Chivate Suture Hemorrhoidopexy

Chivate Suture Hemorrhoidopexy (Pile Surgery Without Cutting)

A Modern, Minimally Invasive Treatment for Hemorrhoids (Piles)

Hemorrhoids, commonly known as piles, are swollen veins in the anal canal that can cause bleeding, prolapse (coming out during defecation), discomfort, itching, and difficulty maintaining hygiene. Chivate Suture Hemorrhoidopexy is an advanced, minimally invasive surgical technique that effectively treats hemorrhoids while preserving normal anatomy and minimizing pain.

Chivate Suture Hemorrhoidopexy

What is Chivate Suture Hemorrhoidopexy?

Chivate Suture Hemorrhoidopexy is a non-excisional procedure, which means that the hemorrhoids are not cut or removed. Instead, special sutures are placed above the hemorrhoids inside the anal canal. These sutures reposition the prolapsed hemorrhoidal tissue back to its normal position and reduce its blood supply, causing the hemorrhoids to shrink over time.

Since the procedure is performed above the pain-sensitive area of the anal canal, patients experience significantly less pain compared to conventional hemorrhoid surgery.

Who Can Benefit from This Procedure?

This technique is particularly useful for patients with:

  • Grade II hemorrhoids with persistent bleeding
  • Grade III hemorrhoids that prolapse and require manual reduction
  • Selected cases of Grade IV hemorrhoids
  • Recurrent hemorrhoids after previous treatment
  • Patients seeking a less painful alternative to traditional pile surgery

Advantages of Chivate Suture Hemorrhoidopexy

  • Minimal postoperative pain
  • No cutting or removal of tissue
  • Minimal bleeding
  • Preservation of normal anal anatomy
  • Short hospital stay
  • Faster recovery and return to work
  • Lower risk of anal stenosis (narrowing)
  • Excellent control of bleeding and prolapse

How is the Procedure Performed?

The surgery is usually performed under spinal or general anesthesia. Using a specially designed anoscope, sutures are placed circumferentially inside the rectum above the hemorrhoidal cushions. These sutures lift the prolapsed tissue and interrupt excessive blood flow to the hemorrhoids.

The procedure generally takes 20–30 minutes and most patients can return home within 24 hours.

Recovery After Surgery

Most patients experience only mild discomfort after the procedure. Normal activities can usually be resumed within a few days.

After surgery, patients are advised to:

  • Drink plenty of water
  • Eat a high-fiber diet
  • Avoid straining during bowel movements
  • Take prescribed medications as directed
  • Maintain good anal hygiene

Possible Risks and Complications

Although complications are uncommon, they may include:

  • Temporary pain or discomfort
  • Mild bleeding
  • Urinary retention
  • Recurrence of hemorrhoids
  • Infection (rare)

Your surgeon will discuss these risks with you before the procedure.

Frequently Asked Questions

Is the procedure painful?

Most patients experience significantly less pain compared to conventional hemorrhoidectomy because the sutures are placed in an area with fewer pain-sensitive nerves.

Will I need to stay in the hospital?

Most patients are discharged the same day or within 24 hours.

When can I return to work?

Many patients return to desk work within 2–5 days, depending on individual recovery.

Is recurrence possible?

No hemorrhoid procedure can guarantee zero recurrence. However, Chivate Suture Hemorrhoidopexy has shown excellent long-term results when combined with proper dietary and lifestyle modifications.

Expert Care

At our center, Chivate Suture Hemorrhoidopexy is performed using evidence-based techniques to ensure maximum patient comfort, safety, and long-term relief from hemorrhoidal symptoms. If you suffer from bleeding piles, prolapse, or discomfort during bowel movements, consult us to determine whether this minimally invasive procedure is right for you.