Anorectal Surgeries

Haemorrhoids / Piles

Haemorrhoids or Piles are swollen and inflamed veins in the rectum and anus that cause discomfort and bleeding. This is a very common disease affecting people across the world.
Hemorrhoid patient
This is a very common disease affecting people across the world. Haemorrhoids are usually caused by straining during passing of stools, obesity or pregnancy.

Discomfort and itching in the anal region along with bleeding while passing stool are common symptoms of piles.

If you don't get relief by stool softeners or high fiber diet, a surgery might be needed.

Depending on your case, Dr. Naresh Babu might suggest a laser or stapler procedure to provide you relief from piles. Piles surgery is very routine and can be done as a day care surgery.

Frequently Asked Questions

Anal Fissure

An anal fissure or rectal fissure is a break or tear in the skin of the anal canal. It may occur when passing large or hard stools, straining during childbirth, or experiencing bouts of diarrhoea. The crack in the skin exposes the muscle tissue underneath, causing severe pain and bleeding during and after bowel movements.
Anal Fissure

Treatment Of Anal Fissure

Non-surgical treatments are recommended initially for acute and chronic anal fissures. These include topical nitroglycerin or calcium channel blockers (e.g. diltiazem). Other measures include warm sitz baths, topical anesthetics, high-fiber diet and stool softeners.

Surgical procedures are generally reserved for people with anal fissure, who have tried medical therapy for at least one to three months and it has not healed. It is not the first option in treatment.

Frequently Asked Questions

Anal Fistula / Abscess

An anal fistula is an abnormal connection between the lining on the inside of your anal canal and the skin near your anus. Sometimes the anal canal gets blocked and results in collection of pus. This is called an abscess. When the pus drains away onto your skin on its own or by an operation. A fistula happens when the track made by the pus on the way to the surface of your skin stays open.

A transrectal ultrasound or an MRI of the pelvis is necessary to diagnose and delineate a fistula tract. This acts as a road map for the surgeon, ensuring a proper surgery.
Anal Fistula Illustration

Anal Fistula Treatment

Surgery is almost always necessary to cure an anal fistula. The goal of the surgery is a balance between getting rid of the fistula while protecting the anal sphincter muscles, which could cause incontinence if damaged.
There are many surgical options for Anal Fistula depending on whether your Fistula is a Simple of Complex. Main options are listed below.
1. Fistulotomy – It involves cutting open the whole length of the fistula so it heals into a flat scar
2. Seton procedure – a piece of surgical thread called a seton is placed in the fistula to allow pus to drain easily.
The operation is usually performed under a general anaesthesia. The operation usually takes 15 to 40 minutes.

Frequently Asked Questions

Pilonidal Sinus

A pilonidal sinus is a small hole or tunnel in the skin which occurs in the cleft at the top of the buttocks.It may fill with fluid or pus, causing the formation of a cyst or abscess. A pilonidal cyst usually contains hair, dirt, and debris. It can cause severe pain and can often become infected with pus and have a foul odor. People who sit for long periods of time are usually at higher risk of developing pilonidal cysts.
Pilonidal Sinus illustration

Pilonidal Sinus Treatment

Dr. Naresh Babu will treat simple cases of pilonidal cyst in the dressing or treatment room where after numbing the area, he will make a small cut to drain the cysts. If the cyst returns, he will recommend a surgery.

Surgery also involves removal of the pus, debris & cyst, and closing the wound with stiches. Wound care is very important after surgery. Dr. Naresh will show you how to change dressings and explain what to expect during the healing process. You will be discharged the same day of surgery.

Frequently Asked Questions

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