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Ancient Greeks, Romans, and Indians all described surgeries used to alleviate the pain and discomfort of enlarged hemorrhoids. These procedures improved greatly by the 13th century, and surgical treatments accelerated once again in the 19th century. Getting Rid of Hemorrhoids: Excisional Hemorrhoidectomy. During an excisional hemorrhoidectomy, the internal hemorrhoids and external hemorrhoids are cut out. The wounds left by the removal may be sutured (stitched) together (closed technique) or left open (open technique).