Surgical Treatment for Advanced Hemorrhoids

Open hemorrhoidectomy is a surgical procedure performed to remove large, prolapsed, or thrombosed hemorrhoids (piles). It is considered the gold standard for treating advanced grades of hemorrhoids (Grade III and IV) that do not respond to conservative treatments. The procedure involves the complete excision of hemorrhoidal tissue, offering definitive relief and a low recurrence rate.

Dr. Surendra Pal Jakhar specializes in open hemorrhoidectomy, utilizing precise surgical techniques to minimize pain, reduce complications, and ensure optimal healing. His comprehensive approach combines accurate diagnosis, evidence-based treatment, and compassionate care to achieve the best possible outcomes for his patients.

When is Open Hemorrhoidectomy Recommended?

• Grade III Hemorrhoids: Hemorrhoids that prolapse with bowel movements but can be manually reduced.
• Grade IV Hemorrhoids: Chronically prolapsed hemorrhoids that cannot be reduced.
• Thrombosed Hemorrhoids: Acute painful swelling with blood clot formation.
• Large External Hemorrhoids: Symptomatic external hemorrhoids causing significant discomfort.
• Failed Conservative Treatment: When dietary changes, medications, and office-based procedures do not provide relief.

Common Symptoms Indicating the Need for Surgery

• Chronic bleeding during bowel movements
• Severe anal pain and discomfort
• Prolapsed tissue that requires manual reduction
• Persistent itching and irritation in the anal area
• Difficulty with hygiene due to protruding tissue
• Thrombosis causing acute, severe pain

The Open Hemorrhoidectomy Procedure

• Anesthesia: Usually performed under spinal or general anesthesia.
• Incision: A precise elliptical incision is made around the hemorrhoid.
• Excision: The hemorrhoidal tissue is carefully dissected and removed.
• Ligation: The feeding vessels are ligated to prevent bleeding.
• Closure: The wound is either sutured or left open to heal by secondary intention.
• Recovery: Patients are monitored and discharged with postoperative care instructions.

Benefits of Open Hemorrhoidectomy

• Definitive Cure: High success rate with a low recurrence rate.
• Effective for All Grades: Suitable for advanced and complex hemorrhoids.
• Single Procedure: Most patients require only one surgery.
• Long-lasting Relief: Provides permanent removal of hemorrhoidal tissue.
• Minimal Complications: With experienced surgeons, complications are rare.

Risks and Considerations

While open hemorrhoidectomy is a safe and effective procedure, all surgeries carry some risks. These include bleeding, infection, urinary retention, anal stenosis (narrowing), and delayed wound healing. Dr. Jakhar takes every precaution to minimize these risks and ensures comprehensive postoperative care. Patients are thoroughly evaluated before surgery to determine the best approach and to manage any underlying conditions.

Why Choose Dr. Surendra Pal Jakhar?

Dr. Surendra Pal Jakhar is a highly experienced colorectal surgeon with extensive expertise in performing open hemorrhoidectomy and other advanced perianal surgeries. His approach combines precise surgical technique with compassionate care, ensuring patients receive personalized treatment plans. Dr. Jakhar works closely with a multidisciplinary team of gastroenterologists, oncologists, and nutritionists to provide holistic care for patients with perianal conditions.

Schedule a consultation today to discuss your hemorrhoid condition and explore whether open hemorrhoidectomy is the right option for you.