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Editorial review
ColorectalTreatmentEmergency

Hemorrhoidectomy

Editorially reviewedEditorial review Updated 1 min read1 reference
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In brief: Hemorrhoidectomy is an operation that removes selected symptomatic hemorrhoidal tissue and leaves wounds open or closes them according to technique.

Excision may be considered for substantial external or combined disease, advanced prolapse, or symptoms that persist after less invasive care. Under anesthesia, the surgeon removes selected cushions while protecting sphincter tissue; open and closed methods differ in wound management. [1]

Recovery usually requires planned analgesia, comfortable stool consistency, wound hygiene, activity guidance, and follow-up. Pain with bowel movements, spotting, and swelling can occur. Bleeding, urinary retention, infection, delayed healing, anal narrowing, and continence change are possible complications.

Excision can be durable but does not prevent every recurrence or treat unrelated bleeding. The extent of disease, continence, medicines, prior operations, health conditions, and recovery burden affect selection. Hemorrhoidectomy is not the automatic choice for limited symptoms. [1]