What are Piles?

  • Piles are also called hemorrhoids.
  • Hemorrhoids are swollen blood vessels in the anal passage.
  • There are two circular bunches of veins, one inside the anal canal and the second at the anal verge. And according to vein that swells, they are called internal and external hemorrhoids.
  • There are several medical and surgical processes of treating piles. Change in the lifestyle and diet also help to stay away from its re-occurrence.
  • Haemorrhoidectomy (open surgery of the piles) and Minimally Invasive Procedure for Hemorrhoids (MIPH) are considered to be the best surgical process to treat piles.



  • Injection sclerotherapy, banding and Infrared coagulation are other alternate methods and can be chosen in cases where these methods are most effective.

Haemorrhoidectomy (open surgery of the piles)

What is it?

  • Classical haemorrhoidectomy is the process where the pile masses are surgically removed.
  • This process is carried out once the diagnosis of the piles if positive.
  • The diagnosis is done by visual inspection and sometimes by using an instrument called proctoscope.
  • Though it is a simple open surgical process but post-operative cares are immense.
  • It requires regular dressing of surgery and is a painful process.

Benefits of Haemorrhoidectomy

  • Haemorrhoidectomy as a process is quite successful in treating piles.
  • It is safe and convenient.
  • Takes less time for surgery.
  • Patient can resume regular routine within days.

Disadvantages of Haemorrhoidectomy

  • It is an invasive process and thus is also a painful process.
  • Post operative care includes regular dressing.
  • There are chances of re-occurrence of piles on the same region or on other location.

Minimally Invasive Procedure for Hemorrhoids (MIPH)

What is it?

  • It is one of the most advanced procedures for treating piles.
  • In this procedure the vessels at the base of hemorrhoids or piles are stapled and divided high up in the anal canal.
  • The external piles get pulled inside.
  • There is no external cut and pain is negligible.
  • The procedure is performed using a special circular stapler.

Benefits of Minimally Invasive Procedure for Hemorrhoids (MIPH)

  • Minimal post operative pain
  • Much faster recovery
  • Shorter hospital stay
  • Less post operative discomfort
  • No dressings
  • Early resumption of normal activities

Disadvantages of Minimally Invasive Procedure for Hemorrhoids (MIPH)

  • Though there are not any considerable disadvantages of the process but it has its limitations.
  • This process is best suited for piles that have not aggravated beyond a certain point.
  • In some cases piles can re-occur, even after surgery.

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