To treat the Piles/Haemorrhoids, many new surgical techniques are now being applied. These can be employed when any simple and conservative procedures fail. Some of these are as follows:

  1. There is a Doppler guided transanal haemorrhoidal dearterialization. It is a minimally invasive treatment using an ultrasound Doppler to locate the arterial blood inflow. Then these arteries are tied and the prolapse tissue is sutured back. The recurrence rate may be higher but the complications are less.
  2. Excisional hemorrhoidectomy. This is a surgical excision of the haemorrhoids which is used only in severe cases. About 2-4 weeks are required for recovery and there is a lot of post-operative pain. But the long term benefits are greater. Those with the thrombosed external haemorrhoid are recommended to do this surgery. To help with the pain and healing, Glyceryl trinitrate ointment is used.
  3. Stapled hemorrhoidopexy which is also known as Stapled hemorrhoidectomy, is a surgery that involves the removal of much of the abnormally enlarged haemorrhoidal tissue. Then the reposition of the remaining haemorrhoidal tissue is done back to its normal position. In this surgery, there is faster healing and it is generally less painful. But since the possibility of the return of symptomatic haemorrhoids is more in this surgery, it is recommended only for the grade 2 or 3 of the disease.