Hemorrhoids surgery: cost, duration and step by step

• Hemorrhoid surgery is the surgical removal of hemorrhoids and can be performed using various techniques.
• The minimally invasive technique for hemorrhoids reduces the risk of possible complications and is associated with a faster recovery.
• Techniques for haemorrhoid removal include the conventional technique, the laser technique and minimally invasive treatments such as THD.

Hemorrhoids removal is one of the most performed surgeries due to the continuous discomfort they provoke in the anal area, and the great relief that comes with its surgical solution.

This surgery is performed in patients who present a stage 3 or stage 4 of hemorrhoids, which are the most severe stages: haemorrhoidal veins come out through the anus and cannot spontaneously return to the inside.

Hemorrhoids in stage 3 and 4 cause discomfort and continuous pain

Normally, when the anal disease has advanced so far, neither pharmacological treatment nor changes in lifestyle habits are effective in improving the situation. In these cases, hemorrhoid surgery is the best option for a definitive solution to the anal situation.

However, minimally invasive surgery has arrived in the medical speciality of Proctology in order to treat hemorrhoids at a less advanced stage.

Stage 2 hemorrhoids protrude during defecation and reintroduce themselves.

Treatment of hemorrhoids with elastic bands and surgery with the THD method are the appropriate options to treat the disease when it is stage 2 and 3.

However, the decision to carry out one technique or another is made along with the specialist in General Surgery- The surgeon will study your particular case and diagnose which is the best option for your type of hemorrhoids, depending mostly on its stage.

The duration of Hemorrhoids surgery depends on many factors. As aforementioned, depending on the hemorrhoidal stage, one technique or another may be used to treat anal pathology.

Thus, hemorrhoid surgery will take longer or shorter, depending on the following factors:

• Stage of the hemorrhoids. The severity of the disease is a factor that directly influences the duration of the haemorrhoidectomy. In cases where the degree of hemorrhoids is 3 or 4, it will be necessary to perform conventional surgery.

Conventional haemorrhoidectomy takes between 1 and 2 hours.

• Surgical technique performed. Depending on the stage associated with the disease, one technique or another may be used. This will have a direct influence on the surgical time required.

Minimally invasive surgery for hemorrhoids takes 20-40 minutes.

Elastic band ligation of hemorrhoids and transanal haemorrhoidal dearterialisation (THD) are both quick and effective treatments.

• Surgeon skill. The experience of the specialist in General surgery in haemorrhoid surgery will be another determining factor in whether the operation lasts longer or shorter.

Although haemorrhoidectomy is a very common surgery for proctologists, it is true that the more times a surgeon has performed it, the less time it will take the next time than for another surgeon who has not practised as much.

Haemorrhoidectomy is surgery in which the hemorrhoids are removed. Depending on the technique used, the haemorrhoidal veins will be treated in one way or another, and the anaesthesia used will be general, local or spinal anaesthesia with sedation.

Open surgery for hemorrhoids is performed under general anaesthesia

The proctologist will proceed to remove the hemorrhoids as follows:

• Once the anaesthesia takes effect, the surgeon dilates the anal canal and extracts the haemorrhoidal veins from the inside using surgical forceps.
• In this way, he visualises the origin of the hemorrhoids and accesses the highest part to section the haemorrhoidal plexus and remove the problem.

Laser haemorrhoid surgery follows the same procedure as conventional haemorrhoid surgery, but the section is performed with a CO2 laser. In addition, the operation is performed under spinal anaesthesia and sedation.

CO2 laser haemorrhoidectomy reduces the risk of bleeding when cutting the hemorrhoids.

Minimally invasive surgery is the ideal option when the hemorrhoids are internal or have not reached a very high degree, which requires the conventional technique.

These are usually outpatient surgeries in which you will be able to leave the hospital once the treatment is completed.

Ligation of hemorrhoids with elastic bands consists of placing a band around the hemorrhoids to cut off the blood supply. In this way, the tissue will fall off spontaneously after a few days.

Transanal haemorrhoidal dearterialisation or THD haemorrhoid surgery involves returning the prolapsed mucosa to its original position.

Outpatient surgery does not require the patient to be admitted to hospital. If you agree with the specialist on performing Elastic bands technique, or THD method, you can leave the hospital on the same day as the surgical treatment is performed.

However, both conventional haemorrhoidectomy and laser surgery are sometimes techniques that require 1 day of hospitalisation and medical observation. Before leaving the hospital, the team of doctors and nurses will give you a series of instructions to help you recover.

2-3 days after the surgery day, you will be able to resume your daily routine.

However, the symptoms will disappear completely within 10-15 days after the surgery. When treatment for hemorrhoids is carried out with a minimally invasive technique, full recovery is almost immediate.

In any case, it is the doctor who will determine the medical discharge after the haemorrhoidectomy, regardless of the technique used.

Operarme offers you various techniques to carry out haemorrhoid surgery. The price of all of them includes the human and technological resources necessary to carry out the intervention and guarantee the success of the results.

• The price of the haemorrhoid surgery using the conventional technique is 2.190 €.
• The price of haemorrhoidectomy with CO2 laser is 3.190 €.
• The price for ligation of haemorrhoids with elastic bands is €1.890.
• The price of transanal haemorrhoidal dearterialisation or THD is €3.190.

The elements included in any of the above-mentioned haemorrhoid surgeries are:

• First surgical assessment consultation.
• Booking and use of the operating theatre.
• Complete pre-operative.
• Medical fees.
• Fees for the nursing team.
• Surgical material necessary for the surgery.
• Anaesthesia and booking of a recovery room.
• Post-operative visits until medical discharge.
• Management of the process and personalised attention.

In the case of open surgery and the laser technique, Operarme includes an insurance policy for medical complications, and also offers you a transfer service. As these surgeries may require hospitalisation, our company includes these two services so that you feel comfortable and safe at all times during the process.

In addition, Operarme offers you a free surgical assessment consultation with one of our General Surgery specialists. During the consultation, the proctologist will determine which technique is appropriate for your case, depending on the situation you present.

If you would like to know if our company has availability in your city for haemorrhoid surgery, call us on +34 91 141 33 56 or fill in the contact form. Our Patient service team will answer any questions you may have and, if you decide to have surgery with us, will manage all the necessary consultations and procedures.