✦ HAEMORRHOIDS · CONVENTIONAL SURGERY

Conventional Hemorrhoidectomy

Q: Is haemorrhoidectomy very painful?

More painful than MIPH or laser, but modern pain management, local nerve blocks, regular oral analgesia, and sitz baths make recovery very manageable.

Q: What is the recurrence rate after haemorrhoidectomy?

Conventional haemorrhoidectomy has the lowest recurrence rate of all haemorrhoid treatments — less than 5% at 5 years.

Q: Can I sit comfortably after haemorrhoidectomy?

Most patients are mobile and sitting comfortably within 24–48 hours. A soft cushion and regular sitz baths significantly improve comfort.

Surgical excision of Grade IV haemorrhoids — the most definitive and lowest recurrence haemorrhoid treatment.

45–60 Min TREATMENT DURATION

1–2 Days CARE SETTING

Open APPROACH

2–3 Weeks RECOVERY TIMELINE

What is Conventional Hemorrhoidectomy?

Conventional haemorrhoidectomy is the surgical excision of haemorrhoidal tissue under anaesthesia, the most definitive treatment for Grade IV haemorrhoids, large thrombosed haemorrhoids, or haemorrhoids recurrent after minimally invasive procedures. Dr. Tagore Mohan Grandhi performs Milligan-Morgan or Ferguson haemorrhoidectomy. Modern pain management including nerve blocks, regular oral analgesia, and sitz baths makes the recovery period manageable for most patients.

Suitable for patients with Grade IV haemorrhoids, large thrombosed haemorrhoids, or haemorrhoids that have recurred after minimally invasive procedures.

How the Procedure Works

Anaesthesia

General or spinal anaesthesia. Local anaesthetic with adrenaline injected at each haemorrhoidal site to reduce post-operative pain.

Haemorrhoid Identification

Three primary haemorrhoidal complexes identified. Mucosal skin bridges preserved between complexes to prevent anal stenosis.

Excision

Each haemorrhoid pedicle transfixed, ligated, and excised. Milligan-Morgan — wound left open. Ferguson — wound closed with absorbable sutures.

Haemostasis

Each wound inspected for haemostasis before proceeding to next complex.

Recovery

1–2 day admission. Regular analgesia, sitz baths twice daily, high-fibre diet. Review at 6 weeks.

Outcomes

45–60 MinTREATMENT DURATION

1–2 DaysCARE SETTING

OpenAPPROACH

2–3 WeeksRECOVERY TIMELINE

Who Needs This Treatment?

→Gold standard for Grade IV haemorrhoids — lowest recurrence rate
→All three primary haemorrhoidal complexes treated in one procedure
→Definitive, most comprehensive long-term haemorrhoid treatment available
→Histopathology of excised tissue excludes rare anorectal pathology

Conventional haemorrhoidectomy remains the gold standard for Grade IV haemorrhoids. With modern pain management, most patients are surprised by how manageable the recovery is — and the long-term results are definitive.

— Dr. Tagore Mohan Grandhi, Senior Consultant Gastrointestinal Surgeon, Lux Hospitals, Hyderabad

Common Questions

Frequently Asked Questions

Is haemorrhoidectomy very painful?+

What is the recurrence rate after haemorrhoidectomy?+

Can I sit comfortably after haemorrhoidectomy?+

Not sure which treatment is right for you?

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