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A hemorrhoidectomy may be used if a patient’s external hemorrhoids clot repeatedly, the rubber banding procedure is unsuccessful, a protruding hemorrhoid is not responding to treatment, or ongoing bleeding occurs.
During this procedure, the bleeding tissue is surgically removed with a radio frequency device under local anesthesia. Both ends of the hemorrhoid must be tied to prevent bleeding while the hemorrhoid is being removed. After excision is completed, the incision site is sewn or cauterized shut. Medicated gauze is then placed over the remaining wound.
Healing time is generally four to six weeks. During this time, patients must increase fiber intake, drink plenty of fluids, and take stool softeners to ease bowel movements. Some bleeding may occur, so do not be alarmed if you see blood in your stool.