The wound is then sutured and gauze and antibiotic ointment are applied. Conventional surgical hemorrhoidectomy: This procedure involves clamping, tying off and then cutting the hemorrhoidal tissue away.However, if surgical treatment is needed, several types of hemorrhoidectomies are available and most can be performed on an outpatient basis. If a patient has symptomatic hemorrhoids, a less invasive treatment, such as rubber band ligation, can be just as effective without the pain and recovery time. Typically, a hemorrhoidectomy is only needed for the most severe cases. Home / Compare Treatment Options / Hemorrhoidectomy Hemorrhoidectomy: Surgical Hemorrhoid Removal