Closed Hemorrhoidectomy Picture

Closed Hemorrhoidectomy

Patients with large prolapsing hemorrhoids that have failed conservative therapy are best treated with removal of the hemorrhoids. Surgery usually requires a general anesthetic, but can be performed as an outpatient procedure.

Lateral Internal Sphincterotomy - anal fissure surgery for patients with chronic symptoms.

In this procedure, a small portion of the distal internal sphincter is divided in order to relieve chronic spasm. The procedure is very successful in curing a patient of chronic anal fissure. However, there are occasional changes in continence with this procedure so it is reserved only for patients who have failed conservative therapy.