Different Types of Hemorrhoid Surgery and Their Purposes!


Hemorrhoid surgery helps to remove the swollen blood vessels formed inside or around the anus and rectum. Doctors generally refer to these swollen vessels as hemorrhoids. Other over-the-counter medicines and hemorrhoid wipes are widely available which helps to reduce hemorrhoid pain.

Purpose of Hemorrhoid Surgeries:

Hemorrhoids popularly called piles are the veins inside or around the anus and lower rectum that have become inflamed over time and require surgeries or proper treatments to get healed.

There are broadly two types of hemorrhoids, depending on their location.

External hemorrhoids are formed under the skin of the anus, whereas internal hemorrhoids form within the lining of the anus and lower rectum. In many cases, hemorrhoids occur without symptoms and people barely notice them. Whereas in other cases, the symptoms can be uncomfortable and may require treatment.

The symptoms of external hemorrhoids can include:
  • Itching around the anus
  • Pain around the anus, particularly when sitting
  • Tender lumps around the anus
The most effective form of treatment for hemorrhoids that are causing uncomfortable symptoms is surgery. Typically, this is an option for people who are experiencing symptoms that do not respond to other forms of therapy, such as dietary changes or over the counter, hemorrhoid wipes, creams, and other treatments.

The purpose of the surgery is to make the hemorrhoid shrink or disappear. This is done by:

  • Removing hemorrhoid
  • Reducing blood supply to the hemorrhoid
Surgery can be helpful for symptoms that are causing significant pain, however, it is important to note that the recovery time from surgery can be several weeks.

Another advantage of surgeries is that it can be removed in one go, extracting multiple hemorrhoids.

What Are The Different Types of Hemorrhoid Surgeries? 

There are several types of hemorrhoid surgery, as described below:

Rubber band ligation

This is a procedure that is widely used for treating bleeding or prolapsing internal hemorrhoids. This surgery involves placing a rubber band around the base of hemorrhoids which will restrict its blood supply, eventually causing hemorrhoids to fall off.

Coagulation

Coagulation, this type can treat the bleeding internal hemorrhoids that are not protruding. Your doctor will use an electric current or infrared light to create scar tissue on hemorrhoids. Therefore, the tissue will restrict the blood supply to hemorrhoid, again, causing it to fall off.

Sclerotherapy

This type of procedure involves a doctor injecting a chemical solution into internal hemorrhoids. The kind of solution helps to relieve pain by making nerve endings numb around the area which also causes scar tissue to form, and hemorrhoids to fall off.

Hemorrhoidectomy

The Hemorrhoidectomy aims to remove hemorrhoids in a way where the surgeon performs this procedure where the patient receives either a spinal block or a local anesthetic. This is a long procedure, and yet the most common one. 

Here the surgeon will open the anus and gently cut out the hemorrhoids. They can make this cutting via a variety of surgical instruments, such as surgical scissors or a laser. There is no difference in discomfort between these devices, as after the hemorrhoids are removed, the surgeon will seal the wounds, leave the wounds open, or use a combination of both methods.

The reason for leaving a wound open is typically either that the wound is difficult to close due to its location or the presence of other health conditions.

Hemorrhoid stapling

This procedure aims at treating the internal hemorrhoids that have grown large, or prolapsed. It does not aim to treat external hemorrhoids.

Your surgeon is more likely to perform this process by using anesthetic. During the procedure, the surgeon will use a special device to staple the hemorrhoids into a normal position within the anal canal. This restricts the blood supply to the hemorrhoids and therefore causes them to reduce in size gradually.

Some researchers have proven that hemorrhoid stapling can be less painful than traditional hemorrhoidectomy and may have a shorter recovery time. However, there is a greater chance of the condition occurring again.

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