Chivate’s transrectal suture haemorrhoidopexy offers a safer, simpler, and more cost-effective alternative to stapled surgery for piles.
Chivate’s transrectal suture haemorrhoidopexy is gaining recognition as a minimally invasive, tissue-preserving technique for managing advanced hemorrhoids/Piles. Compared to stapled haemorrhoidopexy, this method offers several clinical and practical advantages that make it especially appealing in both urban and rural surgical settings.
What Is Chivate’s Procedure?
Developed by Indian surgeon Dr. Chivate, this technique involves transrectal suturing to reposition and fix prolapsed hemorrhoidal cushions without excising tissue. It restores the anatomical structure of the hemorrhoids(Piles) using simple stitches placed under direct vision, avoiding the use of stapling devices or foreign materials.
Key Advantages Over Stapled Haemorrhoidopexy
- Less Post-Operative Pain: Patients undergoing Chivate’s procedure report significantly lower pain scores, as measured by the Visual Analogue Scale. This is due to the absence of mucosal excision and reduced nerve irritation.
- Lower Recurrence Rates: A comparative study showed only 3 cases of recurrence with Chivate’s method versus 7 with stapled haemorrhoidopexy, indicating better long-term outcomes.
- Shorter Operative Time and Faster Recovery: The procedure is quicker to perform and allows patients to return to normal activities sooner. Hospital stays are shorter, and post-operative discomfort is minimal.
- Minimal Complications: Unlike stapled surgery, which may cause bleeding, strictures, or rectal perforation, Chivate’s technique avoids these risks by not introducing foreign materials or cutting mucosa.
- Cost-Effective and Accessible: The procedure does not require expensive staplers, making it ideal for resource-limited settings. Its simplicity also means a shorter learning curve for surgeons.
- Preservation of Anal Sensation: By avoiding excision, the technique maintains the natural sensory function of the anal canal, which is crucial for continence and comfort.
Ideal Candidates
Chivate’s transrectal suture haemorrhoidopexy is suitable for patients with grade II to IV hemorrhoids, especially those seeking a gentler, more affordable alternative to stapled surgery. It is particularly beneficial for individuals with heightened sensitivity, prior surgical complications, or limited access to advanced surgical tools.
Conclusion
Chivate’s transrectal suture haemorrhoidopexy represents a thoughtful evolution in hemorrhoid surgery—one that prioritizes patient comfort, safety, and accessibility. With lower pain, fewer complications, and better long-term outcomes, it stands as a compelling alternative to stapled haemorrhoidopexy for both surgeons and patients.
Sources: IOSR Journal of Dental and Medical Sciences International Journal of Scientific Research – July 2025 Study Index Copernicus Journal
FAQ
1. What is the Chivate procedure?
- It is a stitch-based technique that lifts and fixes the prolapsed piles without cutting tissue or using staplers.
2. Who is the ideal candidate for this procedure?
- Patients with grade II–IV piles who want a gentler and more affordable option than stapled surgery.
3. How is it better than stapled surgery?
- It causes less pain, fewer complications, lower recurrence, faster recovery, and costs less because no stapler is used.
4. Are there any risks?
- Risks are minimal. Standard surgical risks exist, but major complications seen in stapled surgery are uncommon.
5. How long does recovery take?
- Most patients go home within a day and return to normal work in a few days with very little discomfort.