While most hemorrhoids do not require medical procedures, many severe cases do and if you have been told you must have surgery; you most likely have a ton of questions regarding the surgical procedure itself. Most external hemorrhoids do not require surgery, but internal hemorrhoids often do. The surgical removal of hemorrhoids is known as hemorrhoidectomy, which can be successful when treating large internal piles. Some external hemorrhoids that are very large often do require surgery to get rid of them because they are quite uncomfortable for the patient and getting rid of them makes life much better.
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The surgery is performed under general anesthesia but some doctors prefer spinal anesthesia. An incision is created into the piles and the vein, which can be inflamed is tied off so no bleeding occurs. The piles is then removed and the procedure is continued for every piles the patient has. You will find laser tools that many doctors use today instead of the scalpel, but both methods have about the same rate of success. This is a day surgery, and many patients are released the same day. Healing time is two to three weeks and home care includes antibiotics, discomfort medications, ice packs, and stool softeners to prevent straining so that the hemorrhoids do not return.
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