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A comprehensive guide to all procedures available at Indian piles clinics — from non-surgical options to advanced laser and robotic surgeries.
The most advanced and popular treatment for piles in India today.
Laser piles surgery uses a focused diode laser beam to precisely ablate hemorrhoidal tissue. The laser energy causes coagulation and shrinkage of the hemorrhoid mass without cutting or stitching. Available for grade 2, 3, and 4 hemorrhoids.
Minimally Invasive Procedure for Hemorrhoids — gold standard for high-grade piles.
Stapler hemorrhoidopexy (also called PPH - Procedure for Prolapse and Hemorrhoids) uses a circular stapler device to resect and reposition prolapsed hemorrhoidal tissue. It reduces blood supply to hemorrhoids causing them to shrink.
Non-surgical outpatient procedure for early-grade piles.
Rubber band ligation involves placing a tight rubber band at the base of the internal hemorrhoid to cut off its blood supply. The hemorrhoid dries up and falls off within 7-10 days. No anesthesia required for most patients.
Chemical injection to shrink early-stage internal hemorrhoids.
A sclerosing agent (usually phenol in oil or quinine) is injected into the submucosal layer of the hemorrhoid tissue. This causes fibrosis and obliteration of the blood vessels feeding the hemorrhoid.
Most advanced minimally invasive treatment for anal fistula.
VAAFT uses a fistuloscope (thin endoscope) to visualize the fistula tract from inside. The internal opening is identified and treated under direct vision using electrocautery and laser. The tract is cleaned and the internal opening is closed with a flap or stapler.
Ayurvedic para-surgical technique with ancient roots, proven efficacy.
Kshar Sutra is a medicated thread prepared from plant alkaline extracts (Kshar), turmeric, and latex. It is tied through the fistula tract and changed weekly. The thread gradually cuts through the fistula while simultaneously healing, preventing sphincter damage.
Classical surgical excision — highly effective for complex cases.
Traditional open hemorrhoidectomy involves surgical excision of three primary hemorrhoidal groups. Though slightly more painful and requiring longer recovery, it has excellent long-term results and the lowest recurrence rate of all surgical procedures.
Laser-based fistula treatment with excellent sphincter preservation.
FiLaC uses a radially emitting laser fiber inserted into the fistula tract to thermally ablate the epithelial lining. The internal opening is closed with a mucosal flap. Complete sphincter preservation makes it ideal for high fistulas.
Not sure which treatment is right? Talk to our advisor.