What is hemorrhoidectomy?

 

Hemorrhoids or hemorrhoids in advanced stages require an aggressive treatment such as surgery. Hemorrhoidectomy is one of the methods of surgery and removal of hemorrhoids from the anus, which leads to the treatment of hemorrhoids. This method is used when the hemorrhoids have not responded to medical and home treatments or the hemorrhoids have severe prolapse. Internal hemorrhoids of the fourth degree are located in the high degree of prolapse. Also, if the thrombosed hemorrhoid is not drained in the first 3 days of the onset of the disease, after a period of time, it becomes an additional appendage in the anus area, which can be relieved from the nuisance of this appendage only by surgery and removing it. This surgery is performed by a general surgeon. This surgery can be performed with different tools, the best and most advanced of which is the powerful carbon dioxide laser.

What is hemorrhoidectomy?

Hemorrhoidectomy is a type of treatment for hemorrhoids or hemorrhoids in which surgery is performed to remove the hemorrhoids. In this method, the tissues of hemorrhoids or swollen hemorrhoidal vessels are removed by different methods. This operation is performed by open, closed, stapler, rubber band and medial-lateral sphincterotomy methods. Hemorrhoidectomy surgical methods are used if other treatment methods have not achieved the desired results on the patient.

Who are candidates for hemorrhoids or hemorrhoids treatment with hemorrhoidectomy?

In the initial treatment for mild or moderate hemorrhoids or hemorrhoids, you should:

• Increase the consumption of fiber-rich foods.
• Drink fluids orally to maintain water absorption.
• He took non-steroidal anti-inflammatory drugs for pain relief and rest.

Also, in case of severe symptoms or lack of improvement, some secondary methods and treatments are used, including a variety of hemorrhoidectomy surgical methods. Of course, as mentioned, surgery is performed for those who have not yet achieved full recovery after these steps. As mentioned above, grade 4 internal hemorrhoids and untreated thrombosed hemorrhoids are among the first group of hemorrhoidectomy candidates.

Types of hemorrhoidectomy

Hemorrhoid treatment with hemorrhoidectomy method includes different types, each of which is done with the doctor's opinion and prescription. Types of hemorrhoidectomy surgical methods are:

• Stapler: This surgery, which is also known as hemorrhoidopexy, is used for grade 3 and 4 prolapsed hemorrhoids. This method of treating hemorrhoids is performed under anesthesia, but the healing process is faster compared to the traditional procedure. In this method of treating hemorrhoids, the patient will feel less pain and will recover faster, but the noteworthy point is that there is a higher possibility of recurrence compared to other hemorrhoidectomy surgical methods.
• Rubber band or plastic band closing method: In the rubber band method, a plastic band or a rubber ring is wrapped around the hemorrhoidal tissue and will prevent blood supply to it. As a result, the hemorrhoidal tissue dries up and disappears completely after a few days. In this method, the patient will suffer a lot of pain.
• Closed hemorrhoidectomy: In this method of hemorrhoid surgery, to remove the hemorrhoid tissue, the hemorrhoidal appendages are cut with different methods and then the tissues around the hemorrhoid are sutured using thread. This method is usually used for internal hemorrhoids and is successful in most cases.
• Open hemorrhoidectomy: In open hemorrhoidectomy, the hemorrhoid tissues are removed in the same way as in the closed procedure, except that the surgical incision is made on the left side and left without stitches. In this method of hemorrhoid surgery, if the incision site of hemorrhoids is not suitable or the possibility of infection after surgery is high, usually a combination of open and closed method is used to treat hemorrhoids. The percentage of recovery and the risk of both open and closed methods are equal, in addition, there is a possibility of severe pain for both types of operation, and because of its complications, it is often recommended by doctors in critical situations.
• Medial-lateral sphincterotomy : In this method of treating hemorrhoids, a part of the muscle tissue is removed with the aim of reducing the pressure in this muscle and also removing the spasm. This method is usually performed for hemorrhoids with fissures .
• Hemorrhoidectomy with a surgical blade or cautery: removal of hemorrhoids is done with a blade or cautery. This surgery with a razor has bleeding and a long recovery. Also, by burning the tissue of the area, the cauter will cause a burning sensation and damage to the surrounding healthy tissue.

Hemorrhoidectomy with high power carbon dioxide laser

In this method, a high-power laser is used instead of a surgical blade, cauter, etc. to remove and cut the hemorrhoids. With this type of laser, the least amount of damage is done to the surrounding healthy tissue. Because the hemorrhoid surgery was done with a laser, there is no need for stitches. Because the laser repairs the area at the same time as cutting. This advantage of laser hemorrhoid surgery has made this surgery to be performed with minimal pain and bleeding. The degree of success of this hemorrhoidectomy method is very high and the lowest rate of hemorrhoid recurrence after laser has been reported. It is better to perform this surgery by an experienced and skilled general surgery and laser specialist . Other advantages of laser hemorrhoidectomy include the following:

• The patient does not need anesthesia and perform the operation on an outpatient basis
• The patient does not need a dressing
• The patient does not need to rest
• High speed of patient recovery