Abstract
Hemorrhoid ailment is one of the most common factor patients seek analysis by a colon and anal specialist. Most of piles can be managed nonoperatively with medical management or office-based procedures. In this paper surgical treatment methods, their indications and complications are reviewed. Conducted a detailed search among electronic databases: MEDLINE, EMBASE, and Google scholar, searching in literature for articles related to surgical options and indication of hemorrhoidectomy. Studies were included as publication up to 2018. The surgical alternatives for the therapy of hemorrhoids are lots of; and although the majority of surgical strategies are based upon the ligation and excision principles, more recent methods are made to lessen tissue breakdown with the goal of decreasing postoperative discomfort and bleeding. Indications for surgical hemorrhoidectomy include symptomatic hemorrhoids too comprehensive for nonoperative management, failure of medical therapy, and concomitant conditions, such as anal fissures or ulcers, that call for surgery. Standard hemorrhoidectomy, including open and shut methods, is accepted as the gold-standard for surgical treatment of hemorrhoids worldwide.