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Anorectal Surgery

Hemorrhoids / Piles

Hemorrhoids, also called piles, are enlarged veins around the rectum or in the anus. They are extremely common – about 50% of people over the age of fifty have had hemorrhoids at some point in their life. They are most common in people over the age of thirty. They may extend outside as prolapse in advanced stages. Although they can be irritating, uncomfortable, and painful, hemorrhoids rarely cause more serious problems
hemorrhoids
Hemorrhoids are caused by excessive pressure on the veins in the pelvic and rectal area. The pressure causes the veins to swell and become distended. Straining during bowel movements is the most common cause of excessive pressure on the veins and prolapsed of the rectal mucosa. Hemorrhoids can be caused by chronic constipation or diarrhea, a tendency to rush to complete a bowel movement.

Hemorrhoids are also more common among overweight people, those who must sit or stand for prolonged periods, those who regularly lift heavy objects, and those who consume diets low in fiber and water.

Another common cause of hemorrhoids is pregnancy and childbirth. Many pregnant women develop hemorrhoids during the last six months of pregnancy because of increased pressure on the veins in the pelvic area. 

Frequently Asked Questions

  • Bleeding while passing motion.
  • Pain while passing motion
  • Reducible swellings while passing motion or in later stages irreducible swelling in later stages. Can present with anemia and weakness.

If you are experiencing rectal bleeding, it is extremely important to visit a doctor. Although it may be a symptom of hemorrhoids, rectal bleeding can also be a symptom of a number of far more serious conditions, including colorectal cancer. Hemorrhoids are generally diagnosed via a physical exam.

Treatment of hemorrhoids depends on their severity and the degree of discomfort the cause. Many cases of hemorrhoids, particularly those resulting from pregnancy and/or childbirth, resolve themselves on their own with a minimum of treatment others may become chronic.

Anemia with grade I and Grade II piles or symptomatic Grade III and Grade IVpiles, surgery is the only option

  • Conventional surgery: Pile masses are cut and there is wound which needs to be take care for two to three weeks. May require stay in the hospital.
  • Minimal invasive surgery for piles(stapled haemorrhoidectomy): Pile mass is lifted and fixed to the place where it belongs. Circumferential mucosectomy is done in painless area using a stapler. Blood supply to piles is taken off. No open wound after surgery and no pain leading to faster recovery. This procedure is almost painless and chances of recurrence are minimal

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.

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.

Anal Fissure

Frequently Asked Questions

Most anal fissures are caused by stretching of the anal mucosa beyond its capability. An anal fissure most often occurs when passing large or hard stools. Chronic constipation or frequent diarrhoea can also tear the skin around the anus. Other common causes of anal fissures include:

  • Childbirth trauma in women
  • Sexual activities
  • Crohn’s disease
  • Ulcerative colitis
  • Poor toileting in young children
  • Decreased blood flow to the anorectal area
  • Overly tight or spastic anal sphincter muscle

An anal fissure may cause one or more of the following symptoms:

  • Visible tear in the skin around the anus
  • Skin tag, or small lump of skin, next to the tear
  • Sharp pain in the anal area during bowel movements
  • Burning or itching in the anal area
  • Streaks of blood on stools or on tissue paper after wiping

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.

  • Lateral internal sphincterotomy: LIS is the surgical procedure of choice for anal fissures due to its simplicity and its high success rate (~95%). In this procedure the internal anal sphincter is partially divided in order to reduce spasming and thus improve the blood supply to the perianal area. This improvement in the blood supply helps to heal the fissure, and the weakening of the sphincter is also believed to reduce the potential for recurrence.. The pain from the sphincterotomy is usually mild and is often less than the pain of the fissure itself. Patients often return to normal activity within one week.
  • Fissurectomy: This is another surgery that can be used to treat anal fissures. This procedure produces the same result as a sphincterotomy, except that during this surgery, the edges of the fissure are also surgically removed, as are any skin tags that may have occurred in conjunction with chronic tears. A cauterising tool is then used to seal the entire area of the wound. The muscle is not cut.

Anal Fistula / Abscess

Fistula

An anal fistula is a small tunnel that develops between the end of the bowel and the skin near the anus (where poo leaves the body). They're usually the result of an infection near the anus causing a collection of pus (abscess) in the nearby tissue. When the pus drains away, it can leave a small channel behind.

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.

Frequently Asked Questions

Surgery is almost always necessary to cure an anal fistula. The surgery is performed by a surgeon. 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.

Unfortunately, despite proper treatment and complete healing, an abscess or a fistula can come back. If an abscess comes back, it suggests that perhaps there is a fistula that needs to be treated. If a fistula comes back, additional surgery will likely be required to treat the problem.

Pilonidal Sinus

Pilonidal sinus is midline opening formed by a cyst or an abscess near the tailbone that often contains hair, dirt and skin debris.

It is thought that the combination of buttock friction and shearing forces in that area causes broken hairs which collect there and drill through the midline skin and enter the skin by the suction created by movement of the buttocks. The body considers this hair foreign and launches an immune response against it and this immune response forms the cyst around your hair

Pilonidal

Frequently Asked Questions

  • Pain when sitting or standing
  • Swelling of the cyst
  • Reddened, sore skin around the area
  • Pus or blood draining from the abscess, causing a foul odour
  • Hair protruding from the lesion
  • Formation of more than one sinus tract, or holes in the skin
  • Conservative treatment- In those whose symptoms are relatively minor, simple cleaning out of the tracks and removal of all hair, with regular shaving of the area and strict hygiene, may be recommended.
  • Incision and drainage- This is done in acute exacerbation of the disease. Before this procedure, your doctor will give you a local anaesthetic. They will then use a scalpel to open the abscess. They will clean away any hair, blood, and pus from inside the abscess. Your doctor will pack the wound with sterile dressing and allow it to heal from the inside out. The wound usually heals within four weeks, and many patients don’t require any further treatment.
  • Surgery- Surgery is the treatment of choice in chronic or recurring abscesses or sinuses.

Limberg Flap- The rhomboid (Limberg) flap. The flap design places the longitudinal axis of the rhomboid excision parallel to the line of minimal skin tension

  • You can prevent recurrence by washing the area on a daily basis with a mild soap, making sure all soap is removed, keeping the area completely dry, and avoiding sitting for long periods.
  • Shaving of hair on the back and the buttock area.
  • Permanent laser treatment also can be helpful.

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Happy Patients

Google Reviews By Patients

5.0
Based on 16 Reviews
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jayashree bhadra
5.0
November 23, 2021

We are very happy with the experience. Excellent doctor. She is very helpful and listens to the patients . Very happy with the results! Highly recommend.

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Suparna Bhattacharjee
5.0
November 9, 2021

I had gone for hernia repair surgery to Dr Sanjitha and the doctor was very kind and patient throughout.I have recovered fast and completely under her care ...would highly recommend.

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Swathi Srikanth
5.0
November 1, 2021

Dr.Sanjitha was a very efficient, friendly doctor.she politely replied to all my queries.her explanation was very clear.very much satisfied with her service.

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Aruna Giri Doraiswamy
5.0
November 1, 2021

Very hospitable and soft spoken..glad to have been treated by her.

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Balaji UCLA
5.0
October 29, 2021

My mother was diagnosed with cellulitis and her hand was swollen and she experienced a lot of pain. Upon recommendation from our general physician, we consulted Dr. Sanjitha at Apollo Jayanagar. We had a great experience with her. At the very beginning she made my mother comfortable in the way she interacted with her. Following a very thorough examination she recommended certain exercises and medications for my mother which helped her greatly. Her swelling decreased in a week’s time and the pain has also come down significantly. Most importantly there was no surgery required. Her reassurance during this entire phase and the confidence she gave to all of us was noteworthy. Highly recommend Dr Sanjitha.

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Akshatha M V
5.0
July 28, 2021

Dr. Sanjitha perfomed my surgery and treatment was done with utmost care. She explained the issue in detail to us and made us aware of the options available for treating the same. I was diagnosed with abscess with pain and feverish symptoms. She completed the surgery very professionally and took great care to ensure that there was very minor/minimal scar arising out of surgery. She personally completed every dressing session post surgery which was for about a month and very closely monitored the progress of my health and healing of the wound. I was very comfortable to approach her with my queries and seek help. I thank her for her efforts and helping me recover fast.

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Dr. Sanjitha Shampur consults at Prime Orthopedics & Surgical Clinic in J.P.Nagar. You can either call our reception to book your appointment or WhatsApp us and our team will get back to you. Click on the telephone # of the clinic below to call for appointment.

Prime Orthopedics & Surgical Clinic

1309, 9th Cross Rd, ITI Layout, 1st Phase, J. P. Nagar, Bengaluru, Karnataka 560078
Timings : 5 PM to 7 PM
(Monday to Saturday)
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Book an Appointment

You can either call our reception to book your appointment or WhatsApp us and our team will get back to you.

Book an Appointment

Prime Orthopedics & Surgical Clinic

Monday - Saturday / Time : 5:00 pm to 7:30 pm
1309, 9th Cross Rd, ITI Layout, 1st Phase, J. P. Nagar, Bengaluru, Karnataka 560078

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Get In Touch

Prime Orthopedics & Surgical Clinic
1309, 9th Cross Rd, ITI Layout, 1st Phase, J. P. Nagar, Bengaluru, Karnataka 560078
Monday to Saturday - 5 pm to 7:30 pm
+91- 8296347123
sanjithashampur@gmail.com
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