Before piles and fistula surgery: what the surgeon needs to know
Surgery for piles (haemorrhoids), fissure and fistula, including laser procedures, is very common. Most are done under spinal anaesthesia as day care or with a one-night stay.
Piles that bleed for a long time can cause anaemia, so the haemoglobin in the CBC matters. Fistula and abscess heal slowly when sugar is high.
| Anaesthesia | Usually spinal anaesthesia; some laser procedures under local or short general |
| Basic tests | Major Surgical Profile, ₹2,500 |
| Report time | 3 hours from sample collection, 24/7 |
| Fasting | Not needed for the profile |
Step 1: the Major Surgical Profile
Almost every surgeon and anaesthetist asks for these basic tests before piles and fistula surgery: CBC, ESR, LFT, blood urea, serum creatinine, electrolytes, random blood sugar, PT/INR, BT/CT, HIV, HBsAg, HCV, blood group, TSH, ECG and chest X-ray. We do all of them in one visit for ₹2,500, with the report in 3 hours. See why each test matters.
Step 2: extra tests your surgeon may add
Depending on your age, health and the hospital's protocol, your surgeon may ask for some of these as well. They are not part of the profile and are charged separately.
| HbA1c ₹600 | If diabetic, or if you have a repeated abscess or fistula. High sugar delays healing and causes recurrence. |
| Iron deficiency profile ₹1,000 | If you have had bleeding for months and the haemoglobin is low. |
Points specific to piles and fistula surgery
- Short procedures under local anaesthesia may need fewer tests. Ask your surgeon for the exact list.
- Long-standing bleeding should always be shown to a doctor, because other causes need to be ruled out.
Your surgeon and anaesthetist decide the final list. If you have one, send us a photo on WhatsApp and we will do exactly those tests and tell you the total first.
Frequently asked questions
Do I need all these tests for laser piles surgery?
It depends on the anaesthesia. Under spinal or general anaesthesia, most surgeons ask for the full profile. Under local anaesthesia, fewer tests may be enough. Send us your surgeon's list.
Why is my sugar checked before fistula surgery?
Because high sugar is a common reason for fistula and abscess coming back, and for slow wound healing. If it is high, your doctor will control it first.
How fast will I get the report?
In 3 hours from the time we take your sample, at any hour of the day or night, including Sundays and holidays. The report comes on WhatsApp, and you can collect a print at the centre.
How much do the extra tests cost?
The Major Surgical Profile is ₹2,500. Extra tests are added at our standard price, shown in the table on this page. Send us your surgeon's list on WhatsApp and we will tell you the exact total before you come.
Related tests
Medically reviewed by Dr Raheel Raza, MBBS, DCP (Gandhi), Consultant Pathologist.