Hemorrhoidectomies may be used when external hemorrhoids clot repeatedly, the rubber banding procedure is not successful, a protruding hemorrhoid is not responding to treatment, or ongoing bleeding occurs.
During this procedure, the bleeding tissue is surgically removed with a radiofrequency device under local anesthesia. Both ends of the hemorrhoid must be tied to prevent bleeding while the hemorrhoid is removed.
After the hemorrhoid is removed, the incision is sewn or cauterized shut. Medicated gauze is then placed over the remaining wound.
Healing time is generally two to four weeks. During this time, you must increase fiber intake, drink plenty of fluids and take stool softeners to keep your stool soft. Some bleeding may occur, so blood in the stool is normal.