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Traditional Cutting Surgery

Rubber Band Ligation

Rubber band ligation, also known as banding, is a method for treating internal and prolapsed hemorrhoids. A band is used by the doctor to tighten around the hemorrhoid, which cuts off the blood supply and causes the hemorrhoid to fall off in a few days. The procedure is painless and may only cause slight pressure at the anal opening. However, patients taking blood thinners should avoid this procedure due to the risk of excessive bleeding.

Hemorrhoidal Artery Ligation & Recto Anal Repair (HAL – RAR)

The THD procedure uses a Doppler sensor to locate and tie the arteries supplying blood to hemorrhoids, resulting in their shrinking and becoming non-noticeable. It is nearly painless and effective. Also known as Transanal Hemorrhoidal Dearterialization, THD is a costly procedure. HAL is recommended for patients for whom the first banding failed.

Surgical Therapy: Hemorrhoidectomy

  • This is the traditional way to treat hemorrhoids. No surgical procedure is perfect, unfortunately. This technique as all techniques are prone to recurrence and suffers from same problems with most techniques like RBL EH and cutting surgery; it only partially treats the whole problem. We have to … because we can cause very difficult problems if treat everything we see.
  • You likely will need more than one treatment or perhaps more removal or other surgery to try and fix your problem more permanently. You likely will need more than one treatment or perhaps surgery to try and fix your problem more permanently. With this surgery we intentionally do not cut out all of the hemorrhoids we see because we can unintentionally cause tightness or stenosis or rarely incontinence.
  • Extremely rarely you may get very sick and require hospitalization, to treat infection like fistula or abscess or to help you urinate or with infection or bleeding
  • Infrequently you may have mild to moderate and very rarely severe or prolonged pain, bleeding and swelling of your anal tissues after such procedures.
  • Severe pain is fairly common. We will give you strong pain medicines at the time of surgery and prescriptions for it afterwards.
  • Doing too much cutting can in a small number of cases unintentionally cause a tightening of the anal canal (stenosis) making it too tight. Special advanced in hospital anoplasty surgery can sometimes be necessary to fix it.
  • Very rarely too, one can have incontinence where you can lose control over your bowels. This is usually temporary.

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