Indications for Hemorrhoidectomy:

• Grade III & IV Hemorrhoids: Surgical intervention is indicated for severe cases. Grade III involves prolapse that requires manual reduction, while Grade IV refers to prolapse that cannot be reduced manually.
• Recurrent Hemorrhoids: If conservative treatments such as dietary changes and lifestyle modifications have not provided sufficient relief, surgery may be recommended.

Ayurvedic Surgical Methods:

• Kshara Sutra Ligation: This Ayurvedic technique involves placing a specially medicated thread (Kshara Sutra) around the base of the hemorrhoid. Over time, the thread constricts the blood flow, causing the hemorrhoid to shrink and fall off.
  • Benefits: This method is minimally invasive, less painful, and generally carries a lower risk of complications than traditional open surgery.
• Modern Surgical Methods:
  • Milligan-Morgan Hemorrhoidectomy: A traditional open surgery that involves excising the hemorrhoidal tissue directly.
  • Ferguson Hemorrhoidectomy: A modified procedure that uses a smaller incision, aiming to remove less tissue and promote faster recovery.

Pre-Procedure Considerations:

• Comprehensive Consultation: A detailed consultation with Dr. Shyam Prasad P.S., a senior general surgeon specializing in hemorrhoid procedures, is essential to determine the most suitable approach, as well as to review potential risks and benefits.
• Diagnostic Assessment: A thorough physical examination and proctoscopy are conducted to confirm the diagnosis and evaluate the severity of the condition.
• Pre-operative Preparation: Patients will receive pre-operative instructions, including bowel preparation and necessary dietary modifications.

The Procedure:

• Anesthesia: The procedure is generally performed under local or regional anesthesia.
• Surgical Execution: Our skilled surgeons will perform the selected procedure (Kshara Sutra ligation, Milligan-Morgan, or Ferguson) with precision.
• Wound Care: Post-surgery, the surgical site will be carefully cleaned and dressed.

Post-Procedure Care:

• Wound Care: Patients will be given detailed instructions for wound care to ensure proper healing and reduce the risk of infection.

• Pain Management: Pain medications will be prescribed to manage any post-operative discomfort.

• Dietary and Lifestyle Guidance:

  • South Indian/Karnataka Diet: A diet rich in easily digestible foods, such as rice, lentils, vegetables, and fruits, is recommended.
  • Foods to Avoid: Spicy, fried foods, alcohol, and excessive caffeine should be avoided.
  • Fiber-Rich Foods: It is important to consume plenty of fiber-rich foods like fruits, vegetables, and whole grains to help soften stools.
  • Exercise: Gentle exercises like walking can boost circulation and aid in the healing process.
  • Stress Reduction: Relaxation practices, such as deep breathing and meditation, are encouraged to reduce stress and enhance recovery.

• Bowel Care: Special care should be taken to avoid constipation and ensure stool softening.

  • Sitz Baths: Regular sitz baths (soaking in warm water, around 98-100°F, for 15-20 minutes, 2-3 times a day) can help soothe the area, reduce inflammation, and promote healing.

• Follow-up Consultations: Ongoing follow-up visits with Dr. Shyam Prasad P.S. or another qualified physician will be necessary to monitor recovery and address any concerns.

Contraindications:

• Pregnancy: These surgical methods are generally not recommended during pregnancy.
• Bleeding Disorders: Individuals with bleeding disorders may not be suitable candidates for these procedures.
• Inflammatory Bowel Disease: Patients with inflammatory bowel disease may not be appropriate candidates for surgical intervention.

At Yogakshema Ayurveda Hospital, we provide a well-rounded range of treatment options for hemorrhoids, combining Ayurvedic healing techniques with modern surgical practices. Our experienced team, led by Dr. Shyam Prasad P.S., ensures each patient receives a tailored treatment plan, prioritizing safety and the best possible outcomes.