This article describes most popular hemorrhoid surgery methods with their
advantages and disadvantages. Corresponding surgery of hemorrhoids is illustrated with video.
Please have in mind that hemorrhoid surgery options must be chosen when all other
natural alternative treatments have failed.
The main drawback of the hemorrhoids surgery is that it does NOT remove the main cause of hemorrhoids
development. It only eliminates the consequences which are being manifested in the form of hemorrhoid
Therefore, the odds for eventual hemorrhoid reappearance are very high.
These methods are used for treating grade 4 haemorrhoids, and for grade 2 and 3 haemorrhoids not
successfully treated by banding or other methods. This is done under general anaesthetic.
Hemorrhoidectomy and hemorrhoids
Video about hemorrhoid treatment with hemorrhoid surgery method Hemorrhoidectomy
Hemorrhoidectomy is currently the ultimate treatment for advanced or severe hemorrhoids. The most popular
techniques are Milligan-Morgan open procedure and the Ferguson closed procedures.
The main advantages of Hemorrhoidectomy are:
90% success rate for third and fourth degree hemorrhoids
- minimum complications The disadvantages of Hemorrhoidectomy are: significant
postoperative pain reported by patient
Stapled hemorrhoidopexy and hemorrhoids
Video about staple hemorrhoidoplexy:
Stapled hemorrhoidopexy is a new alternative available for individuals with significant hemorrhoidal
prolapse introduced by Longo in 1997. During Stapled hemorrhoidopexy circular stapling device is inserted into the
rectum, pushing the hemorrhoids and the tissue surrounding them up into the anal canal.
The stapler then is fired, stapling the hemorrhoids and surrounding tissue to tissue higher up in the anal canal
In this way stapled hemorrhoidopexy reduces blood flow to the internal hemorrhoids. These internal hemorrhoids
then typically shrink within four to six weeks.
The main advantages of this hemorrhoid surgery method
average 90% success rate can be achieved;
hemorrhoids are not excised;
prolapsed anorectal mucosa is returned to its original anatomical position by means of removing and
stapling redundant mucosa;
after surgery the blood flow in hemorrhoidal vessels decreases;
it is observed substantial reduction of postoperative pain;
less analgesics are required after surgery
earlier discharge from hospital in comparison to Hemorrhoidectomy Disadvantages:
If too much muscle tissue is drawn into the device during the procedure, it can result in damage to the
The internal muscles of the sphincter may stretch, resulting in short-term or long-term dysfunction which
may lead to temporary incontinence disturbance
Stapled hemorrhoidopexy promotes higher risk of recurrence and prolapse (protrusion outside the anus) than
conventional hemorrhoid surgery
new procedure – there is no statistically significant results for the long-term benefits of this