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Home >  Piles Treatment > Hemorrhoidectomy

Hemorrhoidectomy (Hemorrhoid Surgery) - Risk, Procedure & Cost

A hemorrhoidectomy is a surgery to remove hemorrhoids, whether they are internal or external. Pristyn Care is associated with advanced treatment centers in major cities all over India where patients can undergo hemorrhoidectomy to relieve this discomforting medical condition. Book a consultation today with Pristyn Care for proper guidance and to undergo a safe hemorrhoidectomy surgery.

A hemorrhoidectomy is a surgery to remove hemorrhoids, whether they are internal or ...external. Pristyn Care is associated with advanced treatment centers in major cities all over India where patients can undergo hemorrhoidectomy to relieve this discomforting medical condition. Book a consultation today with Pristyn Care for proper guidance and to undergo a safe hemorrhoidectomy surgery. Read More

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    Dr. Rakesh Shivhare - Piles Treatment Specialist in Opp.Badwani Plaza, Manorama Ganj, Old Palasia, Indore, Madhya Pradesh 452003, over 30 Years Experience

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    Dr. Apoorv Shrivastava - Piles Treatment Specialist in Pristyn Care Eminent Hospital 6/1 Opp. Barwani Plaza, Manorama Ganj, Old Palasia, Indore - 452018, over 25 Years Experience

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    Dr. Daipayan Ghosh - Piles Treatment Specialist in Pristyn Care Sheetla Hospital, Sector 8, Gurgaon, over 23 Years Experience

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What is hemorrhoidectomy?

A hemorrhoidectomy is a surgery to remove internal hemorrhoids or external hemorrhoids that are severe in nature. It is one of the most effective and successful treatments for hemorrhoids. 

Hemorrhoidectomy is typically not the first line of treatment for hemorrhoids. But when all other treatment options fail, hemorrhoidectomy is a safe and successful treatment that helps eliminate piles altogether.

The motive of this surgery is to make hemorrhoids shrink or disappear. It is done by removing hemorrhoids or decreasing the blood supply to hemorrhoids. 

A hemorrhoidectomy is performed in the following cases:

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Types of Hemorrhoidectomies

Closed Hemorrhoidectomy

Closed hemorrhoidectomy is a medical procedure that is generally used to treat internal hemorrhoids. It involves excising the hemorrhoidal bundles using a sharp instrument, like a scalpel, scissor, or laser. It is then followed by complete wound closure with an absorbable suture. Postoperative care after closed hemorrhoidectomy includes frequent sitz baths, drinking plenty of fluids, and avoidance of constipation. This surgery is successful 95% of the time.

Potential risks and complications include pain, bleeding, urinary tract infection, fecal impaction, and, very rarely, wound breakdown and anal stricture. Although this surgery has a certain amount of postoperative pain and discomfort, it does have the most promising long-term results with low recurrence rates. 

Open Hemorrhoidectomy

Open hemorrhoidectomy is not performed as commonly as closed hemorrhoidectomy. In an open hemorrhoidectomy procedure, hemorrhoidal tissue is excised like in a closed hemorrhoidectomy procedure, but the incision is left open. Surgeons choose this surgery when the location or amount of the hemorrhoidal tissue makes wound closure difficult. Complications after open hemorrhoidectomy are similar to those after a closed procedure.

Stapled Hemorrhoidectomy for Prolapsing Hemorrhoids 

Stapled hemorrhoidectomy is an advanced surgical procedure to treat hemorrhoids. It is mainly used in patients with grade 4 hemorrhoids and those who fail prior minimally invasive treatments. During a stapled hemorrhoidectomy, a stapling device excises a ring of hemorrhoid tissue which helps lift hemorrhoids back to the normal position. Research has shown that stapled hemorrhoidectomy results in less postoperative pain and shorter recovery than conventional surgery but a higher recurrence rate. 

Hemorrhoid banding

Hemorrhoid banding, or rubber band ligation, is a treatment method for hemorrhoids that does not respond to home treatments. This procedure involves tying the base of the hemorrhoid with a band to stop blood flow to it. Rubber-band ligation is conducted in an ambulatory setting, and the procedure causes less pain and has a quicker recovery period than surgical hemorrhoidectomy. 

Lateral Internal Sphincterotomy

Lateral internal sphincterotomy is a simple surgical operation to open the inner anal sphincter muscle. It is sometimes performed during hemorrhoidectomy in patients with high sphincter pressures. In this procedure, the sphincter muscle is cut or stretched. A sphincter is a group of muscles surrounding the anus responsible for restraining bowel movements.

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How to Prepare for Hemorrhoidectomy?

Before undergoing a hemorrhoidectomy, tell your doctor about all medicines you take. You may need to stop taking drugs like aspirin and oral anticoagulants like coumadin (warfarin) several days before the procedure. Also, let your doctor know if you smoke before having a hemorrhoidectomy because smoking can make it more difficult for the body to heal.

Your doctor may tell you not to drink or eat anything for 6 to 12 hours before the procedure.  Furthermore, you won’t be able to drive yourself home after the procedure due to anesthetic after-effects, so make sure you have someone with you to drive you home.

What Happens During Hemorrhoidectomy?

Hemorrhoidectomy is usually an outpatient medical procedure, but in some possibilities, it may need an overnight stay. In this procedure, an IV ( intravenous line) will be inserted into the hand for medications to prevent any swelling, infection, and bleeding.

You will be given either general or local anesthesia with sedation that will put you to sleep and makes you unable to move. Once you are asleep, the doctor will insert a scope into the anal canal to closely inspect internal hemorrhoids and other medical conditions. 

They will then cut the circular hemorrhoidal tissue. The hemorrhoidal tissue can be excised through different hemorrhoidectomy procedures like open hemorrhoidectomy, closed hemorrhoidectomy, or stapled hemorrhoidectomy. However, the kind of surgery that will be performed will depend on the surgeon and the patient’s medical condition. 

Once the surgery is performed, you will be moved to a recovery area where the vital signs will be observed for some hours. You will be able to drink and eat soon after the surgery, and within a few hours, you’ll get discharged when you’re fully awake and stable.

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Future General India Insurance Co. Ltd.Future General India Insurance Co. Ltd.
HDFC ERGO General Insurance Co. Ltd.HDFC ERGO General Insurance Co. Ltd.

Post-operative Care After Hemorrhoidectomy

You may experience some pain after your surgery. Therefore, take all the medications your doctor prescribed to relieve pain and discomfort. Your doctor may also suggest taking a sitz bath. A sitz bath is a warm bath to cleanse the perineum, the area between the rectum and the vulva or scrotum. This helps keep the area clean and improves blood flow to the region. Always ask your doctor how often you should do this.

Complete recovery after hemorrhoidectomy typically takes about two weeks. After the procedure, you should modify your diet and lifestyle, so your hemorrhoids don’t return. These may include:

  • Consuming a high-fiber diet
  • Drinking more water
  • Avoiding straining during a bowel movement
  • Exercising often
  • Avoiding long periods of sitting

What are the Risks and Side Effects of a Hemorrhoidectomy?

Hemorrhoidectomy can sometime be a painful treatment option, but it is also an effective and even a permanent fix for hemorrhoids. 

Complications after hemorrhoidectomy are rare and not usually serious. These include:

  • slow healing process
  • small tears in the anal region that can cause pain and discomfort 
  • narrowing of the anus due to scar tissue
  • damage to sphincter muscles, which can result in incontinence
  • urinary retention

Also, infection after hemorrhoidectomy is not common, but immediately consult your doctor if you experience:

  • fever, chills
  • nausea, vomiting
  • increasing pain
  • redness
  • increased swelling
  • severe bleeding or discharge from the anal region
  • a problem in passing urine
  • constipation lasting more than 3 to 4 days, even after taking laxatives

What Happens If Hemorrhoids are not Treated on Time?

Any medical condition can lead to serious health issues if ignored and left untreated. Similarly, if left untreated, hemorrhoids can lead to certain risks and complications that can be quite painful. Therefore, you must get timely treatment right from the early stage of hemorrhoids to avoid the condition from degrading further. 

Hemorrhoids, if left untreated, can lead to anemia. It can also lead to strangulated hemorrhoids when the blood supply to the internal hemorrhoid is cut off, and the hemorrhoid becomes strangulated, inducing severe pain and resulting in gangrene. If you are experiencing symptoms like discomfort or pain while passing the stool along with bleeding, do not ignore even the slightest symptoms. Consult your doctor for hemorrhoidectomy before the condition escalates further.

What is the cost of hemorrhoidectomy in India?

The minimum cost of hemorrhoidectomy is around Rs. 60,000, which can go up to Rs. 1,15,000. However, the exact cost of the surgery depends on various factors, including-

  • Fees of the proctologist
  • Fees of the anesthetist
  • Type of hemorrhoids surgery
  • Cost of anesthesia
  • Location of the hospital or the city where the surgery takes place
  • Type of hospital (government/private)
  • Cost of preoperative tests
  • Costs of medicines

In most cases, hemorrhoidectomy is covered under health insurance and mediclaim as it is a symptomatic medical condition. However, it’s recommended to talk to the insurance providers to understand about the terms and conditions of the policy.

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Common FAQs Around Hemorrhoidectomy

Is hemorrhoidectomy a major surgery?

A hemorrhoidectomy is a medical procedure to remove hemorrhoids and is usually performed under a general anesthetic. This is a major surgery, and you must take at least a week off work after the procedure.

Is hemorrhoidectomy painful?

Hemorrhoidectomy typically involves removing the affected hemorrhoidal tissue with a scalpel or other specialized tools. This procedure can be a little painful, but your doctor will suggest several ways to reduce the pain until the incision heals.

Do hemorrhoids grow back after surgery?

Hemorrhoidectomy usually cures hemorrhoids. But the long-term success of the surgery depends a lot on how well you can transform your daily bowel habits to avoid straining and constipation. 

Which surgery is best for hemorrhoids?

A hemorrhoidectomy is a surgery to remove internal or external hemorrhoids. Surgical hemorrhoidectomy is the most effective and reliable treatment for hemorrhoids with negligible recurrence rates.

What should I avoid after hemorrhoidectomy?

Avoid foods that cause constipation, like dairy products, red meat, processed foods, and sugar products such as cakes, pies, doughnuts and drinks containing caffeine. 

Are hemorrhoids a normal part of life?

Hemorrhoids are prevalent in both males and females. About half of all people will have hemorrhoids by age 50. Many females get hemorrhoids during pregnancy and childbirth because the pressure of carrying a baby in the belly places extra stress on the blood vessels in the pelvic area.

What is the most common complication of hemorrhoidectomy?

Anal Stricture/Stenosis is the most common complication after hemorrhoidectomy. Stenosis can complicate a stapled hemorrhoidectomy in 1 to 7.5% of cases.

Is it hard to sit after a hemorrhoidectomy?

There is the possibility that lifting, bending, squatting, or sitting can induce pain. Therefore, for the first few days after the surgery, you should restrict strenuous activities as much as possible.

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MEDICALLY REVIEWED CONTENT

Dr. Pankaj Sareen
🔍REVIEWED BY
Dr. Pankaj Sareen
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24 yrs experience
Pristyn Care Team
✍️WRITTEN BY
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