Realistic Assessment of Hemroid Surgery

Posted April 23rd, 2008 by Don

You may have been told that you need hemroids surgery, or you may just be wondering “Would surgery be worth getting rid of these hemroids?”

To help make an informed choice, there are a few things you should know about various hemroid surgical procedures.

Rubber band ligation of hemroids

First there are the non-invasive procedures such as latex banding or coagulation therapy. Latex banding involves placing a tight latex band around the hemroid, causing the hemroid to shrivel up and fall off. This is a relatively safe procedure, but it can take up to a week to complete the process, during which time the pain could get quite intense. Latex banding can only be used on hemroids of a certain size, as it’s not suitable for hemroids that are too small to get a good lock on nor for hemroids too large to get the latex band around.

Hemroids cauterisation – laser or freezing etc of hemroids

Another non-invasive procedure is cauterization therapy, which can be performed by laser, medication, or freezing. In this instance, the effect of the procedure is to cut off blood flow into the hemorrhoid at the source. All of these therapies are potentially quite painful, but carry less possibility of long term damage than full incisive surgery.

Hemroids Coagulation

Coagulation therapy, which also causes the complete stoppage of blood to the hemroid, is also an option. This is less effective than most, but also carries less risk and potential trauma, so it is frequently used for the elderly or for those who might not recover well.

The hemroids stapling surgery

The first invasive surgical procedure involves stapling the hemroids back up into the anal canal while excising as much hemroid tissue as possible. This procedure carries much less risk of trauma and permanent damage than hemorrhoidectomy, but does have a higher recurrence rate. People who take this option are about 3% more likely to experience a return of their hemroids. In addition, the surgeon needs to be specifically trained in this procedure for optimal results.

Hemroids hemorrhoidal arterial ligation

Hemorrhoidal arterial ligation is another alternative to full hemorrhoidectomy. In this procedure, the doctor finds the blood vessels feeding the artery, and closes it right above those vessels’ entry into the hemorrhoid. It is also less traumatic than a full hemorrhoidectomy, and boasts a 93% success rate regarding hemorrhoid return.


Then there is hemorrhoidectomy, which involves the total removal of the hemorrhoid and surrounding tissue by either a scalpel or laser. Neither has been proven in clinical studies to work better than the other, and while laser surgery might reduce the chance of scalpel-borne infection, it can also cause deep tissue burns if the surgeon isn’t sufficiently skilled.

A hemorrhoidectomy does carry the highest chance of permanent hemorrhoid removal. However, it also carries the highest chance of extremely bad side effects such as lifelong incontinence and permanent nerve damage. These side effects are fortunately extremely rare, but you should be aware of them. In addition, hemorrhoidectomy has the longest recovery time and usually a long period of pain and inflammation.

Hemroids Surgery

Knowing the risks is an important part of deciding whether surgery is right for you. Only you, with your doctor’s assistance, can decide on the hemorrhoid surgery right for you.


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