The greatest advantage of hemorrhoid removal surgery is that all hemorrhoids are removed at once, while the main disadvantage is the healing time following surgery, according to MUSC Health. Surgery can cut down on treatment efficacy time of more conservative methods, but it can take weeks to fully recover.
Hemorrhoid surgery is typically only an option for internal hemorrhoids that cannot be removed using rubber band ligation or infrared coagulation, or when hemorrhoids cause considerable pain, bleeding and protrusion, according to MUSC Health. Hemorrhoid surgery is completed using local anesthesia, general anesthesia or a spinal block to prevent pain during the procedure. Once the anesthesia has taken effect, a surgeon removes the hemorrhoids using scissors or an ultrasonic device, cutting and sealing the location at the same time. When sutures are used, they are the dissolving type and do not require removal later. Hemorrhoid surgery is an outpatient procedure.
To prevent complications following hemorrhoid surgery, it is important to take a fiber supplement and remain very hydrated to ensure the easy passage of stool, according to MUSC Health. A warm sitz bath several times per day also helps to relieve pain. While a small amount of bleeding is normal following hemorrhoid surgery, a large amount is not. If bleeding is excessive, contacting the surgeon promptly is recommended.