Hemorrhoid Treatment Option: Conventional Surgery

There are numerous treatments for hemorrhoids from at home techniques to surgical techniques. A conventional surgery is possible to remove hemorrhoids. This surgery is only used for severe hemorrhoids, as it is evasive and has a lengthy recovery time.

Hemorrhoidectomy is a surgical procedure used to remove hemorrhoids. As it is evasive and painful, it is only recommended for severe hemorrhoids.

This operation can be a closed, open or stapled hemorrhoidectomy.

In a closed procedure, the wounds are all sutured closed. In an open procedure, the hemorrhoid tissues are excised and the wounds are left open.

In the closed procedures, the patient is sedated with a local anesthesia. Typically, there are five injections into the anal region making it relaxed. A knife is used to make an incision around the hemorrhoid and scissors are used to lift the skin from the sphincter. The proximal part of the internal sphincter is cut free and the hemorrhoid complex is removed. The wound is closed with sutures. In contrast with open hemorrhoidectomy, no part is left open for drainage. No drainage tubes are inserted into the area. Sometimes an external dressing may be applied.

The surgical procedure is usually completed within 2 hours. After the surgery, the patient is brought to recovery to arouse from the anesthesia. The patient will usually remain hospitalized overnight. While recovering, the patient may experience severe pain. For relief, they may use sitz baths and pain medications. The wounds from the procedure will heal within approximately 3 weeks.

This is an evasive procedure and may have side effects. Therefore, there is a trend moving away from using surgical intervention. First and foremost, the procedure causes pain during recovery with some patients complaining it is severe. There has also been a correlation with future incontinence. The other possible side effects include urinary retention and excessive swelling. Despite the side effects, the surgery has a high patient success rate.

An open hemorrhoidectomy is essentially the same procedure as the closed procedure, except the wounds are left open. The wounds are dressed with gauze and bandages, which need to be changed every 24 hours.

Although the closed procedure is said to be less painful, this has not been medically studied. The closed procedure is mostly used in the United States and the open procedure is mostly used in other countries.

Finally, the stapled hemorrhoidectomy is used for prolapsed hemorrhoids. This is a circular staple used to reduce the degree of prolapsed. This has the effect of pulling the hemorrhoids back into the normal position. This procedure takes approximately 25 to 30 minutes and is performed under general anesthesia. The side effects are similar to the other surgeries.

As stated above, as these procedures are evasive, a doctor will only do these procedures if other non-surgical remedies have been unsuccessful.

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Hemorrhoid Treatment Option: Conventional Surgery

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