To eliminate internal or external hemorrhoids, surgery may be necessary, which is indicated for patients who, even after receiving medication and adequate nutrition, maintain pain, discomfort, itching and bleeding, especially during evacuation.
There are several techniques for eliminating hemorrhoids, the most common being hemorrhoidectomy, which is the traditional technique that is performed by cutting. Recovery takes between 1 week and 1 month, being necessary to stay in the hospital for about 2 days and maintain good hygiene of the intimate area during recovery time.
Techniques for eliminating internal or external hemorrhoids may include:
Hemorrhoidectomy is the most common surgery and involves removing hemorrhoids with a cut. For this reason, it is widely used in external hemorrhoids or in grade 3 and 4 internal hemorrhoids.
This is surgery that is performed without cuts, where your doctor uses an ultrasound machine to identify vessels that carry blood to your hemorrhoids. Once these vessels are identified, your doctor will stop blood flow by sewing the artery, causing the hemorrhoid to wither and dry over time. This technique can be used for grade 2, 3 or 4 hemorrhoids.
The PPH technique allows the hemorrhoids to be fixed in their original position, using special titanium tweezers. This procedure does not require sutures, has a fast recovery time and is performed on internal hemorrhoids grades 2 and 3.
This is a treatment in which a small elastic band is applied at the base of the hemorrhoid, which will interrupt the transport of blood and cause the death of the hemorrhoid, which is common in the treatment of hemorrhoids grades 2 and 3.
In this technique, a product that causes tissue to die in the hemorrhoid vessels is injected, which is used for the treatment of grade 1 and 2 hemorrhoids. Learn more about this procedure.
In addition, there are also other methods that can be used to eliminate hemorrhoids, such as infrared coagulation, cryotherapy and laser, for example and the choice of technique will depend on the type and degree of hemorrhoids you want to treat.
It is a technique that can be used to treat internal bleeding in hemorrhoids. To do this, the doctor uses a device with infrared light that heats the place and creates a scar on the hemorrhoid, preventing blood from passing and, as a result, the hemorrhoid tissue hardens and eventually falls off.
Infrared coagulation usually has very few side effects and very few discomfort.
Internal hemorrhoids are those that develop and remain within the anus and may have different degrees, such as:
External hemorrhoids are those outside the anus and can also be surgically removed because they cause discomfort, especially when sitting and defecating.
In most cases, surgery to remove the hemorrhoids is performed under general anesthesia and requires the patient to be hospitalized for approximately 2 days.
To eliminate hemorrhoids, the proctologist should choose the most appropriate technique for each case, as they vary depending on the type of hemorrhoid in the patient.
Although surgery does not cause pain, in the postoperative period it is normal for the patient to experience pain in the perineal region, especially in the seated position and during their first evacuation after surgery, as this area is more sensitive. Thus, the doctor usually states:
After surgery, it is recommended to use a round pillow shaped like a buoy to sit to reduce the risk of bleeding and reduce pain. In addition, during the first month after surgery, high-fiber foods should be preferred and plenty of water should be drunk, so that stools are softer and easier to evacuate.
Normally, the patient does not need to remove the stitches and, after full healing, there are no scars left.
Discover in the following video what feeding should be like to facilitate intestinal transit and prevent hemorrhoids:
“Recovery from hemorrhoid surgery depends on the type and degree of hemorrhoid and surgical technique performed, and can vary between 1 week and 1 month, so the patient can normally resume their daily activities.
It is normal that during the first postoperative week the patient has small blood losses throughout the region, however, if this bleeding is severe, it is recommended to go to the hospital to check if he is recovering properly.