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Surgery for Hemorrhoids

Many techniques to make hemorrhoids surgery easier.

Hemorrhoids are a common and painful condition of enlarged blood vessels in and around the anus and rectum.

Surgeons can use several techniques to remove or reduce internal and external hemorrhoids. These include:

rubber band ligation.  A rubber band is placed around the base of the hemorrhoid inside the rectum to cut off circulation to the hemorrhoid, so that the hemorrhoid will shrink and waste away over several days.

sclerotherapy.   A chemical solution (sclerosing or hardening agent) is injected around the blood vessel to shrink the hemorrhoid.

coagulation therapy using electrical, laser, radiofrequency, or infrared energy.   These techniques use special devices to burn hemorrhoidal tissue.

hemorrhoidectomy.   This a surgical procedure that permanently removes hemorrhoids by cutting them away. The surgeon ties off the swollen vein and removes its bulging portion. 

and stapling surgery.  In this newer approach, the surgeon places special surgical staples through a stapling device into the hemorrhoids to reposition them and block their blood supply.  The hemorrhoids eventually whither and die.   This minimally invasive approach results in less pain, less discomfort during healing, and faster recovery than conventional hemorrhoidectomy.

Depending on the precise type of surgery and on the patient, the team may use local, spinal, or general anesthesia.  Only occasionally will these surgical treatments require an overnight stay in the hospital.

For more on proctologic conditions and their care, including surgical procedures, see Aria's Division of Colorectal Surgery.