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Home > Wellness > Health Library > Hemorrhoidectomy for Hemorrhoids
Hemorrhoidectomy is surgery to remove
hemorrhoids. You will be given general anesthesia or
spinal anesthesia so that you will not feel
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
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 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 hemorrhoid 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.1
Doppler-guided hemorrhoidectomy is a procedure that uses a scope with a special probe to locate the hemorrhoidal arteries so that less tissue is removed. Some studies show that it is less painful but more long term studies are needed to compare it with other procedures.1
Recovery takes about 2 to 3
Hemorrhoidectomy is appropriate when
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. About 5 out of 100 people have hemorrhoids come back after surgery.2
Pain, bleeding, and an inability to urinate
(urinary retention) are the most common side effects of
Other relatively rare risks include the
The success of hemorrhoidectomy
depends a lot on your ability to make changes in your daily bowel habits to
make passing stools easier. Hemorrhoidectomy may provide better long-term
results than procedures that cut off blood flow to hemorrhoids (fixative
procedures). But surgery is more costly, has a greater risk of complications,
and usually is more painful.
Most internal hemorrhoids improve
(they get smaller and discomfort decreases) with either home treatment or
fixative procedures. When compared with surgery, fixative procedures involve
less risk, are less painful, and require less time away from work and other
Surgery is not recommended for small internal
hemorrhoids (unless you also have large internal hemorrhoids or internal and
Lasers are often advertised as being a less
painful, faster-healing method of removing hemorrhoids. But none of these
claims have been proved. Lasers are more expensive than traditional techniques.
The procedure takes longer, and it may cause deep tissue injury.
Complete the surgery information form (PDF)surgery information form (PDF)(What is a PDF document?) to help you prepare for this surgery.
Lumb KJ, et al. (2010). Stapled versus conventional surgery for hemorrhoids. Cochrane Database of Systematic Reviews (9).
Society for Surgery of the Alimentary Tract (2008). SSAT Patient Care Guidelines: Surgical Management of Hemorrhoids. Available online: http://www.ssat.com/cgi-bin/hemorr.cgi.
March 16, 2012
Anne C. Poinier, MD - Internal Medicine & Kenneth Bark, MD - Surgery, Colon and Rectal
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