External Hemorrhoids Removal Surgery

In many cases, hemorrhoids can be treated effectively with diet, good hygiene, and topical medications. In some cases though, diet over-the-counter drugs are not enough. People who do not respond to non-surgical treatments might experience long-term relief through surgery. While surgery usually relieves the pain, swelling, bleeding, and itching caused by hemorrhoids, a drawback to this procedure is that the incisions are made in a highly sensitive area and might require stitches, which can cause the area to be tender and painful.4

 

Is it time to have my hemorrhoids removed?

If you hemorrhoids persist no matter what steps you've taken to make them go away, it may be time to ask your doctor about the medical procedures available to you to have them removed or reduced. The severity of your condition will ultimately decide on the invasiveness of the technique to be used. The descriptions below outline what options are currently available.

Injection (Sclerotherapy): An internal hemorrhoid can be injected with a solution which creates a scar and closes off the hemorrhoid. The injection hurts only a little at first, as with any other injection.

Rubber band ligation: Prolapsed hemorrhoids are often removed using rubber-band ligation. A special tool secures a tiny rubber band around the hemorrhoid, shutting off its blood supply almost instantly. Within a week, the hemorrhoid shrivels and falls off.

Cauterization: Using either an electric probe, a laser beam, or an infrared light, a tiny burn painlessly seals the end of the hemorrhoid, causing it to close off and shrink. This is most useful for prolapsed hemorrhoids.

Procedure for Prolapse and Hemorrhoids (PPH) is a minimally invasive procedure to treat hemorrhoids and/or prolapse, a condition in which the hemorrhoids or anal tissue slips down out of the anal canal. During PPH, a stapler-like device is used to reposition the hemorrhoids and cut off their blood supply. Without blood, the hemorrhoids eventually shrivel and die. This procedure moves the hemorrhoid higher in the anus, where there are fewer nerve endings, thus reducing pain.4

Benefits of PPH include:

  • Less pain
  • Quicker recovery
  • Less bleeding and itching
  • Fewer complications

 

Hemorrhoidectomy: For large internal hemorrhoids or extremely uncomfortable external hemorrhoids (such as thrombosed hemorrhoids that are too painful to live with), your doctor may elect traditional surgery, called hemorrhoidectomy. A general or spinal anesthetic is administered, 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.

There is also a procedure that uses a circular stapling device to remove hemorrhoidal tissue and close the wound. No incision is made. In this procedure, the hemorrhoids removal surgery is lifted and then "stapled" back into place in 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 External hemorrhoids removal surgery. But the stapled surgery is more expensive. And people who have stapled surgery are more likely to have hemorrhoids come back and need surgery again.

It is important to note again that in a majority of cases, the discomfort from hemorrhoids can be alleviated and it’s symptoms cured through non-surgical methods. However, if symptoms persist you must seek medical advice from your doctor on other treatment options.