Strangulated Hemorrhoids (Piles) - Causes & Treatment

Treatment Options for Strangulated Piles

Treatment for strangulated piles typically involves a surgical intervention to remove hemorrhoids and alleviate the pressure on the affected area. In some cases, medication may be prescribed to manage pain and reduce inflammation.

The techniques used for the treatment of strangulated piles include the following- 

• Hemorrhoidectomy or Hemorrhoid Removal- It is one of the safest and most effective methods to treat strangulated piles. This technique involves the removal of the excess tissues that cause bleeding. The surgery is performed under local, regional, or general anesthesia. It is an invasive procedure, due to which the recovery takes around 3-6 weeks. 
• Stapled Hemorrhoidectomy – Also referred to as hemorrhoid stapling or stapled hemorrhoidopexy, this surgical technique is also a good option for strangulated piles. This method involves blocking the blood flow to the hemorrhoidal tissues. The tissues where the blood supply is already compromised, are removed safely. Then a special stapling device is used to reposition the tissues. Compared to hemorrhoidectomy, it is a slightly less invasive technique that allows faster recovery. 
• Doppler-guided Hemorrhoidal Artery Ligation– This procedure involves using a special tool to identify the blood vessels supplying hemorrhoids and then tying them off to cut off the blood supply. Only then the strangulated tissues are removed. This surgery is carried out after inducing monitored anesthesia care (MAC) that makes the patient fall asleep. 

Many people request doctors to use the minimally-invasive laser technique for piles treatment. However, laser piles surgery is not a suitable technique to treat strangulated piles.