, India
- MGM Hospital, Vashi, Navi Mumbai, India
- Currae Specialty Hospital, Thane, India
- Sunshine Global Hospital, Surat, India
Contact details
Mobile: +919819566618/ +919930922761
Email: info@bestbariatricsurgeon.org
Website: www.bestbariatricsurgeon.org , www.aparnagovilbhasker.com
Facebook: https://www.facebook.com/draparnagovilbhasker/
Linked in: https://www.linkedin.com/in/dr-aparna-govil-bhasker-82836b34/
