Case Reports in Surgery and Invasive Procedures

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Rapid Communication - Case Reports in Surgery and Invasive Procedures (2023) Volume 7, Issue 5

Hemorrhoidectomy: A surgical solution for hemorrhoids

Xiao Wang*

Department of Pathology and Legal Medicine

*Corresponding Author:
Xiao Wang
Department of Pathology and Legal Medicine
Central South University

Received:26-Aug-2023, Manuscript No. AACRSIP-23-112555; Editor assigned:29-Aug-2023, PreQC No. AACRSIP-23-112555(PQ); Reviewed:12-Sept-2023, QC No. AACRSIP-23-112555; Revised:18-Sept-2023, Manuscript No. AACRSIP-23-112555(R); Published:25-Sept-2023, DOI:10.35841/aacrsip-7.5.163

Citation: Wang X. Hemorrhoidectomy: A surgical solution for hemorrhoids. Case Rep Surg Invasive Proced. 2023;7(5):163

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Hemorrhoids, though a common ailment, can be a source of significant discomfort and distress for those who suffer from them. For individuals dealing with persistent hemorrhoids that do not respond to conservative treatments, hemorrhoidectomy emerges as a viable and often necessary solution. This surgical procedure, aimed at removing swollen or prolapsed hemorrhoidal tissue, has provided relief and improved the quality of life for countless patients. In this article, we will delve into the world of hemorrhoidectomy, exploring its purpose, techniques, and the positive impact it brings to those in need. Hemorrhoids, vascular structures in the rectum and anus, can become inflamed, swollen, and painful, leading to various symptoms, including rectal bleeding, itching, and discomfort. While conservative measures like dietary changes, topical creams, and lifestyle modifications can often manage mild hemorrhoids, severe cases may require a more aggressive approach. This is where hemorrhoidectomy comes into play [1].

Hemorrhoidectomy is a surgical procedure performed by a skilled colorectal surgeon or proctologist. It involves the excision (removal) of hemorrhoidal tissue, eliminating the source of pain and discomfort. The procedure can be performed using various techniques, including traditional excisional hemorrhoidectomy, stapled hemorrhoidopexy (also known as a PPH procedure), or Doppler-guided hemorrhoidal artery ligation (DG-HAL). In the traditional excisional hemorrhoidectomy, the surgeon removes the swollen hemorrhoids using a scalpel, scissors, or electrocautery, ensuring the surrounding healthy tissue remains untouched. This approach is highly effective in addressing severe hemorrhoids but may involve a more extended recovery period [2].

Stapled hemorrhoidopexy, on the other hand, involves the use of a circular stapling device to remove excess hemorrhoidal tissue and reposition the remaining tissue back to its normal location. This method typically results in less post-operative pain and a quicker recovery compared to traditional excision. Doppler-guided hemorrhoidal artery ligation (DG-HAL) is a relatively newer technique that uses ultrasound guidance to identify and tie off the arteries supplying blood to the hemorrhoids. By interrupting the blood supply, the hemorrhoids shrink, providing relief from symptoms [3].

The benefits of hemorrhoidectomy are often life-changing for those who have endured the discomfort and pain associated with severe hemorrhoids. The procedure offers immediate relief from symptoms such as bleeding, itching, and pain, allowing patients to regain their comfort and quality of life [4].

For individuals whose hemorrhoids have led to complications like thrombosis (clot formation), prolapse (protrusion of hemorrhoidal tissue), or strangulation (cutting off blood supply to hemorrhoids), hemorrhoidectomy can be a crucial, life-saving intervention. Furthermore, hemorrhoidectomy procedures, particularly stapled hemorrhoidopexy and DG-HAL, often result in shorter hospital stays and quicker recovery times compared to traditional excisional techniques. This means less disruption to daily routines and a faster return to work and regular activities [5].


Hemorrhoidectomy stands as a reliable and effective solution for individuals dealing with severe hemorrhoids that do not respond to conservative treatments. This surgical procedure, performed by skilled medical professionals, can provide immediate relief from painful and distressing symptoms, offering a new lease on life for those who have suffered. While the decision to undergo hemorrhoidectomy should always be made in consultation with a healthcare provider, the procedure has proven its worth by improving the well-being of countless patients. Hemorrhoidectomy embodies the essence of medical innovation and surgical expertise, aiming to alleviate suffering and enhance the lives of individuals dealing with this common but often debilitating condition.


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  1. Tan KY, Zin T, Sim HL, et al. Randomized clinical trial comparing LigaSure haemorrhoidectomy with open diathermy haemorrhoidectomy. Tech Coloproctol. 2008;12:93-7.

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  1. Nienhuijs S, de Hingh I. Conventional versus LigaSure hemorrhoidectomy for patients with symptomatic Hemorrhoids. Cochrane Database Syst Rev. 2009;(1).

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  1. Jayaraman S, Colquhoun PH, Malthaner RA. Stapled versus conventional surgery for hemorrhoids. Cochrane Database Syst Rev. 2006;(4):CD005393

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