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When to Get Surgery for Piles, Fissure, Fistula, and Pilonidal Sinus ?

Suffering from piles (hemorrhoids), fissures, fistulas, or pilonidal sinus can be extremely painful and disruptive to daily life. While mild cases can often be managed with medications and lifestyle changes, severe or chronic conditions may require surgical intervention. Knowing when to opt for surgery and choosing the right surgeon is crucial for effective treatment and quick recovery.

When is Surgery Needed?

1. Piles (Hemorrhoids) Surgery

  • When:
    • Persistent bleeding despite medications
    • Large, prolapsed hemorrhoids that cannot be pushed back
    • Thrombosed hemorrhoids (blood clots causing severe pain)
    • Failed non-surgical treatments (like rubber band ligation, sclerotherapy)
  • Why Surgery?
    • Provides permanent relief in advanced cases
    • Minimally invasive techniques (like LASER, Stapler Hemorrhoidopexy, MIPH) ensure less pain and faster recovery

2. Fissure Surgery

  • When:
    • Chronic fissures lasting more than 6-8 weeks
    • Severe pain and bleeding affecting quality of life
    • Failed conservative treatments (ointments, dietary changes)
  • Why Surgery?
    • Lateral Sphincterotomy (gold standard) relieves pain by reducing muscle spasm
    • LASER fissure surgery offers precision with minimal scarring

3. Fistula Surgery

  • When:
    • Recurrent abscesses and persistent discharge
    • Complex or high anal fistulas
    • Risk of infection spreading
  • Why Surgery?
    • Fistulotomy, LIFT (Ligation of Intersphincteric Fistula Tract), or LASER fistula treatment ensures complete healing
    • Prevents recurrence and complications like sepsis

4. Pilonidal Sinus Surgery

  • When:
    • Recurrent infections and abscess formation
    • Multiple sinuses or failed previous treatments
    • Chronic pain and discharge
  • Why Surgery?
    • Minimally invasive techniques (LASER, Pit Picking) or Limberg Flap ensure complete removal with minimal recurrence

Why Dr. Karan R. Rawat is the Best Surgeon in India for These Conditions?

Dr. Karan R. Rawat is a renowned Laser Proctologist and Gastrointestinal Surgeon in India, specializing in painless, minimally invasive treatments for piles, fissures, fistulas, and pilonidal sinus. Here’s why he stands out:

✅ Expertise in Advanced Laser Treatments – Uses state-of-the-art LASER and minimally invasive techniques for faster recovery and less pain.

✅ High Success Rates – Thousands of successful surgeries with minimal complications and recurrence.

✅ Painless & Stitchless Procedures – Specializes in day-care surgeries where patients can go home the same day.

✅ Patient-Centric Approach – Personalized care with a focus on quick recovery and comfort.

✅ Reputation & Trust – One of the most recommended surgeons in India for proctology and gastrointestinal conditions.

Final Thoughts

If you’re suffering from chronic piles, fissures, fistulas, or pilonidal sinus, delaying treatment can worsen the condition. Dr. Karan R. Rawat offers the best laser and minimally invasive surgical options in India, ensuring pain-free, quick recovery, and long-term relief.

📞 Consult Dr. Karan R. Rawat today for expert advice and advanced treatment options!


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