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Surgical Treatment of Acute Hemorrhoids at the Helyos Surgery and Rehabilitation Center

Acute hemorrhoids are often accompanied by thrombosis of the nodes, severe pain, inflammation, and bleeding. If conservative treatment is ineffective or the patient’s condition worsens, surgical intervention may be necessary. At the Helyos Surgery and Rehabilitation Center, we use modern and effective surgical methods that allow for quick problem resolution and a comfortable recovery.

Conservative Treatment (at Early Stages):

Prescription of venotonics to strengthen the vascular walls
Use of anti-inflammatory and analgesic ointments and suppositories
Sitz baths with antiseptic solutions
Dietary adjustments to normalize bowel movements
Physiotherapy methods to reduce swelling and inflammation

Main Surgical Methods for Treating Acute Hemorrhoids

1. Thrombectomy of a Hemorrhoidal Node

Indications: Thrombosis of an external hemorrhoid, severe pain, swelling.

Procedure:

Under local anesthesia, the surgeon makes a small incision in the thrombosed node.
The thrombus is removed, providing immediate pain relief and reduced swelling.
The wound heals quickly with rare recurrences.

Advantages: Immediate pain relief, minimally invasive, short recovery period.

2. Laser Vaporization of Hemorrhoidal Nodes

Indications: Thrombosis, advanced hemorrhoid stages, frequent relapses.

Procedure:

Targeted laser vaporization is performed under local anesthesia.
Blood vessels are coagulated to prevent bleeding.
Remaining tissues heal naturally.

Advantages: Painless, fast recovery, low risk of complications.

3. Ligation of Hemorrhoidal Nodes with Latex Rings

Indications: Internal hemorrhoids, stages 2–3.

Procedure:

A special device places a latex ring around the hemorrhoidal node, cutting off blood supply.
In 7–10 days, the node dies and is expelled naturally.

Advantages: No incisions, quick procedure, minimal risk of complications.

4. Hemorrhoidectomy (Radical Removal of Hemorrhoidal Nodes)

Indications: Large external or internal nodes, severe stage 3–4 hemorrhoids, complications (bleeding, thrombosis, necrosis).

Procedure:

Surgical removal of hemorrhoids using stitches or coagulation.
Either the classical Milligan-Morgan method or the more modern Ferguson technique may be used.

Advantages: Complete problem resolution, low recurrence risk.

Disadvantages: Longer recovery time, possible postoperative pain.

5. Longo Procedure (Stapled Hemorrhoidopexy)

Indications: Internal hemorrhoids, stages 3–4.

Procedure:

A special surgical stapler removes a portion of the rectal mucosa and pulls the hemorrhoidal nodes upward, cutting off their blood supply.
The operation lasts about 15–20 minutes.

Advantages: Minimal pain, fast recovery, preservation of rectal anatomy.