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hemorrhoidectomy is a surgery performed to remove hemorrhoids and your doctor May recommend it if your hemorrhoids do not respond to a more conservative treatment hemorrhoids also known as piles are swollen veins that appear on the surface of the rectum or canal a swollen vein near the entrance of the Canal is called the external hemorrhoid while a swollen vein inside the rectum is called an internal hemorrhoid internal hemorrhoids are classified ing to their level of development first degree internal hemorrhoids are those that always remain inside the rectum second-degree internal hemorrhoids expand outside the rectum during defecation and then automatically return inside the rectum third degree internal hemorrhoids extend outside the rectum during bowel movements and then must be pushed back into the rectum degree internal hemorrhoids always remain outside the rectum and cannot be pushed in some of the causes of this condition are constant constipation chronic diarrhea lifting excess