Several: For 2nd and 3rd degree, rubber banding for internals is an option in select patients. For3rd and 4th degree internals, standard hemorrhoidectomy is in my opinion the best. There are some newer techniques such as stapling, laser, and u/s venous ligation, but the gold standard done in the right patients is the standard surgical hemorrhoidectomy using a scalpel in my opinion.
Answered 10/3/2016
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Many choices: If lesser degree, then can be treated with infra-red or banding in the office; for more complex ones there is traditional excisional surgery with some variations and then there pph using stapling device and thd which uses ultrasound and suturing.
Answered 10/4/2016
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