Main Advantages of Hemorrhoidectomy
Surgical therapy provides satisfactory results in comparison to conservative measures especially for grade III and IV hemorrhoids. To date, there are a variety of surgical procedures available to treat hemorrhoids with equivalent success rates. Conventional hemorrhoidectomy aims to remove hemorrhoids, allowing both internal and external components to be excised. This approach has been proven to be the most effective and associated with the most durable results for grade III and IV hemorrhoids. However, the external wounds in the innervated perianal skin pose problems of postoperative pain and wound healing. Hence, oral analgesics and stool softeners are usually prescribed to ameliorate discomfort during postoperative recovery. Various adjuncts such as pharmacotherapy and hemostatic devices have been described to improve short-term outcomes associated with conventional hemorrhoidectomy. These adjuncts would be further discussed in this chapter.
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