Haemorrhoidectomy
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Haemorrhoidectomy
A haemorrhoidectomy may be performed in a variety of different ways but the operation in all cases contains the same basic elements. The blood vessel channels within the anal cushions (haemorrhoid) are removed along with the supporting tissue (sub-mucosa) that surrounds them in addition to a variable amount of the mucosa that lines anal canal. The mucosal lining is left open, stitched closed or stapled depending upon the type of operation performed.
In the UK the most commonly performed operation is the Milligan-Morgan haemorrhoidectomy carried under general anaesthesia the mucosal defect overly the sphincter muscle is left open to heal. In this case haemorrhoid and external skin tags are removed.
Less commonly the Stapled Haemorrhoidopexy or PPH (Procedure for Prolapsing Haemorrhoids) is performed in which the haemorrhoid is removed and the lining closed using a line of staples but the external skin tag is usually left in place.