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By the age of 50 about half of the adult population develops hemorrhoids, which is an unpleasant but rarely dangerous inflammatory condition of the veins around the anus and the lower rectum. Hemorrhoids can be internal and external, depending on the location of the swollen, irritated veins. Hemorrhoidectomy is the surgical procedure of removing these veins and thus relieving symptoms like pain, itching and bleeding around the sore part.

Before hemorrhoidectomy surgery, your doctor will probably attempt to find less drastic solutions and recommend surgery only when nothing brings relief. Hemorrhoidectomy is usually preceded by a period of alternative and medical treatment involving:

  • Topical creams
  • Medication
  • Suppositories
  • Stool softeners
  • Diet that helps avoid hardened stool and intra-abdominal pressure
  • Sitz baths

Hemorrhoidectomy Surgery

Hemorrhoidectomy can be performed with several techniques, but none of these methods guarantee that the condition will not return if eating and bowel habits are not altered after the surgery. Basically hemorrhoids are swollen, inflamed veins that prolapse downward on some loose supporting tissue. Hemorrhoidectomy surgery is done with two basic techniques:

  1. Large hemorrhoids are ligated at the base and simply cut out surgically closing the incision with absorbable stitches.

           2. Other techniques for hemorrhoidectomy are in fact misnomers as they do not remove the hemorrhoid surgically, but rater cut its blood supply at the base and then wait till it falls off by itself:

  • One of these widely-used hemorrhoidectomy techniques is called banding, which means that a tight rubber band is placed around the base of the internal hemorrhoid. Without blood supply the hemorrhoid will soon fall off and pass with excretion. Generally for this method anesthesia is not necessary, but local pain relief can be administered.
  • Sclerotherapy uses a special sclerosing agent injected in the base of the hemorrhoid. This substance destroys the blood vessels in the hemorrhoids making them shrink and fall off.
  • Stapled hemorrhoidectomy is one of the newest techniques that utilizes a special circular stapling device that removes the expanded supporting tissue of the internal hemorrhoid and with the same move staples the cut tissue together. Another denomination for this procedure is PPH hemorrhoidectomy, which abbreviates Procedure for Prolapse and Hemorrhoids. The procedure implies the lift-up of the prolapsed anal canal tissue reducing the blood flow in the hemorrhoids, which will shrink back soon after the procedure. The staples fall off and pass with the stool a few weeks after the hemorrhoidectomy.

Stapled hemorrhoidectomy is mostly recommended to treat third and fourth degree hemorrhoids and when the patient has both internal and smaller external hemorrhoids.

Advantages of PPH hemorrhoidectomy:

  • The procedure itself does not take more than 30 minutes and offers a much shorter recovery time than traditional hemorrhoidectomy.
  • Less pain as the procedure is done at a site where there are few nerve endings
  • Fewer complications

After Hemorrhoidectomy

  • Most of these procedures are done on an outpatient basis, so you will be discharged a few hours after hemorrhoidectomy if no complications arise.
  • In hemorrhoidectomy surgery, in about 90% of the cases the operation is performed with success without any complications.
  • Whichever method you chose some-post surgery pain and discomfort cannot be avoided, but relieved.
  • Try to follow a fiber-rich diet and take mild stool softeners to ease bowel movements.
  • Get back to your normal daily activities gradually, not straining yourself for at least a month post-surgery.

Hemorrhoidectomy Cost

Your location, your insurance policy and the medical facility you turn to will have a final say in how much the procedures for hemorrhoidectomy cost. Traditional hemorrhoidectomy is somewhat lower-priced ($1,500-$3,000), but more painful, however, the expenses of newer techniques can reach $12,000-$15,000./facilities/

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