Hemorrhoids, also called piles, are swollen veins in the anus and lower rectum and are amongst the most common anal disorders. They may be located inside the rectum (internal hemorrhoids), or they may develop under the skin around the anus (external hemorrhoids). Hemorrhoids are very common and nearly three out of four adults will have hemorrhoids from time to time. Sometimes they don’t cause symptoms but at other times they cause bleeding, itching, discomfort, prolapse, and occasionally minor anal leakage. Occasionally, a clot may form in a hemorrhoid (thrombosed hemorrhoid).
Surgery for haemorrhoids is indicated if other procedures haven’t been successful, the haemorrhoids are large or in case of bleeding or complicated hemorrhoids
Open hemorrhoidectomy surgical excision of the haemorrhoid. It is associated with significant postoperative pain and usually requires 2–4 weeks for recovery
Stapled hemorrhoidopexy is a surgical procedure that involves the removal of abnormally enlarged hemorrhoidal tissue, followed by the repositioning of the remaining hemorrhoidal tissue back to its normal anatomic position.