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Hemorrhoid Surgery


Hemorrhoidectomy and Hemorrhoidopexy

Hemorrhoidectomy is surgery to remove hemorrhoids. You will be given general anesthesia or spinal anesthesia so that you will not feel pain. Incisions are made in the tissue around the hemorrhoid. The swollen vein inside the hemorrhoid is tied off to prevent bleeding, and the hemorrhoid is removed. The surgical area may be sewn closed or left open. Medicated gauze covers the wound. Surgery can be done with a knife (scalpel), a tool that uses electricity (cautery pencil), or a laser. The operation is usually done in a surgery center. You will most likely go home the same day (outpatient). 


There is a procedure that uses a circular stapling device to remove hemorrhoidal tissue and close the wound. No incision is made. In this procedure, the hemorrhoid is lifted and then "stapled" back into the anal canal. This surgery is called stapled hemorrhoidopexy.  People who have stapled surgery may have less pain after surgery than people who have the traditional hemorrhoid surgery. However, this surgery is more expensive, and those who undergo this type of surgery are more likely to have the hemorrhoids return, and will require a repeat procedure. 


Doppler-guided hemorrhoidectomy is a procedure that uses a scope with a special probe to locate the hemorrhoidal arteries so that less tissue it removed. Hemorrhoidectomy is appropriate when you have: Very large hemorrhoids, internal hemorrhoids that still cause symptoms after nonsurgical treatment, large external hemorrhoids that cause significant discomfort and make it difficult to keep the anal area clean, both internal and external hemorrhoids, and if you've had other treatments for hemorrhoids (such as rubber band ligation) that have failed. Surgery usually cures a hemorrhoid. But the long-term success of hemorrhoid surgery depends a lot on how well you are able to change your daily bowel habits to avoid constipation and straining. 

Also, as with any type of surgery, hemorrhoidectomy has a few risks, but when necessary it is considered a safe, and effective treatment for hemorrhoids.  Hemorrhoidectomy is a surgical procedure to remove hemorrhoids. It’s usually a treatment of last resort when less invasive interventions have failed or the condition is severe. As with any type of surgery, hemorrhoidectomy has a few risks. But when called for, it’s considered a safe, effective treatment for hemorrhoids. If you have hemorrhoid pain, swelling, and itching, talk to your doctor about your options for treatment.

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