Hemorrhoidectomy is the technical term for the removal or cutting out of hemorrhoids. The surgeon cuts around the outer part in an arc and detaches the enlarged hemorrhoid from the inner sphincter muscle. Careful dissection with a laser spares the muscle. A Z-shaped suture (ligature) interrupts the feeding blood vessels.
Usually the surgeon uses an electric scalpel for hemorrhoid surgery. For this procedure in our proctology practice we use the extraordinary precision of a laser with a wavelength of 980 nm(Intros Lina 30). This results in smoother incision edges, earlier wound healing and reduced pain and swelling.
A distinction is made between closed haemorrhoidectomy with suturing of the wound (operations according to Ferguson, Parks or Fansler-Arnold) and haemorrhoidectomy in which the wound remains open. After numerous studies convincingly show that suturing does not provide any benefits in terms of pain and healing time, we prefer not to do it. It is not uncommon for the sutures to tear out anyway in the delicate tissue of the anus. For this reason, we seal the wound edges with laser instead and thus avoid bleeding.
The laser haemorrhoidectomy is always worth considering in these cases if
- only single hemorrhoid nodes are present
- these cannot be pushed back into the anus or cannot be pushed back completely into the anus
- the accompanying skin growths (mariscae) are so disturbing that they should also be removed
- an accompanying anal fissure must be operated on