Removal of multiple internal and external hemorrhoid groups

Procedure Information

What is hemorrhoids removal?

Hemorrhoids, also known as piles, are dilated veins in the lower rectum and anus. These swollen veins are problematic because, with time, they can cause itching, pain, and bleeding. Internal hemorrhoids develop inside the rectum, while external hemorrhoids develop under the skin around the anus. 

There are many lifestyle changes and home treatments that can relieve hemorrhoids, and they can be treated by hemorrhoidectomy, which is a surgery to remove external or internal hemorrhoids. 

Why would I get this procedure?

People can relieve hemorrhoid symptoms like pain, inflammation, and bleeding with home treatments. These treatments include using topical creams, eating high-fiber foods, taking oral pain relievers, and regularly soaking in a warm. Hemorrhoid symptoms can go away within a week or so with these treatments. However, if they don’t get the results you wish, you should contact your doctor. 

Your doctor will recommend a minimally invasive procedure if your symptoms persist. The most common minimally invasive procedures include:

Injection (sclerotherapy). Your doctor will inject a chemical into the hemorrhoid tissue to shrink it.

Rubber band ligation. Your doctor will place rubber bands around the base of hemorrhoids to stop blood flow to them. It should fall off within a week.

If none of the above could help you relieve hemorrhoid symptoms, your doctor will recommend surgery to remove hemorrhoids (hemorrhoidectomy).

What happens during this procedure?

There are many surgical techniques available if conservative management didn’t work to relieve the symptoms. The most common is hemorrhoid removal (hemorrhoidectomy).

It is a procedure done under local anesthesia combined with spinal or general anesthesia. Your surgeon will make incisions in the tissue around the hemorrhoid. Then, the swollen veins inside the hemorrhoid are closed to prevent bleeding, and the hemorrhoid is removed.

What happens after the procedure?

You will require two to four weeks for complete recovery. The surgery is associated with pain, so you will be given pain medications to manage it effectively. Urine retention, which is the inability to urinate, is expected because of swelling and edema or muscle spasms due to surgery.

Conclusion

Compared to rubber band ligation, surgery has more long-term benefits, especially in those with grade III hemorrhoids. However, it all depends on how well you can avoid constipation and straining because they are associated with hemorrhoid recurrence. 5 out of 100 people have hemorrhoids back after surgery.

Citations

Mayo Clinic: Hemorrhoids