Surgical options to remove hemorrhoids have different risk levels and outcomes
A hemorrhoidectomy is a surgical procedure that may be recommended by your doctor to remove hemorrhoids. If your doctor has recommended a hemorrhoidectomy, it is a good idea to learn all that you can about it ahead of time. This can help remove the natural fear that can come when you are anticipating hemorrhoid surgery and can provide you with the information you need to make a good choice. There are now several different methods of Hemorrhoidectomy available. It should be noted that a hemorrhoidectomy is to be entertained only with the most severe cases of hemorrhoids. Most patients with symptomatic hemorrhoids are able to be treated with less invasive procedures, such as Rubber Band Ligation, where a band is placed around the base of a hemorrhoid, causing it to shrink and fall off. These less invasive procedures are virtually painless, and should be considered before moving on to a surgical procedure. Let's take a look at these methods, most of which can still be performed on an outpatient basis.
Conventional Surgical Hemorrhoidectomy
If you have any question on hemorrhoid surgery options, please call our DuPage colorectal clinic at 630-817-1800. Our office in Wheaton serves Naperville, Aurora, and Chicago's western suburbs. This procedure involves clamping, tying off and then cutting the hemorrhoidal tissue away. The wound is then sutured and gauze and antibiotic ointment is applied. This procedure can result in more pain and recovery time than the newer methods below and may result in a short hospital stay in some cases.
Stapled Hemorrhoidectomy (PPH)
This technique utilizes a special stapling device that cuts through the involved vessels, and staples the tissue back together again. This also is associated with a bit less pain than a conventional hemorrhoidectomy, and is becoming more popular with many surgeons. Not all patients are suitable for this type of procedure.
Harmonic Scalpel Hemorrhoid Removal
For this procedure, a special scalpel is used that relies on ultrasound waves. This is used as a cutting device, and also allows for sealing off some of the associated blood vessels. This is commonly used for large hemorrhoids or for situations where the removal needs to be as bloodless as possible. The recovery time for this procedure and pain involved in a procedure utilizing the harmonic scalpel may be a bit less than for a conventional surgical hemorrhoidectomy.
Laser Removal Hemorrhoid Surgery
This is a very effective hemorrhoid removal procedure that is utilized for certain patients. During this procedure, a laser beam is is used to free up and remove the involved hemorrhoidal tissue. The heat of the laser cauterizes the blood vessels so the hemorrhoid removal procedure is nearly bloodless. This is commonly done on an outpatient basis, and may also be accompanied by a bit less pain than a conventional surgical hemorrhoidectomy.
Hemorrhoid Atomizing Procedure
As the name suggests, this hemorrhoid removal procedure involves blasting a hemorrhoid into very small pieces. A small vacuum is used in conjunction with the atomization tool to suck up the tissue. This is one of the latest hemorrhoid removal procedures.