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Piles surgery, also known as hemorrhoid surgery, is performed to treat severe or persistent hemorrhoids that donβt respond to non-surgical treatments like diet changes, topical medications, or rubber band ligation. --- π What Are Piles? Piles (hemorrhoids) are swollen veins in the lower rectum or anus. They can be: Internal (inside the rectum) External (under the skin around the anus) --- π οΈ Types of Piles Surgery 1. Hemorrhoidectomy (Traditional Surgical Removal) Complete removal of internal or external hemorrhoids Done under general or spinal anesthesia Best for large, bleeding, or prolapsed hemorrhoids Most effective but painful recovery π Recovery: 2β4 weeks β Pros: Low recurrence β οΈ Cons: Pain, temporary difficulty passing stool or urine --- 2. Stapled Hemorrhoidopexy (PPH) Used for prolapsed internal hemorrhoids A circular stapler is used to reposition hemorrhoids and cut off blood supply Less painful than hemorrhoidectomy π Recovery: 1β2 weeks β Pros: Less pain, quicker recovery β οΈ Cons: Slightly higher recurrence rate --- 3. Laser Hemorrhoidoplasty / Infrared Coagulation Minimally invasive method using laser or infrared light to shrink hemorrhoids Suitable for smaller internal hemorrhoids π Recovery: 3β7 days β Pros: Quick, less bleeding, less pain β οΈ Cons: May need multiple sessions --- 4. Rubber Band Ligation (Not a surgery, but often done in clinic) A small rubber band is placed around internal hemorrhoids to cut off blood flow Hemorrhoid falls off in a few days π Recovery: 1β2 days β οΈ Not suitable for external piles --- β³ Postoperative Recovery & Care Pain management with medications or sitz baths High-fiber diet and plenty of fluids Stool softeners to avoid straining Avoid lifting or straining for a few weeks --- π§ When Is Surgery Recommended? Persistent bleeding Prolapsed hemorrhoids that donβt retract Thrombosed external hemorrhoids Failed conservative treatments --- β Success Rate Most surgical treatments have a high success rate Risk of recurrence is lowest with hemorrhoidectomy