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Surgical Hemorrhoid Treatment: Techniques and Possible Complications

In many cases, hemorrhoid can be treated by simply changing the diet, applying topical creams, doing sitz baths and buying over-the-counter drugs. But when the condition escalates to serious proportions, surgical hemorrhoid treatments are usually considered. There are several procedures that can provide long-term relief and satisfaction. They are, however, not without risks and complications. Here is a short list of common surgical procedures and possible, common complications associated with the treatments.

The Ferguson and Milligan-Morgan Techniques

First, the Ferguson technique is a surgical hemorrhoid treatment that involves partially or totally closed incisions with absorbable running sutures. The hemorrhoid is removed surgically after it has been exposed through the use of a retractor.

The Milligan-Morgan technique, however, involves the excision of the three major hemorrhoidal vessels. The three incisions are left unfastened in order to avoid stenosis. This technique is probably the most famous and widely Used surgical method for hemorrhoids.

The Stapled Hemorrhoidopexy

Another popular surgical hemorrhoid treatment is the stapled hemorrhoidopexy, or more commonly known as PPH. This technique, developed in the early 90s, reduces the prolapse of the hemorrhoidal tissue by using a circular stapling device to cut off the prolapse anal mucosa membrane. The Circular Anal Dilator is then introduced to reduce the prolapse located on the anal mucous membrane and anal skin.

An anoscope is used to push the prolapse back to the rectal wall. At the same time, the protruding membrane will be easily contained through a suture, which can be completed through the rotation of the purse-string suture anoscope. Through the use of a hemorrhoidal circular stapler, the doctor will be able to knot the suture externally.

Possible complications of surgical procedures

Before opting for a surgical treatment, you must first learn some of the possible complications. Postoperative pain lasting for 2 to 3 weeks, infections, postoperative bleeding, swelling, short-term incontinence, and difficulty in urination are the most common early complications of hemorrhoid surgery.

There are also several late complications, which include: anal stenosis, recurrence, minor incontinence, skin tag formations, anal fissure, fecal impaction associated with pain medications, and delayed hemorrhage.

Before going for a surgical hemorrhoid treatment, you should also learn about your doctor’s experience. Don’t forget about the types of procedures he or she had performed, how many times each procedure had been performed and other questions regarding the procedures. You must know everything you can about the procedure and how it can affect your daily activities.

Mark Michael Ferrer
Hemorrhoid Treatment

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