External Hemorrhoids Surgery Procedure

Individuals suffering from hemorrhoids look for treatment options that will start giving them great relief from the minute the treatment is started.  While looking for the best treatment method, it is also suggested that sufferers gather enough information about their condition, its symptoms and causes.  This will get them a better understanding of hemorrhoids and make their expectations from treatment procedures more reasonable.


Veins located inside the anal canal and around the external anal opening can become abnormally enlarged due to certain factors that play a significant part in bringing about it, and it is this condition that is referred to in medical terms as hemorrhoids.

Hemorrhoids can develop inside the anal passage or outside the anal opening, called internal hemorrhoids and external hemorrhoids respectively.

What Causes Hemorrhoids?

The anal veins can stretch out and bulge or swell under extremes of pressure placed in the abdomen and lower rectal area.  Actions like –

–       Straining to have a bowel movement; sitting on the toilet bowl for long hours to pass stools

Or – conditions like –

–       Constipation

–       Pregnancy

–       Obesity

–       Old age

can all trigger the development of hemorrhoids, either internal or external.

External Hemorrhoids

Hemorrhoids can develop externally, around the anal opening, under the skin surrounding the opening.  During the initial stages of development, the hemorrhoids will be felt as tiny bumps or lumps and will not be considered as anything serious.  It is only when they grow large in size, and begin to multiply, will the problem become more pronounced, requiring more time to get it cured.  There is also a possibility for external hemorrhoids to become thrombosed, where the blood in the swollen veins begins to clot, and this is experienced as a very painful condition by most sufferers.

Unlike internal hemorrhoids, external hemorrhoids are a very painful condition and sufferers generally prefer to have it removed to experience relief.  The procedure performed to remove hemorrhoids surgically is known as hemorrhoidectomy.

Earlier, the hemorrhoidectomy referred to as Whitehead Technique used to be carried out to cure hemorrhoids.  This involves the total removal of hemorrhoid tissues along with the excision of rectal tissues on which the hemorrhoid resides.  This is not performed any more though, due to severe side effects it can bring about.

Stapled hemorrhoidopexy is a procedure that involves removal of only a portion of the hemorrhoidal tissues.  The remaining tissues are lifted and stapled into place with the use of a stapling device.  This is usually preferred for the recovery time is less and only minimal pain is experienced.  But it is noted that this does not help in successful treatment of large external hemorrhoids.

Then, there is the open hemorrhoidectomy procedure which is done more frequently at the present times.  Here, the hemorrhoid tissue is exposed using surgical retractors and then dissected.  Small, three incisions in the shape of a triangle are made on the hemorrhoid site and left open to heal and form scar tissues.

Very similar to the above is the closed hemorrhoidectomy procedure, where the incisions made are sutured completely using absorbable sutures.  This method, however, is usually chosen to cure thrombosed hemorrhoids.

The more latest method used to treat external hemorrhoids is the laser technique, where laser beams are targeted on the hemorrhoid tissues, nerves, and blood vessels until the blood supply is cut off and the hemorrhoid is done away with.

The type of hemorrhoidectomy done for the person to observe relief will depend on the size of the hemorrhoid.