Under 10% of those patients diagnosed with
symptomatic hemorrhoids will require a hemorrhoidectomy.
Most of the time a non operative treatment will
cure hemorrhoids when applied, however, a surgical
procedure may be recommended by your doctor if
your hemorrhoids are large or if they haven’t
responded to other types of treatment. When it becomes apparent that hemorrhoid removal is required, there are some options available.
Depending on the complexity of the case, hemorrhoid surgery can be performed on an outpatient basis or may require on overnight stay in the hospital.
One of the most highly successful options available is to have laser surgery for hemorrhoids.
This type of treatment will require the application of a local anesthetic to numb the tissue and then the excision or surgical removal of the hemorrhoidal tissue.
The existence of thrombosis in the external hemorrhoid and the pain associated with it will be a deciding factor as to the type of treatment applied.
A thrombosed external hemorrhoid can be lanced to allow for reduction of the pressure. It is sometimes used for immediate partial relief of the pain.
Lancing is not a permanent cure because the hemorrhoidal tissue will often seal over and the thrombosis will return. The complete removal of the thrombosed tissue is therefore required for complete removal of symptoms.
External Hemorrhoids which are not thrombosed are generally manageable through the implementation of dietary and lifestyle changes.
Excessive hemorrhoidal tissue that causes bleeding can be removed by having a hemorrhoidectomy.
This procedure is the most effective and complete surgical method of hemorrhoid removal. It can be done in several ways. The application of some type of anesthesia is a key element.
The hemorrhoid surgery may be done with a local anesthetic combined with sedation, a spinal sedation similar to that used in the process of childbirth, or a general anesthetic.
The probability of resulting complications is a little higher with this type of treatment and can include temporary difficulty emptying the bladder or perhaps urinary tract infections.
Some pain is experienced in nearly every case. These can be relieved with painkilling medications along with soaking in a warm bath.
Another more recent development in the treatment of hemorrhoids that does not require hemorrhoid surgery is the use of a circular stapling device (also referred to as PPH Surgery for Hemorrhoids) which removes some of the tissue above the hemorrhoid and pulling the hemorrhoid upward.
This returns the troublesome hemorrhoid to its normal position and then staples it into place. Over a period of time the staples are dissolved and fall out.
This procedure has been found to be safe and results in a shorter recovery time, however long term recurrence rates seem to be higher with the staple procedure as compared to the regular hemorrhoidectomy.
Large external hemorrhoids are not treatable with the stapled hemorrhoidopexy procedure. All surgical procedures for the treatment of hemorrhoidal disease have risks and benefits associated with them.
The choice as to which method is used will be up to you and your doctor. Both internal and external hemorrhoids can often successfully be treated with changes to lifestyle and dietary habits.
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