Often performed on internal hemorrhoids, a closed hemorrhoidectomy involves the surgical removal of hemorrhoidal bundles with a scalpel, scissors, laser, or similar instrument. The wound is then closed with absorbable sutures.
With an open hemorrhoidectomy, removal of the affected tissue is the same as what's done with a closed version of this procedure. The main difference is that the incision is left open. This may be done because it's difficult to close the wound or because there is high risk of post-surgery infection.
Sometimes referred to as Longo's procedure or a circular stapler hemorrhoidopexy, a stapled hemorrhoidectomy is an alternative to full removal surgery for internal hemorrhoids. During the procedure, a circular stapling device is used to trim the edges of the excess tissue. Doing so allows the hemorrhoid to return to a normal position. This surgical option also interrupts the hemorrhoid's blood supply.
Ultimately, the best hemorrhoid surgery in Orange County is any procedure that improves your quality of life. Following surgery, frequent sitz baths may minimize discomfort. You may also be advised to add more fiber to your diet, up your consumption of water, and make an effort to keep moving with regular exercise to prevent constipation. It can also be helpful if you don't fight the urge to go. For minor post-surgery flare-ups, over-the-counter medicated pads, ointments, and creams may provide relief.