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Hemorrhoids Surgical Treatment – All You Should Know!


About Hemarrhoids

Haemorrhoids are a typical human ailment that has been there since the beginning of time. The surgical care of this problem has progressed dramatically in recent years, from difficult ligation and excision procedures to simpler approaches that allow the patient to return to regular life in a short time. The post-operative difficulties of previous procedures are being addressed in newer techniques. 

Haemorrhoids can now be treated surgically in a variety of ways. The conclusion is that, even though today’s surgical alternatives for haemorrhoids management are numerous, the majority of Singapore haemorrhoids surgeon still use the ligature and excision procedure, with newer versions resulting in less post-operative pain and bleeding.

Haemorrhoids, Hemorrhoidectomy, And Surgical Procedures

Haemorrhoids are a prevalent medical problem. By the age of 50, around half of the population has haemorrhoids. 

Haemorrhoids can strike at any age, and both men and women are affected. Although the exact occurrence in developing countries is unknown, the condition is becoming more common, maybe as a result of a more westernised lifestyle. The first documented cure for haemorrhoids can be found on an Egyptian papyrus dating around 1700 BC: “… Smear a strip of fine linen there-with and tuck it into the anus, which he will heal quickly. 

History of Hemorrhoids

Celsus (25 bc – 14 AD 14), a Roman physician, documented the ligation and excision operations, as well as possible consequences. Galen (ad 13I – 201) also advocated for removing the arteries’ connections to veins to relieve pain and prevent the spread of gangrene.

The Indian Susruta Samhita, a fourth- or fifth-century Sanskrit text, provided treatment processes similar to those described in the Hippocratic treatise, but with advances in surgical operations and a focus on wound cleaning.

Go to ETIOLOGY to learn more.

Haemorrhoids are cushion sinusoids that aid in the complete closure of the anal canal during rest as part of the continence mechanism.

[4] The primary cushions are located in the anal canal’s left lateral, right anterior, and right postero-lateral sections. There may be more cushions. Bleeding and thrombosis of the pre-sinusoidal arterioles are possible side effects of prolapse.


External or internal haemorrhoids are both possible [Figure 1]. Skin covers the external variety below the dentate line, whereas the internal variety is closer to the dentate line. Interoexternal haemorrhoids are a combination of the two types. Internal haemorrhoids are further divided into the grades below:

Treatment and Surgery for Colorectal / Colon Cancer in Singapore

Colon cancer is a type of cancer that develops in the intestines. Rectal Cancer, on the other hand, develops in the rectum. Both of these malignancies are referred to as colorectal cancer. The ascending colon, transverse colon, descending colon, and sigmoid colon make up the colon, often known as the large intestine. Colon cancer is any cancer that develops in these locations.

Colon cancer is diagnosed in a variety of ways.

A colonoscopy lives the numerous standard method to analyse colon cancer.One set of individuals will have a colonoscopy because they have worrisome symptoms, whereas the other group will have a screening colonoscopy since they have no symptoms. A colonoscopy will allow the malignant development in the colon to be detected. Biopsies can also be taken to provide a clear diagnosis.

The identification of colonic growth is an unintended result of a scan undertaken for another purpose in a small percentage of people. A colonoscopy will be recommended to the patient to confirm the diagnosis.

What is the procedure for treating colon cancer?

Colon cancer treatment Singapore consists of two parts: surgery and chemotherapy and/or radiotherapy.

For all colon cancers that have not spread, surgery is the primary line of treatment. This indicates that the cancer is still localised within the colon and its surrounding lymph nodes.

Colon cancer surgery is removing the malignant colon segment and then connecting the two ends of the colon (anastomosis). As a result, the tumour is eliminated while the patient can pass the motion (urinate) normally.

Colon resection with anastomosis is a procedure that involves the removal of the colon and the creation of ananas

Colon surgery can be done through a keyhole (laparoscopic) or open incision. In today’s world, keyhole surgery is the first procedure that a patient is offered. Patients with special circumstances, such as previous abdominal open surgery, a large and advanced colon tumour, 

Chemotherapy following colon surgery isn’t always necessary. Chemotherapy is decided based on the features of cancer, which can only be determined after a microscope examination (histology testing). Chemotherapy is advised for colon cancers that have progressed to lymph nodes (node-positive disease), large and locally advanced cancers (T4 tumours), and cancers that have migrated to distant organs such as the liver and lung.

Colorectal Cancer of the Colon and Rectum

Alpine Surgical Practice is dedicated to providing patients with safe and effective surgery for all colorectal disorders. Click here to schedule a consultation with us for Colon Cancer treatment in Singapore. 

Sanket Goyal
the authorSanket Goyal