Hemorrhoids, also called piles, are relatively common and affect about one out of every 20 people during their lifetimes. While most hemorrhoids only cause mild symptoms, such as itching and slight discomfort, and naturally go away on their own, others cause more severe symptoms and stick around much longer than others. 

When hemorrhoids are severe, strangulated, thrombosed, and/or cannot be remedied with less invasive procedures, then a hemorrhoidectomy surgical procedure is often necessary. 

Read on to learn about just a few of the many hemorrhoidectomy procedures performed today that can help eliminate stubborn, painful hemorrhoids quickly. 

Stapled Hemorrhoidectomy 

A stapled hemorrhoidectomy, also referred to as hemorrhoid stapling, is a newer surgical procedure that helps eliminate prolapsing hemorrhoids, which are internal hemorrhoids that have begun to protrude from the anus. To perform this hemorrhoidectomy type, a surgeon uses a special surgical stapling device to both cut off blood flow to the problem hemorrhoid and reposition it back inside of the anus. The temporary repositioning relieves discomfort as the hemorrhoid quickly shrinks and goes away due to lack of blood flow. 

Hemorrhoidal Artery Ligation and Rectoanal Repair (HAL-RAR)

The hemorrhoidal artery ligation and rectoanal repair (HAL-RAR) surgery is a good option for patients who are suffering from multiple hemorrhoids. Instead of targeting each hemorrhoid directly, this procedure is instead performed by determining which arteries are supplying blood to the hemorrhoids with a special Doppler sensor, and then tying off the artery ends to eliminate hemorrhoid blood supply. Hemorrhoids then shrink up after blood supply is eliminated. 

This procedure is also relatively new, yet effective. 

Traditional Closed Hemorrhoidectomy

Traditional closed hemorrhoidectomy is still the most common procedure used to treat internal hemorrhoids. To perform this hemorrhoidectomy surgical procedure type, a surgeon uses a sharp instrument or laser to cut away the three hemorrhoid columns, which are the three areas of the anus where hemorrhoids are most likely to grow, inside of the anus. Then, the incision sites are closed with dissolvable sutures. 

While this traditional surgical procedure does have a more intensive recovery period than newer hemorrhoidectomy surgical procedures and does come with a greater risk of potential complications, this surgery type is still in use due to its extremely high success rate. 

Coagulation 

Coagulation is a minimally invasive hemorrhoidectomy surgical procedure that can be used to remove internal hemorrhoids that have not prolapsed. To perform this surgery type, a doctor exposes the hemorrhoid to an instrument that produces an electrical current or infrared light. When exposed to one of these treatment types, most hemorrhoids will develop scar tissue that naturally cuts off their blood supply. 

If you currently have one or more hemorrhoids that are painful and do not seem to go away, then visit a doctor to discuss your hemorrhoidectomy surgical procedure options that can eliminate your painful hemorrhoids for good. 

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