This involves the time-tested technique of excision using sharp dissection. The wounds are closed with suture resulting in easily controlled postoperative pain and discharge. The results are well proven with low morbidity rates and excellent clinical outcomes.

The excision is performed typically with cautery or the newer energy devices. The wounds are left open to granulate primarily resulting in excellent wound healing outcomes. Results are similar to the above technique.

This is ideal for patients with multiquadrant or circumferential prolapsing haemorrhoids. Studies have shown lower postoperative pain scores. Postoperative down time is minimal with quicker resumption of normal activities.

This is a minimally invasive technique involving suture ligation of the pedicle of the symptomatic haemorrhoidal cushion. Most ideal for bleeding haemorrhoids, this technique is not recommended for significant prolapsing haemorrhoids.

This is a highly effective method of treating haemorrhoids in the office. It is best suited for 1st or 2nd degree haemorrhoids. Post-procedure discomfort is minimal with proven treatment efficacy. This procedure is associated with almost no down-time.