Most cases of hemorrhoids are treated with topical treatments, careful dietary plans and supplements, as well as hot and cold compress. However, these treatments are only used for mild symptoms of hemorrhoidal disease like pain and swelling. If the symptoms of hemorrhoids elevate to serious conditions, there is a need to perform surgery.

Hemorrhoidectomy, commonly known as hemorrhoid surgery, is effective in providing long-lasting, satisfactory, and efficient treatment to cases that involve critical degree of internal and external bleeding. Serious cases of prolapsed are also treated with surgery. There are four types of surgery performed to hemorrhoids:

Milligan-Morgan Technique

This hemorrhoid surgery is named after Drs. Milligan and Morgan of United Kingdom. In this treatment, the location of three hemorrhoidal vessels is treated. The three vessels will be incision (the shape will look like a pear shaped outline) and will be separated by a gap that contains the mucosa and skin. This technique is traditional and considered as the baseline of surgery for all cases of internal and external hemorrhoids. Although, the efficacy of Milligan- Morgan technique is often commended, it is mostly applied to second-degree (open hemorrhoids are as big as rubber band ligation) and third-degree cases (existence of prolapsed).

The Ferguson Surgical Method is a modified Milligan-Morgan technique named after Dr. Ferguson. In this surgery, the incision is closed partly or completely by using either stitching or coagulation through a specific surgical procedure. The operation can be quick in treating open wounds; however, this method is often criticized of its high probability of breaking the stitches or sutures thus delaying the recovery of the wounds

Laser Hemorrhoids Surgery

Laser Surgery is the advanced and most effective technique of treating severe degrees of hemorrhoids. This hemorrhoid surgery offers a quick, less painful, and fast recuperative period. Instead of applying invasive and butt-wrecking operation, the surgeon will just remove by vaporization the hemorrhoid tissues using laser. As mentioned, the surgery will not take too long as well as it is less distressful. The surgery can often be combined with other methods to ensure the complete removal of affected hemorrhoid tissues.

PPH Procedure or Procedure for Prolapse and Hemroids

PPH Method is done by cutting prolapsed and stapling the remaining tissue. The cut prolapsed will be absorbed in the dilator. Afterwards, the anoscope will be inserted to do the suture. This surgery is recommended for its less painful procedure and the patient can come back in their normal routine. It is also effective as an external hemorrhoid treatment. However, the downside of this procedure depends on how the surgeon maneuvers the operation. If there are more rectal walls that removed, defecating will be painful. PPH is also associated in its recidivism of hemorrhoid disease. Therefore, this method depends on the diagnosis of the doctor.

There are different advantages and disadvantages of hemorrhoid surgery. Worst cases often happened due to faulty operation, wrong diagnosis and disobedient attitude of patients to recover.

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