** Hemorrhoids – Hemorrhoid Surgeries covered THIS PAGE:

• 1.. Determining which hemorrhoid surgery operation you need.
• 2.. Injection Surgeries for Hemorrhoids
• 3.. Cauterization Surgeries for Hemorrhoids
• 4.. Infrared Coagulation and Laser Coagulation Surgeries for Hemorrhoids
• 5.. The Banding Hemorrhoid Surgery
• 6.. Hemorrhoid Cryotherapy Surgery
• 7.. The Stapling Hemorrhoid Surgery
• 8.. Hemorrhoid Artery Ligation
• 9.. Hemorrhoidectomy – the final hemorrhoids surgery solution, or at least you’ll wish it had been

1.. Determining which hemorrhoid surgery operation you need.

There is a way surgeons and doctors use to determine what type of surgery to use on a person’s hemorrhoids. With each of the hemorrhoid surgical treatments below, I’ve also included a simple, yet reasonably accurate way of determining the particular hemorrhoid surgery’s suitability for you.

A simple rule to remember, if it’s external hemorrhoids you’ve got, then hemorrhoidectomy is about the only hemorrhoid surgery you can use.

What happens if you choose a lower level of surgery for your hemorrhoids than what appears indicated? What happens is the hemorrhoid surgery will then often fail to achieve the desired results.

For example, if you need the cut and remove hemorrhoid surgery, but you opt for the hemorrhoid surgery of banding ligation, the surgeon may agree for non-medical reasons, like, “I cant take that much time to recover”. The surgeon will try his best, he may even double band the hemorrhoids, but chances are, the hemorrhoid surgery wont work – I know from personal experience as well as discussions with my surgeon and readings that I’ve undertaken – the hemorrhoids may stop protruding, but they frequently don’t die. If you are lucky after the operation and the hemorrhoids don’t protrude and provided you don’t strain, the hemorrhoids may not bother you or grow bigger.

One effect of choosing the lower level hemorrhoid surgery I experienced, was a thrombosed hemorrhoid within days of the hemorrhoid double banding. However, I’m still happy with my less than perfect result and, for me, the lower level hemorrhoid surgery was a good option to the hemorrhoidectomy.

2.. Sclerotherapy Surgery for Hemorrhoids – Dealing with hemorrhoids through a needle and injections.

If hemorrhoids are present, but are not yet protruding out of the anus, there is a good chance they are tiny hemorrhoids which can be treated in surgery by a simple injection into each hemorrhoid. The surgical procedure you follow is very similar to banding, except instead of getting a band they inject. See “The Banding Hemorrhoid Surgery” for more detailed information of the procedure itself.

The injection surgery for hemorrhoids is called “Sclerotherapy”.Sclerotherapy works by injecting a chemical into or near the hemorrhoid that interferes with the vein enlargement and tissue irritation that causes hemorrhoids.

If phenol is the chemical injected, then the aim is to control the hemorrhoid’s bleeding.

If the solution injected into the hemorrhoid is a salt one, the hemorrhoid will normally shrink in size.

While this hemorrhoids surgery is not preferable for the needle-phobic, it is the least invasive method of dealing with small hemorrhoids that cannot be treated by latex band ligation.

However, while this hemorrhoids surgery is performed in a doctor’s office, it is not the most commonly used hemorrhoid treatment and so your doctor may not have performed it before.

No medical procedure is without risks, and sclerotherapy can cause a quite painful burning sensation if the treated hemorrhoid is too near the sensitive nerve band, some people are allergic to the chemical used, and this hemorrhoid surgery carries a higher chance of recurrence.

This hemorrhoids surgery is generally only used on either very, very small hemorrhoids or on people who would not bear a more invasive procedure well.

The Mayo Clinic (Year 2010) has stated that this type of hemorrhoid surgery is less successful than hemorrhoid banding.

3.. Hemorrhoid Cauterization is another surgical option

Hemorrhoid surgery using cauterization, involves burning the hemorrhoids with an electrically heated wire.  Used primarily on tiny hemorrhoids, but instead of injecting, they cauterize.

4.. Infrared Coagulation and Laser Coagulation Surgeries for Hemorrhoids

Hemorrhoids that don’t show, or which retreat after showing themselves, may be treated with Infrared Coagulation Surgeryor Laser Coagulation Surgery. Not something I personally was given an option with, with my hemorrhoids. Reading other hemorrhoid sufferers experiences, I gather this hemorrhoid surgery can involve several treatments and aims at stopping the blood flow to the hemorrhoids by burning the blood veins supplying them.

According to the Mayo Clinic (Year 2010), both these types of hemorrhoid surgery have a lower success rate than the rubber band ligation.

5.. The Banding Hemorrhoid Surgery

aka Rubber Band Ligation Hemorrhoid Surgery

The simplest hemorrhoids surgery appears to be latex band ligation, which can sound a little strange but does work.

This hemorrhoids surgery basically works by putting a very strong rubber band around the internal or prolapsed hemorrhoid, which cuts off the circulation to the mass. Within a few days, the hemorrhoid will atrophy and fall off.

It can be a little frightening to consider cutting off circulation to an area of yourself, but when performed by a doctor this hemorrhoids surgery is one of the safest, simplest and most effective internal hemorrhoid surgeries.

Pain can be excessive if the hemorrhoids are too near the nerve band surrounding the anus, so tell your doctor if you are experiencing a lot of pain.

This hemorrhoids surgery is best on medium sized hemorrhoids, as there must be enough tissue mass for the rubber band to surround.

Want to know more about hemorrhoids banding, such as the procedure in detail, just click.

6.. Hemorrhoid Cryotherapy Surgery

Hemorrhoid cryotherapy surgery apparently can be used with hemorrhoids before they reach the point of remaining outside all the time and, for some people, even when the hemorrhoids are showing constantly. The surgery involves the hemorrhoids being frozen, then left to shrivel and die – very similar result to banding hemorrhoids. Discomfort lasts up to a week, or there about’s.

7.. The Stapling Hemorrhoid Surgery

This hemorrhoid surgery has several names: Procedure for Prolapse and Hemorrhoids (PPH), or Hemorrhoidopexy, or Stapling Hemorrhoidectomy

According to Dr. Gary H. Hoffman, 2003, this hemorrhoid surgery is for internal hemorrhoids that have prolapsed – that is stage 3 and 4 hemorrhoids as well as some stage 2 – it is therefore an alternative surgery to hemorrhoidectomy. He also provides the following hemorrhoid information to the public: To be sure this hemorrhoid surgery will be effective, it is best that the surgeon be properly trained in this specialized hemorrhoid surgery. [Although it wasn’t offered as an option for me, this hemorrhoid stapling surgery would have been my first choice.]

He also goes on to state that this surgery for hemorrhoids, works by repositioning the hemorrhoids and surrounding tissue to where they started from and then the surgeon cuts some of the excess hemorrhoid tissue away – the excess hemorrhoid tissue does not contain nerve fibres, so this hemorrhoid surgery does not cause much pain.

Doing this hemorrhoid surgery properly results in reduced blood flow to the troublesome hemorrhoids, which results in the hemorrhoids dwindling in size over the next few weeks. This hemorrhoid surgery also reduces the recurrence of hemorrhoids. Patients normally return to work very quickly.

However, more recent research on this hemorrhoid surgery now suggests that although there is less risk and pain involved in having a hemorrhoidopexy, around 8.5% were found to have hemorrhoids return. Shiva Jayaraman Colquhoun, M.D., 2006. While the Mayo clinic (Year 2010) reports this hemorrhoid surgery as less successful than hemorrhoidectomy in getting rid of hemorrhoids and also reports that stapling hemorrhoid surgery may [in rare cases] cause a rectal prolapse ( part of the rectum prolpases out through the anus ).

8.. Hemorrhoid Artery Ligation Surgery aka Transanal Haemorrhoidal Dearterialisation

This surgery is also an alternative technique to the traditional hemorrhoidectomy, as well as a suitable replacement for all hemorrhoid surgeries listed above.  Using a special procedure involving doppler / ultrasound, the surgeon identifies which arteries are providing blood to the hemorrhoids and then sutures the blood artery closed just above them.  Result of this hemorrhoid surgery appears to be quite effective, with about 93% of patients remaining hemorrhoid free for the following two years. However, pdf download from nice.org.uk places the failure rate at around 10% after 12 months post surgery.

The Ultrasound Guided Hemorrhoid Artery Ligation surgery, also known as Doppler Guided Hemorrhoid Artery Ligation, was invented in 1995 by Dr. K. Morinaga, a Japanese surgeon.  You may find it abbreviated to UGHAL or DGHAL.

This hemorrhoid surgery took off in Asia only a few years back, but has spread to the UK, Germany and Italy where it is becoming more and more routine and is reffered to as “transanal hemorrhoidal dearterialisation” (THD).