Hemorrhoids Surgery

Sometimes hemorrhoids can become so severe or chronic that your doctor recommends hemorrhoid surgery. There are different types of hemorrhoids surgery and these include laser surgery, banding hemorrhoids and stapled as well as ordinary hemorrhoidectomy.

Laser surgery involves the use of a very special, precise laser beam which is used to burn away hemorrhoidal tissue. It is a minimally invasive option. If a wide laser beam is used, it can destroy large areas of tissue. If a narrow beam is used, the laser becomes a cutting tool. There are both advantages and disadvantages with laser surgery. It is important that the condition is diagnosed properly and not confused with anal fissures.

• There is a clear view during surgery as there is no smoke, steam emission or sparking.
• When laser cuts tissue, it also seals the blood vessels at the same time and there is little damage to surrounding tissue.

But laser surgery can be more expensive than other treatments for hemorrhoids.
Recovery takes about 2 weeks and the treatment is usually effective.

Banding hemorrhoids is another form of hemorrhoids surgery which can be done in the doctor’s rooms and is suitable for severe or chronic hemorrhoids.. The doctor inserts a view instrument into the anus. The hemorrhoid is grasped with an instrument while a device places 1 or 2 rubber hands around the base of the hemorrhoid. The hemorrhoid then shrinks and dies, falling off after about a week. A scar forms in place of the hemorrhoid which holds adjoining veins so they don’t bulge into the anal canal. It is important that the rubber bands are not too tight or too low. 1 or 2 hemorrhoids can be treated at one session with a quick recovery time of just a matter of days. Very occasionally there are side effects including pain, bleeding, the inability to pass urine or an infection in the anal area.

Stapled hemorrhoidectomy is the newest surgical technique for internal hemorrhoids treatment. The doctor will insert a circular hollow tube into the anal canal. Through this tube, a suture is placed, actually woven, circumferentially within the anal canal above the internal hemorrhoids. The ends of the suture are brought out the anus through the hollow tube. The stapler is placed through the first hollow tube and the ends of the suture are pulled which in turn pulls the expanded hemorrhoidal supporting tissue into the jaws of the stapler; thereby pulling back the hemrrohoidal cushions into their normal position within the anal canal. The stapler is then fired cutting off the ring of tissue trapped and at the same time stapling together the upper and lower edges of the cut tissue. The whole procedure takes only about 30 minutes with less pain and a faster recovery time. The risks include bleeding, infection anal fissuring, and narrowing of or trauma to the anal wall. This method has been used since the mid 1990s.

An hemorrhoidectomy is where hemorrhoids are surgically removed while you are sedated either by local anesthesia or general anesthesia. After the hemorrhoid is removed, gauze packing is inserted to reduce bleeding. Risks can include reactions to medications, bleeding or infection and even possible narrowing of the anus but in the majority of hemorrhoidectomy cases, the outcome is usually very good.

Whenever hemorrhoids surgery is undertaken, it is very important to keep to a healthy diet and lifestyle during recovery and beyond, to prevent the return of any hemorrhoids. A healthy diet includes plenty of fiber, fresh fruit and vegetables with lots of water to drink. A healthy lifestyle means cutting down on alcohol, giving up smoking and getting plenty of daily, regular exercise. You are aiming for regular bowel movements.