Open Hemorrhoidectomy

This procedure is often used for mixed hemorrhoids. A common approach involves exposing the lesion through the anus under anesthesia, with options for open or closed suture. Typically, the hemorrhoidal tissue is separated sequentially, with external dissection and internal ligation, ligating the blood supply to the hemorrhoids, preserving an appropriate skin bridge, and performing hemostasis and shaping; gauze packing is placed if necessary. Postoperative monitoring includes bleeding, pain, urination, and bowel movements, with the goal of reducing bleeding and prolapse and restoring function. The above is general health information and not medical advice; specific details depend on specialist assessment and hospital protocols.