Hemorrhoid treatment (2)

Traditional surgery – Hemorrhoidectomy 

 Principles
- Decrease the blood flow to anorectal ring
- Remove redundant hemorrhoidal tissue


 Indications
- Grade II, III and IV hemorrhoids
- Failure of non-operative treatment of 2nd degree pile
- Thrombosed hemorrhoid 
- Interoexternal pile when the external pile is well defined


 Types
- Excision of hemorrhoids without (open hemorrhoidectomy) or with (closed hemorrhoidectomy) suturing 
- Using different energies for excision
 Diathermy
 Harmonic scalpel
 Bipolar scissors









Reference: psclinic.com.hk/

The information aims to provide educational purpose only. Anyone reading it should consult 
Surgery Specialist before considering treatment and should not rely on the information

above.