SERVICES OFFERED

ENDOSCOPY

  • Diagnostic & Therapeutic Upper GI Endoscopy
  • Diagnostic & Therapeutic Colonoscopy
  • Capsule Endoscopy
  • ERCP & Cholangio-pancreatoscopy
  • Endoscopic Ultrasound [EUS]

GI MOTILITY LAB

  • 24 Hrs Esophageal pH-Impedance study
  • Esophageal & Anorectal Manometry

BREATH TESTS

  • Hydrogen Breath Test for small intestinal bacterial overgrowth
  • Urea Breath Test for H. pylori infection

SURGERY

  • Esophageal & Gastric Surgery
  • Hepatectomy & Liver Surgery
  • Pancreato – Billiary Surgery
  • Colorectal Surgery
  • Hernia Surgery – Laparoscopic & Open
  • Minimally Invasive & Laparoscopia Surgery
  • Gl Oncology Surgery
  • Surgery for Piles, Fistula & Fissure

RADIOLOGY

  • Digital X-Ray
  • Ultrasound with Colour Doppler
  • Liver Elastography [Fibroscan] for liver fibrosis and steatosis.

PATHOLOGY

CRITICAL CARE TAIL

  • State of Art Intensive Care Unit & Expert Team for management of GI and hepato-pancreato-biliary diseases

ADVANCED SERVICES OFFERED

ERCP & CHOLANGIO-PANCREATOSCOPY

  • Complex Pancreato-biliary Procedures
    [Multiple biliary stent placement for hilar strictures;
    mechanical lithotripsy for CBO stones]
  • Laser Lithotripsy Treatment for CBD / pancreatic stones
  • CBD Stricture evaluation
  • Ampullectomy

THIRD SPACE ENDOSCOPY

  • Endoscopic Mucosal Resection [EMR] & Endoscopic Submucosal Dissection [ESD] for early gastrointestinal cancers
  • Peroral Endoscopic Myotomy [POEM] for Zenker’s Diverticulum, 
    Achalasia Cardia, Gastroparesis, Hirschsprung’s disease
  • Submucuosal Tunneling & Endoscopic Resection [STER]
    & Endoscopic Full-Thickness Resecton (EFTR] for subepithlial tumors

ANTIREFLUX TREATMENT [FOR GERD]

  • Antireflux Mucosal Ablation [ARMA]
  • Endoscopic Funcoplication

ENDOBARIATRICS [FOR WEIGHT LOSS]

  • Gastric Balloon placement
  • Endoscopic Sleeve Gastroplasty

ENDOSCOPIC ULTRASOUND [EUS]

  • EUS & EUS – guided FNAC / Biopsy for diagnosis
  • EUS – guided Pancreatic Cysto-gastrostomy / Choledocho-jejunostomy / Hepatico-gastrostomy
  • EUS – guided Gastric Variceal Glue & Coil treatment

 

Piles, medically known as haemorrhoids, are swollen and inflamed veins in the rectum or around the anus. While many cases of piles can be managed with non surgical treatment, advanced or severe piles that do not respond to conservative management often require surgical intervention for effective and lasting relief. Piles surgery has advanced significantly in recent years, with minimally invasive techniques offering faster recovery, reduced pain and excellent outcomes. At LGI Hospital, Nagpur, our experienced surgical gastroenterologists provide comprehensive piles surgery with a focus on patient safety, precision and comfort.

What Is Piles Surgery?

Piles surgery refers to a range of surgical and minimally invasive procedures designed to remove or reduce haemorrhoidal tissue that is causing persistent symptoms. The choice of surgical procedure depends on the grade and severity of the piles, the patient's overall health and the surgeon's assessment. Surgical options range from minimally invasive procedures suitable for Grade 2 and Grade 3 piles to more definitive surgical procedures for Grade 3 and Grade 4 piles that have not responded to other treatments.

When Is Piles Surgery Recommended?

Piles surgery is generally recommended when conservative and non surgical treatments have not provided adequate relief. Specific indications for surgical intervention include:
  • Grade 3 piles that prolapse and require manual reduction
  • Grade 4 piles that remain prolapsed and cannot be reduced
  • Persistent or recurrent bleeding that does not respond to medication
  • Large external piles causing significant discomfort or hygiene concerns
  • Piles associated with other anorectal conditions requiring surgical correction
  • Non surgical procedures that have failed to provide lasting relief
  • Significant impact on quality of life due to pain, bleeding or prolapse

A surgical gastroenterologist will conduct a thorough evaluation to determine whether surgery is the most appropriate option for each individual patient.

Types of Piles Surgery Available in Nagpur

Several surgical approaches are available for treating piles depending on the grade, severity and individual patient factors. Common surgical options include:
Surgical Procedure Suitable For
Laser piles surgery Grade 2 and Grade 3 piles, minimally invasive
Stapler haemorrhoidopexy Grade 3 piles, reduced pain and faster recovery
Conventional haemorrhoidectomy Grade 3 and Grade 4 complex piles
Rubber band ligation Grade 1 and Grade 2 internal piles
Sclerotherapy Early grade internal piles
A surgical gastroenterologist will assess your specific condition and recommend the most appropriate surgical procedure based on the grade of piles, severity of symptoms and your overall health.

What Happens During Piles Surgery?

The specifics of piles surgery vary depending on the procedure selected. In general, the surgical process involves:
  • A pre operative assessment including blood tests and a clinical evaluation
  • Administration of anaesthesia, which may be local, regional or general depending on the procedure
  • Removal or reduction of haemorrhoidal tissue using the selected surgical technique
  • The procedure is typically completed within thirty to sixty minutes depending on complexity
  • Post operative monitoring before discharge or a short hospital stay
Minimally invasive procedures such as laser piles surgery generally involve less post operative discomfort, minimal bleeding and a faster return to normal activities compared to conventional surgical approaches.

Recovery After Piles Surgery

Recovery after piles surgery varies depending on the type of procedure performed. General recovery guidelines include:
  • Mild discomfort or soreness in the operated area for a few days after surgery
  • Dietary modifications including a high fibre diet and adequate fluid intake to ensure soft stools
  • Avoiding straining during bowel movements during the recovery period
  • Follow up appointments with the surgical team to monitor healing
  • Gradual return to normal activities as advised by the surgeon
  • Avoiding heavy lifting or strenuous activity for a recommended period
Most patients undergoing minimally invasive piles surgery experience a relatively smooth and comfortable recovery. The surgical team at LGI Hospital provides detailed post operative guidance to support each patient through recovery.

Why Choose LGI Hospital for Piles Surgery in Nagpur?

  • Experienced Surgical Gastroenterologists: LGI Hospital in Nagpur has a dedicated team of skilled surgical gastroenterologists with extensive experience in performing all types of piles surgery including advanced laser piles surgery and stapler haemorrhoidopexy.
  • Minimally Invasive Surgical Techniques: The surgical team at LGI Hospital prioritises minimally invasive approaches wherever appropriate, ensuring reduced post operative discomfort, minimal hospital stay and faster recovery for patients.
  • Advanced Surgical Infrastructure: LGI Hospital in Dhantoli, Nagpur is equipped with a modern operation theatre and surgical facilities to support safe and precise piles surgery with excellent outcomes.
  • Comprehensive Pre and Post Operative Care: From initial surgical consultation and pre operative assessment through to post operative monitoring and follow up, LGI Hospital provides complete care throughout the entire surgical journey.

FAQ

Q1. Is piles surgery painful?

Modern piles surgery, particularly minimally invasive procedures such as laser surgery and stapler haemorrhoidopexy, is associated with significantly less pain compared to conventional surgical methods. Anaesthesia is administered during the procedure to ensure patient comfort. Post operative discomfort is generally mild and manageable with appropriate pain relief as advised by the surgical team.

Q2. How long does piles surgery take?

The duration of piles surgery depends on the type of procedure and complexity of the case. Most piles surgery procedures are completed within thirty to sixty minutes. Minimally invasive procedures such as laser surgery are often quicker and allow for same day discharge in suitable cases.

Q3. What happens after piles surgery?

After piles surgery, patients are monitored for a period before discharge. The surgical team provides detailed post operative instructions including dietary guidelines, activity restrictions and wound care. Follow up appointments are scheduled to monitor healing and ensure a smooth recovery.

Q4. Recovery after piles surgery in Nagpur — what to expect?

Recovery after piles surgery varies by procedure. Minimally invasive procedures generally allow a faster return to normal activities within a few days to a week. Conventional surgery may require a longer recovery period. A high fibre diet, adequate fluid intake and avoiding straining are important during recovery to support healing and prevent recurrence.

Q5. Which hospital is best for piles surgery in Nagpur?

LGI Hospital in Dhantoli, Nagpur is a dedicated single speciality gastroenterology hospital with experienced surgical gastroenterologists who perform all types of piles surgery including minimally invasive laser and stapler procedures. The hospital provides comprehensive pre and post operative care under one roof.

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