Why surgery is not recommended for hemorrhoids

Hemorrhoids that are not recommended by clinicians for surgical treatment are generally those that are not indicated for surgery, and surgical treatment of hemorrhoids is usually limited to patients who have failed non-surgical treatment or are not candidates for non-surgical treatment. The clinical treatment of hemorrhoids is based on the principle that patients with asymptomatic hemorrhoids do not need to be treated, and those with symptoms are treated with a focus on reducing or eliminating symptoms rather than curing them. In addition, hemorrhoids are usually triggered by poor bowel habits and diet, and if surgery is performed but bowel and diet habits are not adjusted, hemorrhoids may recur, so non-surgical treatment of hemorrhoids is the mainstay. For patients with asymptomatic or early stage hemorrhoids, clinicians generally recommend that you can change your daily diet and eat more high fiber foods such as celery, green vegetables, sweet potatoes, grapefruit, etc. You can also develop good bowel habits to prevent constipation or diarrhea, and you can also improve local blood circulation through hot water sitz baths, which in turn improves symptoms. Thrombosed external hemorrhoids can be treated with local topical pain relieving ointment to relieve symptoms. For the initial stage of embedded hemorrhoids, the prolapsed hemorrhoids can be returned to the anus by hand. There are many clinical non-surgical treatments for different types and degrees of hemorrhoids, and injection therapy and collar ligation are effective for most hemorrhoids, so surgery is usually not necessary. However, if the hemorrhoids are more severe or if conservative treatment is not effective, surgical treatment is required, commonly known as simple hemorrhoidectomy, suprahemorrhoidal circumferential hemorrhoidectomy, and thrombosed external hemorrhoid debridement.