![]() ![]() Once the medical team is sure that your vital signs are stable, you’ll be able to return home. When the operation is over, you’ll be taken to a recovery room for a brief period of observation. Once the anesthesia takes effect, your surgeon will cut out the large hemorrhoids. ![]() This may be full anasthesia, sedation, or a spinal block, which is similar to an epidural injection during birth and can allow you to stay awake. You and your surgeon will decide on the best anesthesia to use during the surgery. HemorrhoidectomyĪ hemorrhoidectomy is used for Grades 3–4 hemorrhoids, large external hemorrhoids, internal hemorrhoids that have prolapsed, or ones that are not responding to nonsurgical management. Surgeries with anestheticįor these types of surgery, you’ll need to to go to a hospital and receive anasthesia. Research shows this method may be as effective as the traditional but more invasive method of hemorrhoidectomy but involve less post operative pain. This method locates the blood vessels causing the hemorrhoid using an ultrasound and ligates, or closes off, those blood vessels. Hemorrhoidal artery ligation (HAL), also known as transanal hemorrhoidal dearterialization (THD), is another option to remove Grades 2 or 3 hemorrhoids. Most people experience only mild discomfort or cramping during treatment. An anoscopy is a visualization procedure in which a scope is inserted several inches into your rectum. It’s another type of procedure that’s done at your doctor’s office, and it’s usually performed along with an anoscopy. It uses infrared light, heat, or extreme cold to make the hemorrhoid retract and shrink. This treatment is for Grades 1–3 internal hemorrhoids. Coagulation therapyĬoagulation therapy is also called infrared photocoagulation. Sclerotherapy tends to have the best success rates for small, internal hemorrhoids. This may be a better option if you’re taking blood thinners because your skin isn’t cut open. Sclerotherapy is done at the doctor’s office. Most people experience little or no pain with the shot. The chemical causes the hemorrhoid to shrink and stops it from bleeding. It involves injecting a chemical into the hemorrhoid. This procedure is intended for treating internal hemorrhoids up to Grade 2. Rarely, additional complications may occur such as pain and infection. ![]() There is typically minimal recovery time. It’s not painful, but you may feel pressure or mild discomfort.īanding isn’t recommended for those taking blood thinners because of the high risk of bleeding complications. Also called rubber band ligation, this procedure involves using a tight band around the base of the hemorrhoid to cut off its blood supply.īanding usually requires two or more procedures that take place about 2 months apart. Bandingīanding is an office procedure used to treat internal hemorrhoids with a severity of up to Grade 3. These types of hemorrhoid surgery can be done in your doctor’s office without anesthesia.
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