External Hemorrhoid Removal: Procedures, Benefits, and When to Do

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Hemorrhoids or hemorrhoids are swelling that contains enlarged blood vessels, usually located inside or near the anus. Most hemorrhoids are mild disease and do not even cause symptoms. However, in some cases, an external hemorrhoid removal is needed in order to reduce the symptoms and prevent more harmful effects.


If only there are symptoms of hemorrhoids that require the external hemorrhoid surgery, usually the ones that often happen are:

  1. Swelling, pain, and redness around the anus.
  2. Itching sensation around the anus
  3. Bleeding after sudden movements.
  4. The color of the blood is bright red.
  5. There is mucus after defecation.
  6. The lump is hanging outside the anus. The lump usually has to be pushed back inside after a movement.
External Hemorrhoid Removal
External Hemorrhoid Removal

External Hemorrhoid Removal

What is a Hemorrhoids removal/operation? Hemorrhoid removal/operation/surgery is a procedure for removing hemorrhoids, where blood vessels swell around the anus, either inside or outside.

The blood vessels that swell are usually fragile, so the risk of bleeding, itching, burning sensation, and irritation in the rectal area is quite high. This operation aims to remove the problematic blood vessels and also to overcome various symptoms caused by it. You also need to know that hemorrhoids or hemorrhoid has two types, namely internal and external. In this article, we will focus more on the latter one.

Indication: When is a hemorrhoid surgery needed?

Some of the following conditions indicate the need for a hemorrhoid operation:

  1. Internal hemorrhoid of a very large size.
  2. Internal hemorrhoid that never healed despite being treated alone.
  3. External hemorrhoids are a very disturbing comfort, to the extent that you are difficult to clean the rectal area
  4. Hemorrhoids that appear both on the outside (external) and in (internal).

Types and Procedures: How is hemorrhoid surgery performed?

The procedure of an external hemorrhoid removal will be different depending on the type used.

  1. Hemorrhoidectomy

Hemorrhoidectomy is a conventional hemorrhoid surgery procedure performed by dissecting the anal tissue and removing the hemorrhoidal veins. The doctor will give anesthesia, either local or total. After the anesthesia works, the doctor then makes a small incision around hemorrhoid. Part of the swollen blood vessel in the hemorrhoids will be bound to avoid bleeding, then hemorrhoid will be removed.

  1. Stapled Hemorrhoidopexy

It also called a stapling method. Sometimes this technique is also good for treating hemorrhoids that hanging out the anus. During surgery, the doctor will use a special stapler tool inserted into the anus. This tool aims to clamp the blood vessels and tissue hemorrhoids. With these clasps, the blood flow to the hemorrhoid becomes reduced so it will shrink little by little. After undergoing this stapling procedure, you will have a shorter recovery time than the hemorrhoidectomy. Besides, this surgery tends to be less painful.

  1. Ligation of the hemorrhoidal artery

Hemorrhoid ligation is a procedure to reduce blood flow to the hemorrhoids. It is usually performed under general anesthesia and involves inserting a small ultrasound into the anus. An ultrasound probe will produce high frequency sound waves that allow the surgeon to find blood vessels that supply blood to the hemorrhoids or hemorrhoids. Any blood vessels leading to the hemorrhoids are tied up to block the flow.

Hemorrhoid Removal (Hemorrhoidectomy) (source: https://www.youtube.com/watch?v=fQ18G5WIo-0)