What Is a Hemorrhoidectomy?
A hemorrhoidectomy is a surgical procedure used to completely remove hemorrhoids (also known as piles). During the surgery, the surgeon excises the enlarged hemorrhoidal tissue and seals the blood vessels to prevent bleeding.
The procedure is performed under anesthesia and is commonly done as a day-care surgery, allowing most patients to return home the same day. Hemorrhoidectomy is recommended when conservative treatments such as medications, dietary changes, and lifestyle modifications fail to provide relief or when complications arise.
At Sarkar Hospital, Agra, hemorrhoidectomy is performed using advanced surgical techniques to ensure safety, comfort, and faster recovery.
Types of Hemorrhoids
Internal Hemorrhoids
Internal hemorrhoids develop inside the rectum, above the dentate line. They are usually painless but may cause bleeding during bowel movements. Based on severity, they are classified as:
Grade I: Bleeding without prolapse
Grade II: Prolapse during bowel movement but return on their own
Grade III: Prolapse requiring manual repositioning
Grade IV: Permanently prolapsed and cannot be repositioned
External Hemorrhoids
External hemorrhoids form around the anal opening, below the dentate line, where nerve endings are more sensitive. These are often painful and may become thrombosed, causing severe pain, swelling, and discomfort. While not dangerous, they can significantly affect quality of life.
Prolapsed Hemorrhoids
When hemorrhoids protrude outside the anal opening, they are called prolapsed hemorrhoids. Symptoms may include:
Anal lumps
Itching and irritation
Bleeding
Incomplete bowel evacuation
Mucus discharge or foul odor
Difficulty passing stools
Who Needs a Hemorrhoidectomy?
Hemorrhoidectomy is generally recommended for patients with:
Grade III or IV internal hemorrhoids
Mixed internal and external hemorrhoids
Thrombosed external hemorrhoids causing severe pain
Strangulated hemorrhoids with reduced blood supply
Chronic bleeding leading to anemia
Recurrent prolapse affecting daily activities
Failure of minimally invasive treatments (e.g., rubber band ligation)
Types of Hemorrhoidectomy Procedures
Closed Hemorrhoidectomy
The most commonly performed technique. The surgeon removes hemorrhoidal tissue and closes the surgical wounds with absorbable stitches, which dissolve naturally.
Open Hemorrhoidectomy
Similar to the closed technique, but the surgical wounds are left open to heal naturally. This approach may be preferred in certain cases where wound closure is difficult.
Stapled Hemorrhoidectomy (PPH / MIPH)
Also known as Stapled Hemorrhoidopexy, this procedure repositions hemorrhoids rather than removing them entirely. A circular stapling device lifts hemorrhoidal tissue back to its normal position while cutting excess tissue. This method generally causes:
Less postoperative pain
Faster recovery
Shorter hospital stay
It is commonly used for Grade III and IV hemorrhoids.
Benefits of Hemorrhoidectomy at Sarkar Hospital, Agra
Permanent relief from severe hemorrhoids
Advanced surgical techniques including stapled procedures
Experienced general and colorectal surgeons
Minimal complications and effective pain management
Personalized post-operative care