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Anorectal Surgeries In India

Anorectal surgeries are usually the surgical procedures that are considered to be the standard treatment for any disease or condition that affects the anus and the rectum. Different types of anorectal conditions require different surgical procedures for results and after a thorough diagnosis, your proctologist can easily determine the best suited method for you.

Anorectal surgeries are usually the surgical procedures that are considered to be the ... Read More

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What Is Anorectal Surgery?

Anorectal surgery is any surgical procedure that is performed to treat symptoms or conditions that affect the anus and rectum. Some medical conditions that affect the anus and rectum include:

  1. Anal Fissures- These are small tears in the anal lining.
  2. Hemorrhoids- Hemorrhoids are swollen veins that can occur internally or externally around the anus.
  3. Polyps- Polyps are precancerous growths that can potentially become colorectal cancer.
  4. Rectal prolapse- This is a medical condition in which the rectum begins to fall from its original position into the anal opening.
  5. Abscesses and fistulae- These are infections near the rectum and anus.
  6. Colon and rectal cancer- This cancer begins in the colon or rectum.

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Best Treatment Centre For Anorectal Surgery In India

Pristyn Care is one of India’s most trusted surgical healthcare providers that aims to provide a patient-centric and comprehensive surgical experience to all its patients. To provide you with the best treatment, we have our own state-of-the-art clinics and tie-ups with some of the best hospitals in India that boast well-maintained and advanced medical facilities. 

Our team of proctologists are highly qualified and well trained with years of experience in performing successful anorectal surgeries without any major side-effects or complications. We also provide a dedicated care-coordinator for 24/7 medical assistance, complete support in insurance claim and hospital paperwork and affordable no-cost EMI options. So contact Pristyn Care today and undergo the best treatment for your anorectal condition.

Diagnostic tests performed before anorectal surgery

Prior to surgery, your proctologist is likely to perform a series of simple tests and diagnostics to not only assess your overall health but also evaluate the severity of your condition. These tests will also help your proctologist uncover any medical conditions you may have that could pose risk of complications either during or after surgery. Some of the most common tests that are usually performed before any kind of anorectal surgery are given below: 

  • Anoscopy: An anoscopy test is a simple and commonly performed test that your proctologist may perform to examine the tissue lining on your anus and rectum. In the procedure, your proctologist will insert a small, rigid, tubular instrument a few inches into your anus to examine and evaluate your anorectal condition.
  • Digital rectal examination: Before surgery, your proctologist may also perform a Digital Rectal Examination (DRE) to examine your lower rectum. In this test, the doctor will insert a gloved, lubricated finger into your rectum and physically feel the tissue lining on your anus and rectum to check for any abnormalities, lumps or hard spots. 
  • Flexible sigmoidoscopy: A flexible sigmoidoscopy is a test that is commonly performed to examine the lower part of your large intestines. In the test, the proctologist inserts a thin, flexible tube called a sigmoidoscope into your anus. A sigmoidoscope is fitted with a camera on one end which the doctor can use to examine and evaluate your anorectal condition. 
  • Colonoscopy: A colonoscopy is a test that allows your proctologist to view and examine the entirety of your large intestines. This test is usually performed to check for any abnormalities such as swollen or irritated tissue in the large intestines and rectum.
  • Ultrasound or MRI: Your proctologist may perform an ultrasound test or MRI to accurately determine the functioning and structure of your anal canal, sphincter muscles and rectum. 

Types Of Anorectal Surgery

There are different types of anorectal conditions that require different surgical procedures for treatment and after a thorough diagnosis, your proctologist can determine a surgical procedure that is best suited for you. Some of the most commonly performed anorectal surgeries include:

  • Laser surgery
  • Hemorrhoidectomy
  • Hemorrhoid stapling
  • Rubber Band ligation
  • Coagulation

 

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Laser surgery

A laser surgery for piles or sometimes referred to as laser hemorrhoidectomy is a minimally invasive surgical procedure that is commonly performed to treat piles or hemorrhoids. In a laser piles surgery, the surgeon uses a focused, narrow beam of light to ablate or shrink swollen and enlarged blood vessels in your anal region called hemorrhoids. 

A laser piles surgery is an advanced method of treating piles that is suitable for all grades of piles and is usually performed under local anaesthesia. The entire procedure takes about 20-30 minutes to complete and is performed on an outpatient basis meaning you can go home on the same day of the surgery. It also requires less recovery time as compared to other procedures to treat piles and carries significantly less chances of any complications either during or after surgery.

Hemorrhoidectomy

Hemorrhoidectomy or often referred to as open piles surgery is a more conventional and invasive surgical procedure that is typically performed to treat severe (Grade 3-4) piles. In an open piles surgery, the proctologist cuts out large internal and external hemorrhoids by making small incisions around the anus using a variety of surgical tools. 

The entire procedure is typically performed under general anaesthesia but depending on your overall health and preference, your proctologist may use spinal anaesthesia meaning you will remain conscious throughout the surgery but certain parts of your body will become numb. While open piles surgery is a relatively safe procedure, being an open surgery, it is prone to postoperative complications such as bleeding and infection. It also requires more recovery time as compared to more advanced methods such as laser piles surgery.

Hemorrhoid Stapling

A hemorrhoid stapling procedure or sometimes referred to as Hemorrhoidopexy is a surgical procedure that is usually recommended in case of internal hemorrhoids that have grown large or prolapsed completely. In a hemorrhoid stapling procedure, the proctologist will staple the hemorrhoids into their normal position within the anal canal using a special surgical tool. Once the hemorrhoids have been stapled back, due to lack of blood supply, they will slowly shrink in size until they are reabsorbed by the local tissue. 

A hemorrhoid stapling procedure is considered to be less invasive as compared to conventional hemorrhoidectomy and requires less recovery time as well. However, chances of recurrence are especially high after a stapling procedure.

Rubber Band Ligation

A rubber band ligation procedure or sometimes referred to simply as banding procedure, is a minimally invasive method to treat hemorrhoids up to grade 3 severity. In a rubber band ligation procedure, the surgeon inserts a small tool called a ligator into the anal canal and holds the hemorrhoid with forceps. Once in place, the surgeon slides the ligator cylinder in an upward motion and releases rubber bands around the base of the hemorrhoid. These rubber bands cut off the blood supply to the hemorrhoids and cause them to drop off.  It is to be noted however that a banding procedure usually requires 2 or more procedures for the best results.

During the procedure, you may feel slight discomfort but rubber band ligation usually does not require any anaesthesia. The recovery time in rubber band ligation procedure is less as compared to conventional methods and chances of complications are low as well. However, a rubber band ligation procedure is not recommended for patients who are at a high risk of excessive bleeding due to certain blood thinning medications.

Coagulation

Coagulation or Infrared Coagulation (IRC) is a non-surgical treatment that is considered to be an effective treatment for grade 1-3 internal hemorrhoids. A coagulation procedure involves use of heat in the form of infrared light to coagulate or clot the blood vessels carrying blood supply to the hemorrhoid. This causes the hemorrhoids to shrink or recede in size. Your proctologist may also recommend an IRC procedure if you have either bleeding or prolapsed hemorrhoids. 

The entire procedure lasts for about 10 minutes and while you may feel some pressure or slight discomfort during the procedure, similar to rubber band ligation, coagulation procedure does not require anaesthesia. After the procedure, you may face side-effects such as bleeding, pain, swelling or difficulty urinating. These side-effects are expected to subside on their own but if they continue to persist, it is advisable to contact your proctologist as soon as possible.

Common Risks And Complications Of Anorectal Surgery

Complications of any kind after anorectal surgery are rare but like any other surgical procedures, they can still happen. Some of the most common side-effects that can occur after a anorectal surgery are: 

  • Sepsis
  • Excessive bleeding 
  • Bowel incontinence
  • Anal stenosis
  • Constipation 
  • Complications from anaesthesia

If you exhibit any symptoms such as fever, yellowish and smelly discharge from the surgical site or pain after your surgery, it is advised to inform your proctologist about them as soon as possible.