Most operation techniques for hemorrhoid treatment are painless, because they are applied above dentate line where there are no nerve endings. Surgical resection is more invasive, with severe postoperative discomfort but better chances for complete healing. Every procedure has its own particular indication and some sort of complications.
Hemorrhoids are considered to be normal tissue. If they get bigger or hang down, they will probably bleed. By defecating in a correct way, many cases can be treated well. The rest of them need to be treated surgically, in our clinic or the surgery.
There are six different ways of treating hemorrhoids.
- Rubber band ligation is the simplest treatment for hemorrhoids. A quick, long-term effective and painless treatment for hemorrhoids which do not protrude significantly. This treatment is applied in our clinic without any form of anesthesia.
- In more serious cases (including bleeding), HAL or THD is applied. These methods include localization of the blood vessels of hemorrhoids with ultrasound Doppler. Then the blood supply to the hemorrhoids is cut off by stitches. The protruding hemorrhoids are returned to the intra-anal position with another set of intra-anal stitches.
- In the past, ‘’Peter Lord’’ method (surgical dilation the anal sphincters) was applied. However, there is a real possibility of postoperative fecal incontinence, because of significant damage to the anal sphincters.
- Surgeons slowly reject the ‘’Longo’’ method, because of frequent relapses or rare serious complications.
- A new promising treatment for third-degree hemorrhoids is Laser Hemorrhoidoplasty Procedure (LHP). This method is atraumatic.
- Finally, in very advanced cases, it becomes necessary to resect hemorrhoids (Milligan-Morgan technique). There is a postoperative traumatic surface, and severe postoperative pain. A less traumatic resection and better results can be achieved with Ultracision, Ferguson or Radiofrequency procedures.