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What is a Hemorrhoidectomy?

Many of the known diseases in the world can be removed or eliminated through surgery. Hemorrhoids is no different. Surgery to remove hemorrhoids is called hemorrhoidectomy.

It is recommended when the following conditions happen : 1) presence of very large internal hemorrhoids; 2) detection of symptoms caused by internal hemorrhoids after nonsurgical treatment; 3) significant discomfort caused by large external hemorrhoids making it difficult to maintain the anal area clean; 4) internal and external hemorrhoids. General and spinal anesthesia is applied so that the patient will not feel any pain.

Hemorrhoidectomy is done by making incisions around the hemorrhoidal tissues. Bleeding is prevented by knotting together the swollen veins inside the hemorrhoid prior to the removal of the hemorrhoid. The patient may choose to close the wound or leave it open. To cover the wound, medicated gauze is used.

Surgery procedure can be performed with a scalpel, cautery pencil or laser. The venue is usually in a center. The patient can leave the hospital after the surgery. However, some are required to be hospitalized for surgery like elder people more than 70, people with unhealthy conditions, women in pregnancy stage, people who do not have household help, and those who live far from the surgical center. Patients are expected to fully recover within 2 to 3 weeks after surgery.

A new procedure that uses a stapling device to remove hemorrhoidal tissues is currently under study by doctors. No incision will be performed. A pair of well-designed studies concluded the pain is lesser after surgery than those of traditional surgical procedures. It is known, however, whether the effect and pain relief is long term. In another study, pain developed more than 6 months after surgery was felt by a third of the people who underwent surgery using this new technique. Doctors are conducting more studies to have a knowledge of the long-term effects of this procedure.

A successful hemorrhoidectomy depends on the patient’s ability to adapt to changes to daily bowel movements. Compared with operations that interrupt flow of blood to hemorrhoids, long-term results are ensured. It, however, presents more complications. The risk of recurrence is knotted at 5% to 8% after surgery.

Home treatment and fixative procedures can guarantee recovery from most internal hemorrhoids. Fixative procedures offer less risk, less pain and less time wasted than surgery.

Removal of hemorrhoids by using lasers is described as less painful and faster-healing. No proof has been shown to strengthen the claim. Lasers cost more money and usually takes longer.

 

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