Modified Closed Hemorrhoidectomy

Procedure: The hemorrhoid mass is dragged down and a pedicle stitch of absorbable suture is applied at the apex of the pile mass. The pile mass is excised in a cloverleaf fashion submucosally from external to internal pile preserving as much anoderm as possible. The suture applied to the pile mass is run continuously from mucosa till the anal skin without the underlying sphincter and also without any tension on the suture line. The excised hemorrhoid is sent for histopathology. The anal canal is packed which is removed on the next day or comes out when patient passes motion.