LigaSure Hemorrhoidectomy in Vadodara

About the procedure

What is LigaSure hemorrhoidectomy?

LigaSure hemorrhoidectomy uses an advanced bipolar energy sealing device (the LigaSure vessel sealer) to simultaneously cut and seal the hemorrhoidal tissue and blood vessels. Unlike conventional open hemorrhoidectomy where raw wounds are left to heal, LigaSure seals the tissue as it cuts — resulting in significantly less bleeding during surgery and considerably less postoperative pain.

LigaSure hemorrhoidectomy is the preferred surgical option for large Grade 3 and Grade 4 hemorrhoids where laser treatment would be insufficient. It excises the hemorrhoid completely and permanently — recurrence rates are very low at under 2% at 5 years.

The procedure is performed under general or spinal anaesthesia and typically requires a 24–48 hour hospital stay. Most patients return to desk work within 7–10 days.

Why trust this content

Experience · Expertise · Authority · Trust

Every page on this site is written and medically reviewed by Dr Samir Contractor — a practising fellowship-trained surgeon — not by a content agency. Here is the evidence behind that claim.

Experience

Over 25 years of continuous surgical practice at Sterling Hospitals, Vadodara. Every claim on this page is drawn from direct clinical experience — not textbook paraphrasing.

25+ years in active surgical practice

8,000+ total procedures performed

5,000+ laparoscopic procedures

400+ bariatric procedures (sleeve & bypass)

1,500+ anorectal procedures

Senior Consultant, Sterling Hospitals since 2000

Expertise

Fellowship-trained at the Royal College of Surgeons of Edinburgh with subspecialty MIS training at Sir Ganga Ram Hospital, New Delhi. Board-certified in multiple countries.

MBBS — Medical College Baroda

MS (General Surgery) — Medical College Baroda

FRCS — Royal College of Surgeons, Edinburgh (UK)

FMAS — Fellow in Minimal Access Surgery

FACS — American College of Surgeons (USA)

PN1 Certified Exercise & Nutrition Coach

Authoritativeness

Affiliated with Sterling Hospitals — a leading multi-specialty hospital in Vadodara. Active member of recognised surgical bodies in India, the United Kingdom and the United States.

Senior Consultant, Sterling Hospitals, Vadodara

Indian Medical Association (IMA)

Indian Assoc. of GI Endo Surgeons (IAGES)

Obesity Surgery Society of India (OSSI)

Association of Surgeons of India (ASI)

General Medical Council, United Kingdom

Trustworthiness

Transparent pricing published on every procedure page. Surgery recommended only when clinically indicated. 4.9★ patient rating from named, verified patient reviews.

★ 4.9 average verified patient rating

Transparent package pricing on all pages

Medical disclaimer on every page

Content last reviewed: May 2026

Sterling Hospitals, Vadodara — established institution

Surgery discussed only when clinically appropriate

Qualifications

MBBS MS — General Surgery FRCS (Edinburgh, UK) FMAS FACS (USA) PN1 Certified

Memberships & Registrations

IMA IAGES ASI OSSI GMC, United Kingdom Royal College of Surgeons, Edinburgh American College of Surgeons

Who needs this procedure

Is this surgery right for you?

A consultation with Dr Samir Contractor is required for a definitive assessment of candidacy.

✓ SUITABLE Typical candidates

Large Grade 3 hemorrhoids (reducing manually but causing significant prolapse)
Grade 4 hemorrhoids (fixed, cannot be reduced)
Recurrence after laser or stapler treatment
Mixed internal and external hemorrhoids (combined procedure)
Patients with significant bleeding requiring complete excision
Cases where laser or PPH is not anatomically suitable

✗ DISCUSS FIRST May need alternative approach

Grade 1–2 hemorrhoids (better managed with laser or banding)
Isolated external thrombosed hemorrhoids (different acute procedure)
Active anorectal sepsis (treat infection first)
Severe Crohn's disease involving the anus
Patients unable to take general or spinal anaesthesia

Why this treatment

Benefits of the surgical approach

Dramatically less bleeding

LigaSure seals vessels as it cuts — intraoperative blood loss is minimal and no suture ligation of pedicles is required.

Less postoperative pain vs open

The sealed wound is smaller and less raw than conventional Milligan-Morgan hemorrhoidectomy — patients consistently report less pain.

Definitive treatment for large piles

Complete excision of Grade 3–4 hemorrhoids. Recurrence rate under 2% at 5 years — suitable when less invasive options are unlikely to give durable relief.

Shorter operating time

LigaSure completes each column in seconds — operating time is 30–45% shorter than conventional open hemorrhoidectomy.

How it's done

The procedure, step by step

Anaesthesia and positioning

General or spinal anaesthesia. Lithotomy position. Proctoscopy to assess hemorrhoids and plan excision.

Hemorrhoid exposure

Each hemorrhoidal cushion is grasped and placed on gentle traction to expose its base and pedicle.

LigaSure sealing and excision

The LigaSure device is applied at the hemorrhoid pedicle. A single activation seals and cuts the blood supply and hemorrhoidal tissue simultaneously. The sealed pedicle is safe, dry and requires no suture ligation.

Wound management

LigaSure leaves a small, sealed wound rather than the large raw area of conventional hemorrhoidectomy. The wound may be left open or partially closed depending on anatomy. A small gauze pack is placed.

Three columns treated

Typically three hemorrhoidal columns (at 3, 7, and 11 o'clock positions) are treated in sequence, preserving adequate skin bridges between wounds to prevent stenosis.

Recovery

Moved to ward after 1–2 hours in recovery. Diet resumed same evening. Discharged after 24–48 hours with oral pain medication and stool softeners.

What to expect

Your recovery timeline

Day 0–1

Hospital stay

Liquids and soft food resumed the same evening. Sitz bath (warm water) for 10 minutes helps reduce local discomfort. Stool softener started immediately.

Days 2–5

Home recovery

Mild-to-moderate anal soreness, especially during bowel movements. Paracetamol + NSAID for pain. High-fibre, non-spicy Indian diet. Warm sitz baths 3 times daily.

Days 7–10

Return to desk work

Pain is significantly reduced. Most office workers return to work. Avoid prolonged sitting on hard surfaces initially.

Week 2–3

Progressive improvement

Wounds continue to heal. Walking, gentle yoga fine. Normal diet including mild spices.

Week 4–6

Full recovery

Complete healing of wounds. Full physical activity resumed. Follow-up with Dr Samir at 6 weeks.

Transparent pricing

Package rates at Sterling Hospitals, Vadodara

All-inclusive package costs — no hidden charges. Two room categories available. Final confirmation at consultation.

Procedure

Standard Room

Deluxe Room

Open Hemorrhoidectomy (conventional)

₹39,900

₹62,100

✓ Included

Surgeon fee · Anaesthesia · OT charges · Room rent (2 days) · Doctor visits · Miscellaneous

✗ Billed separately

Labs · Pharmacy · Radiology · Consumables

LigaSure hemorrhoidectomy uses energy device technology — final package cost confirmed at consultation. The Open Hemorrhoidectomy rate above is the baseline; LigaSure pricing may vary. Packages include surgeon fee, anaesthesia, OT charges, room rent (2 days), doctor visits & miscellaneous. Excludes labs, pharmacy, radiology & consumables.

Confirm package on WhatsApp Call Sterling Hospital

Quick answers

Frequently asked questions about LigaSure Hemorrhoidectomy

What is the difference between LigaSure and laser piles treatment?

Laser hemorrhoidoplasty (laser piles) shrinks the hemorrhoid from inside without excising it — best for Grade 1–3. LigaSure hemorrhoidectomy completely removes the hemorrhoid tissue using an energy-sealing device — better for large Grade 3 or Grade 4 hemorrhoids. Laser is less painful and quicker to recover from; LigaSure is more definitive for large prolapsing piles.

Is LigaSure hemorrhoidectomy painful?

It is significantly less painful than conventional (Milligan-Morgan) open hemorrhoidectomy because the LigaSure device seals the wound as it cuts, reducing the raw wound area. However, it is more painful than laser or stapler procedures. Most patients manage well with oral paracetamol and NSAIDs, and stool softeners are essential to prevent painful bowel movements in the first week.

Can all three piles be removed at once?

Yes. Typically all three hemorrhoidal columns (primary hemorrhoids at 3, 7, and 11 o'clock positions) are removed in a single operation. The key technical principle is preserving adequate skin bridges between the excision sites to prevent the rare complication of anal stenosis.

How long is the hospital stay?

24–48 hours is typical. You are admitted the day of surgery, and most patients are comfortable enough for discharge the following morning. Patients who live far from Vadodara or have no assistance at home may stay the second night.

What are the risks of LigaSure hemorrhoidectomy?

Primary bleeding (within 24 hours) is rare as the LigaSure device seals vessels effectively. Secondary bleeding at 7–10 days occurs in approximately 1–2% of cases and is usually manageable. Other complications — urinary retention, anal stenosis, infection — are all uncommon in experienced hands. The overall complication rate is lower than conventional open hemorrhoidectomy.

Patient outcomes

What patients say after their treatment

Had Stage 4 piles that were prolapsing all the time. Dr Samir explained that laser would not be enough and recommended LigaSure. The recovery was harder than I expected but two weeks later I was completely fine. Fully cured — best decision I made.

Nilesh Shah

Grade 4 piles · Vadodara

★★★★★

Piles came back after a procedure elsewhere. Dr Samir recommended LigaSure for more complete removal. Very professional team, good post-op support. Recovered in two weeks and no problems since.

Geeta Patel

Recurrent piles · Baroda

★★★★★

Book a consultation

Meet Dr Samir at Sterling Hospital, Vadodara.

WhatsApp gets the fastest response. For appointment booking by phone, call the Sterling Hospital reception during OPD hours.

WhatsApp (Preferred)

+91 98245 93464

Replies within working hours, Mon–Sat.

Appointments — Sterling Hospital

+91 98989 89797

Mon–Sat, 9:00 AM – 8:00 PM IST.

Clinic

Sterling Hospital, Opp. Inox Cinema
Race Course Circle (W), Vadodara – 390007

OPD: Monday–Saturday, 10:00 AM – 7:00 PM

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Dr Samir Contractor

MS FRCS (UK) FMAS FACS (USA) PN1

Sterling Hospitals, Vadodara 25+ years · 8,000+ surgeries ★ 4.9 rating