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Hemorrhoidectomy: Last Resort for Severe Cases

Suffering from severe hemorrhoids? Surgery might be the answer. But what does a hemorrhoidectomy involve, and what are the risks?

In this picture there are leaves in the bowl. On the bowel there is a knife. The bowl is placed on...
In this picture there are leaves in the bowl. On the bowel there is a knife. The bowl is placed on an animal.

Hemorrhoidectomy: Last Resort for Severe Cases

Hemorrhoids, a common condition affecting nearly three out of four adults, can cause discomfort and impact quality of life. While many cases can be managed with lifestyle adjustments and nonprescription remedies, severe hemorrhoids may require surgical intervention. Hemorrhoidectomy, a surgical procedure to remove hemorrhoids, has been performed globally, including in Germany, with a history that is not explicitly detailed but involves advancements in surgical techniques.

Hemorrhoids, or piles, are swollen veins in the anus and lower rectum that can lead to itching, bleeding, pain, and even fecal incontinence or mucus discharge. In severe cases, hemorrhoids can become gangrenous if the blood supply is cut off. Hemorrhoidectomy is typically a last resort, reserved for severe cases or when other, less invasive treatments have failed. The procedure involves cutting the hemorrhoidal tissue and closing the wound with dissolvable sutures, usually performed on an outpatient basis.

Recovery from a hemorrhoidectomy usually takes about 1 to 2 weeks, with rare and not usually serious complications. However, it's important to note that hemorrhoidectomy is not the first line of treatment. Lifestyle modifications, symptom relief, and nonsurgical treatments are recommended before considering surgery. These can include changes in diet, increased fiber intake, over-the-counter creams or suppositories, and rubber band ligation.

Hemorrhoidectomy, while not the first choice for treatment, is a safe and effective procedure that can eliminate hemorrhoids altogether. It's reserved for severe cases or when other treatments have failed. With a recovery period of about 1 to 2 weeks and rare complications, it provides relief for those suffering from severe hemorrhoids. However, it's crucial to explore all options and consult with a healthcare provider to determine the best course of treatment.

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