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What Is Hemorrhoidectomy and When Is It Needed?

A hemorrhoidectomy is a surgical procedure done to remove painful or swollen hemorrhoids. Hemorrhoids are enlarged veins near or inside the anus that can cause pain, bleeding, itching, and discomfort while sitting or passing stool. Many hemorrhoids can be treated with medicines, diet changes, or small procedures, but surgery may be needed when symptoms are severe or keep coming back.

This procedure is performed by a trained surgeon in a hospital or surgical center. It is usually done as a same-day procedure, meaning the patient can go home after surgery. Hemorrhoidectomy removes the problem directly and gives long-lasting relief when other treatments do not work.

Purpose & Benefits of Hemorrhoidectomy

Hemorrhoidectomy is done to provide lasting relief from serious hemorrhoid problems.

  • Relieves Pain and Bleeding: Removing hemorrhoids helps reduce pain, bleeding, itching, and swelling.
  • Treats Severe Hemorrhoids: It is helpful for hemorrhoids that stick out, become trapped, or contain blood clots.
  • Long-Term Solution: Surgery greatly lowers the chance of hemorrhoids coming back compared to simple treatments.

Who May Benefit from Hemorrhoidectomy?

Hemorrhoidectomy may be advised for people who have:

  • Strong pain or frequent bleeding
  • Hemorrhoids that come out and cannot be pushed back in
  • Hemorrhoids that do not improve with medicines or home care
  • Hard and painful hemorrhoids with blood clots
  • Repeated hemorrhoid problems over time
  • Both internal and external hemorrhoids causing discomfort
  • Improves Daily Comfort: After healing, most people find it easier to sit, walk, and use the toilet without pain.

Hemorrhoidectomy Treatment Process

1. Doctor Consultation

The surgeon examines the area, asks about symptoms, and explains why surgery is needed and what to expect.

2. Preparation Before Surgery

You may be asked not to eat or drink for some time before surgery. Certain medicines may need to be stopped. The bowel area may be cleaned before the procedure.

3. Numbing or Sleep Medicine

The surgery is done using medicine that prevents pain. You may be fully asleep or have the lower body numbed, based on what the doctor decides.

4. Removal of Hemorrhoids

The surgeon removes the swollen veins using surgical tools. The wound may be closed with stitches or left open to heal naturally.

5. After-Surgery Care

You will receive pain-relief medicines, stool-softening medicines, and clear instructions on diet and wound care to help healing.

The surgery usually takes 30 to 60 minutes, and most people go home the same day.

Duration & Where It Is Done

Hemorrhoidectomy is usually done in a hospital or surgery center. Most patients return home the same day, though some may stay overnight if needed. Healing usually takes 2 to 8 weeks, with improvement felt much earlier if care instructions are followed properly.

Safety, Precautions & Care

Hemorrhoidectomy is generally safe when done by an experienced surgeon, but like all surgeries, some care is needed.

Possible Side Effects

  • Pain or soreness in the anal area
  • Mild bleeding
  • Swelling or slow healing
  • Difficulty passing urine for a short time

Serious problems are uncommon.

Important Precautions

Tell your doctor if you:

  • Take blood-thinning medicines
  • Have long-term illnesses
  • Have problems with bleeding or digestion

Your doctor will decide if surgery is safe for you.

Dr. Gaurav Priyadarshan - General Surgeon in

Dr. Gaurav Priyadarshan

General, laparoscopic,Laser Surgeon

General SurgeonGeneral Surgeon

Dr Gaurav Priyadarshan is an esteemed General and Advanced laparoscopic Surgeon in Kolkata, bringing over a decade of invaluable experience to his practice at Fortis Hospital. Renowned as one of the top Surgeons in the region, Dr. Priyadarshan specializes in treating a diverse range of surgical diseases. With a strong focus on personalized care, Dr. Priyadarshan offers comprehensive treatment plans tailored to each individual's unique needs, aiming to promote best outcomes for patient. His expertise spans various surgical areas, including Gall bladder stones, Appendix, Complex Hernias,Bariatric surgeries, Colorectal cancers, Laser Proctology and endocrine Surgeries.

730, EM bypass ,Anandapur, Kolkata, West Bengal, India, 700107

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Dr. Durai Ravi - Surgery in

Dr. Durai Ravi

Senior Consultant General , Advanced Laparoscopic ,Laser & Robotic surgeon

SurgerySurgery
Colorectal SurgeryColorectal Surgery
GastroenterologyGastroenterology

Dr Durai Ravi is a well known surgeon with an experience of 14 years. He is specialised in General, Advanced Laparoscopic, Minimal Access, Endoscopy , Laser & Robotic surgery. He is practicing as a surgeon since 2015. He had been awarded various fellowships in the field of minimal access & laparoscopic surgery

Sathyadev avenue, Sathyadev avenue, Chennai, Tamil Nadu, India, 600028

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Dr. Pradeep Shriyan - Surgery in

Dr. Pradeep Shriyan

MBBS, MS - General Surgery

SurgerySurgery

Dr. Pradeep Shriyan (MBBS, MS) is a Practicing General and Laparoscopic Surgeon with experience of more than two decades. He is very passionate about Patient Care and believes in a holistic approach to health. A unique combination of skills with a human touch, Dr Pradeep Shriyan works relentlessly for the betterment of the patients. His area of Specialization includes General and Laparoscopic Hernia, Gallbladder, Colo-rectal, Appendectomy, Piles, Fissure in Ano, Fistula, Diabetic Foot management, Rectal prolapse, Breast lump, etc. A Treatment approach with gracious smile on his Face relieves half of the pain and worries of the patient

179/180, Road Number 2, Kamal Charan Building, Jawahar Nagar, Mumbai, Maharashtra, India

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Dr. Sivagamasundari Angamuthu - General Surgeon in

Dr. Sivagamasundari Angamuthu

MBBS, DNB (General Surgery), FIAGES Consultant General, Laparoscopic & Laser Surgeon

General SurgeonGeneral Surgeon
PodiatryPodiatry

Dr. Sivagamasundari Angamuthu is a highly skilled Consultant General Surgeon with 18 years of extensive clinical experience, including 11 years as an independent surgeon. She completed her MBBS followed by DNB in General Surgery and FIAGES, reflecting advanced training in laparoscopic surgery. Her expertise includes elective and emergency procedures, laser proctology for anorectal conditions, endovenous laser ablation for varicose veins, hernia repairs, breast-related disorders, and gastrointestinal surgeries. Known for precision and ethical practice, she delivers patient-centered surgical excellence.

VARA 420 SWAGATH NAGAR, Vattiyoorkavu, Thiruvananthapuram, Kerala, India, 695013

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Dr. Deepak Kumar - Surgery in

Dr. Deepak Kumar

MBBS, MS, DNB, MNAMS, FMAS, FIAGES, FISCP

SurgerySurgery

Dr. Deepak Kumar is a highly qualified surgeon with an MBBS and MS in General Surgery from Safdarjung Hospital. He holds a DNB in General Surgery and fellowships in Minimal Access Surgery (FMAS) and from the Indian Association of Gastrointestinal Endosurgeons (FIAGES), FISCP ( Fellowship of International Society of Colo Proctology ) specialisation in solo proctology procedures, with extensive experience as a Senior Resident at Safdarjung Hospital, Dr. Kumar is skilled in both open and laparoscopic procedures, providing exceptional surgical care to his patients.

Delhi, Delhi, India, 110001

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Dr. Parag Shah - Surgery in

Dr. Parag Shah

MBBS, MS - General Surgery

SurgerySurgery

Neptune Diagnostics, RB Mehta Marg, Saibaba Nagar, Pant Nagar, Ghatkopar East, Mumbai, Mumbai, Maharashtra, India

Dr. Nitin A Jain - Gastroenterology in

Dr. Nitin A Jain

DNB - Surgical Gastroenterology, MS - General Surgery, DNB - General Surgery, MBBS

GastroenterologyGastroenterology

Gastro Surgery Clinic, 9, Ground Floor XL plaza, GHP Excel Tower, IIT Market, Mumbai, Mumbai, Maharashtra, India

Dr. Aditi Agrawal - Surgery in

Dr. Aditi Agrawal

MBBS, MS - General Surgery

SurgerySurgery

Siddhivinayak Eye & Skin Clinic, 303, Vini Elegance, 3rd Floor, L.T. Road, Mumbai, Maharashtra, India

Dr. Laxman Salve - Surgery in

Dr. Laxman Salve

MBBS, MS - General Surgery

SurgerySurgery

Kumar's Polyclinic, 34 third Floor, Gurudev Apartment B Wing, Opp MTNL Office, behind Hanuman Mandir, Mumbai, Maharashtra, India

Dr. Dinesh K Hegde - Surgery in

Dr. Dinesh K Hegde

MBBS, MS - General Surgery

SurgerySurgery

Kumar's Polyclinic, 34 third Floor, Gurudev Apartment B Wing, Opp MTNL Office, behind Hanuman Mandir, Mumbai, Maharashtra, India

Frequently Asked Questions

Hemorrhoidectomy is used to remove severe or long-lasting hemorrhoids that cause pain, bleeding, or discomfort. It provides lasting relief when other treatments do not help.

You will not feel pain during surgery because pain-blocking medicine is used. After surgery, some pain or discomfort is normal, but it improves gradually with medicines and proper care.

The surgery usually takes about 30 to 60 minutes, depending on the number and size of hemorrhoids. Most patients can go home the same day.

Initial recovery usually takes 2 to 4 weeks, while full healing may take up to 8 weeks. Following the doctor’s advice helps speed up recovery.

Some pain, swelling, or mild bleeding is common during recovery. Serious problems like infection or difficulty with bowel control are rare.

Hemorrhoids are less likely to return after surgery. However, eating enough fiber, drinking water, and avoiding straining are important to prevent future problems.

Your doctor may ask you to stop eating before surgery and adjust certain medicines. Always follow the preparation instructions given by your doctor.

Mild hemorrhoids can often be managed with diet changes, medicines, and home care. Surgery is usually recommended only when these methods do not work.