What is Hemorrhoidectomy?
Hemorrhoidectomy is a surgical procedure used to remove large, painful, or bleeding hemorrhoids. It is typically performed when non-surgical treatments such as diet, medication, or office-based procedures fail. This surgery targets internal, external, or mixed hemorrhoids and provides long-term symptom relief.
Surgical Steps and Clinical Approach
Hemorrhoidectomy is usually performed under local, spinal, or general anesthesia based on patient condition and surgical preference. The surgeon identifies and excises the swollen hemorrhoidal tissue using a scalpel, electrocautery, or harmonic scalpel. Bleeding vessels are carefully sealed to prevent postoperative complications. In closed hemorrhoidectomy, the wound is sutured, while in open hemorrhoidectomy, the site is left to heal naturally. Stapled hemorrhoidopexy is another technique that involves lifting and securing the hemorrhoidal tissue using a circular stapling device. The procedure typically lasts 30 to 60 minutes and is done on an outpatient basis in most cases.
Medical Reasons Behind the Surgery
- Chronic pain or bleeding from internal or external hemorrhoids.
- Prolapsed hemorrhoids that cannot be manually reduced.
- Failure of conservative treatments like creams, sitz baths, or banding.
- Thrombosed external hemorrhoids causing acute pain or infection.
Key Instruments Required for Surgery
- Proctoscope
- Anoscope
- Bipolar Coagulator
- Electrosurgical Unit
- Harmonic Scalpel
- Hemorrhoid band Ligator
- Stapled Hemorrhoidopexy Set
- Surgical Scissors
- Suture Materials
- Anal Retractor
Top 5 Countries of Hemorrhoidectomy Surgery
- United States
- China
- Germany
- India
- Japan
A Look at Surgical Options for Hemorrhoid Removal
There are several surgical techniques used for hemorrhoid removal, including conventional excision, closed or open hemorrhoidectomy, laser surgery, and stapled hemorrhoidopexy. Each technique varies in terms of pain, recovery time, and recurrence rates. Conventional methods are more widely available, while stapled procedures may offer faster healing with less discomfort. Choosing the right technique depends on the grade of hemorrhoids, surgeon preference, and patient health condition.
Clinical Advantages
- Provides permanent relief from large or prolapsed hemorrhoids.
- Reduces risk of recurrent bleeding or thrombosis.
- Improves bowel movement comfort and hygiene.
- Eliminates need for frequent topical or oral medications.
- Helps prevent long-term anorectal complications such as anemia or fissures.
Advin Health Care is a leading manufacturer of Hemorrhoidectomy-related surgical and endoscopy products, supporting proctology and colorectal procedures globally.
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