For most cases of hemorrhoids, nonsurgical approaches to treatment are used because they’re painless and are also more practical than surgical approaches. These treatments can include approaches like changing diet to include more fiber, administering topical medications, or soaking the hemorrhoids in warm water. However, certain cases require surgical procedures so that long-term relief is attained. Many of these techniques used in operations are also used to address prolapse in hemorrhoids.

Most popular of the hemorrhoidal techniques remains the Milligan Morgan technique. Originally introduced by Drs. Milligan and Morgan in 1937 in the United Kingdom, the surgery excess is the three main vessels and leaves three pear shaped cuts open in the skin and mucosal bridges. This avoids stenosis, and it is still the gold standard by which surgical hemorrhoidectomy techniques are measured.

A modification of the Milligan-Morgan technique was also developed during in 1952 by Dr. Ferguson of the United States. The Ferguson Technique entirely or partially closes the three incisions with absorbable suture. Using a retractor, the hemorrhoidal tissue is exposed and consequently removed surgically. The left tissue is then either sutured or sealed. The Ferguson technique, however, brings no advantage to wound healing since there is a high rate of suture breaking during defecation.

The stapled hemorrhoidopexy is among the most used procedures for prolapsed hemorrhoids, the circumferential mucosectomy, and stapled hemorrhoidectomy. With this technique, a band of anal membrane is cut by utilizing a device that puts the tissue back to its original position. This device, the circular anal dilator, is then used to reduce the anal skin’s prolapse and that of the anal mucous membrane. After that, the prolapsed mucous membrane jobs into the dilator’s lumen.

Via the dilator, an instrument is then inserted. The anoscope will then press back the prolapse against the rectal wall in a certain degree of circumference, as the mucous membrane that juts through the anoscope window could be contained in a suture. The head of a Hemorrhoidal Circular Stapler, opened to its maximum position, is introduced and placed near the purse-string, which is afterwards tied with a closing knot externally.

The stapling device’s casing is then placed into the anal canal, the mucous membrane that was prolapsed is drawn into the circular stapling device’s casing, and it’s tightened and then stapled.

A double staggered row of titanium staples is released through the tissue as the staple is fired. Subsequently, the excess tissue is excised and a circumferential column of mucosa is detached from the upper anal canal. Lastly, an anoscope is utilized to inspect for bleeding.

One of the newest treatments to be used for hemorrhoidal surgery is the laser. With a laser, the hemorrhoid is simply and precisely vaporized or excised. Usually, this treatment does not require the patient to be hospitalized, and the surgery itself heals faster and is less uncomfortable. With a laser, invisible light seals off tiny blood vessels and nerves as it “cuts” he excess tissue away. Once the superficial nerve endings have been sealed, postoperative discomfort is at a minimum.