Hemorrhoidectomy: preparation and recovery


Hemorrhoidectomy: preparation and recovery
Hemorrhoids are an uncomfortable condition caused by swelling and inflammation of the veins in the region of the anus and rectum. When an enlarged vein is irritated, swells and hooves, a hemorrhoid is formed.

Hemorrhoidectomy: preparation and recovery
Hemorrhoidectomy: preparation and recovery

A hemorrhoidectomy is the surgical removal of hemorrhoid. It is the best and most effective method of treating hemorrhoids. The primary purpose of a hemorrhoidectomy is to relieve the symptoms associated with hemorrhoids that have not responded to more conservative treatments. Surgery is beneficial since it completely relieves the symptoms of hemorrhoids that could not be relieved by nonsurgical treatment or prolonged bleeding control that could lead to anemia.

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Preparation for the operation

Patients who are scheduled to receive intravenous sedative surgical hemorrhoidectomy should be administered before the procedure. Small volume saline enemas are also given to clean the area of the rectum and the lower part of the large intestine. This preparation provides the surgeon with a clean operative field. A few days before the surgery tests, a blood and urine test is performed. You should not eat or drink 12 hours before the procedure. It is proven that the operation can be hazardous for people who suffer from certain blood diseases or bleeding disorders, stomach and intestines cancer, inflammatory bowel diseases or women who are in the first trimester of pregnancy.

Details of the operation

The operation can be performed under local or general anesthesia. Local anesthesia causes loss of sensation in the area where the surgery will be completed, but the patient remains awake during the operation. General anesthesia causes the patient to lose knowledge during the operation.

During surgery, the patient is placed so that the anal-rectal area is fully exposed. Hemorrhoids are simply held, tie, and cut. Special care must be taken; There is a risk of damaging the muscles that control the opening of the anus. Hemorrhoidectomy has a high rate of success, and the good news is that most patients have an easy recovery without recurrence of hemorrhoids.

Post-operative care

During the first hour, patients should be on their backs to reduce the risk of an anesthesia-induced headache, which can be painful and prolonged. Hospitalization is minimized, and patients may be able to return home the same day, or you can upgrade from 1 to 2-day hospital. Pain medication is prescribed and should be taken as indicated. In general, complete restoration can last for six weeks up to 2 months.

Precautions to take

Hemorrhoidectomy preparation and recovery
Hemorrhoidectomy preparation and recovery

Each must do specific activities in the first three or four weeks after the surgery. Some of these activities are:

  • Avoid lifting heavy objects
  • Keep the incision clean and dry
  • Eat a high fiber diet
  • Drink lots of fluids
  • Take the fecal softener or laxative to prevent constipation.

Possible postoperative complications

Hemorrhoidectomy preparation and recovery
Hemorrhoidectomy preparation and recovery

Some of the most common potential complications after these operations are:

  • Infection.
  • Excessive bleeding.
  • Narrowing of the rectum.
  • Allergic reactions to anesthesia.
  • Anal fistula or fissure.
  • Constipation.
  • Excessive discharge of fluid into the rectum.
  • Fever.
  • Inability to urinate or defecate.
  • Severe pain, especially when you have a bowel movement.
  • Severe redness and swelling in the rectal area.

Should be suspected that you have developed some post-op complication if you experience pain, especially in the stool, excessive fluid drainage or pus, fever, severe redness and inflammation in the rectal area, inability to have a bowel movement or the inability to urinate.

Hemorrhoidectomy with laser

In the last two years, the laser’s operation is also used to treat hemorrhoids. During laser hemorrhoidectomy, use laser light to remove tissues that are sick or to treat bleeding vessels.

Benefits of laser surgery

  • These types of operations are called bloodless surgeries since laser procedures usually involve fewer bleeds than conventional surgery.
  • The risk of infection is also significantly reduced as the heat produced by the laser keeps the surgical area free of bacteria.
  • The incision is much smaller.
  • Laser procedures often take less time and cost less.

Disadvantages of laser surgery

The hospital must be equipped with oxygen, and other medications and equipment for cardiopulmonary resuscitation and doctors who perform laser procedures must be trained, licensed and insured. Emergency transportation to the hospital should be available as soon as laser surgery is presented in a non-hospital setting.

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Recovery after hemorrhoidectomy may take some time.

Hemorrhoids occur when the veins in the lower region of the rectum and anus to the swell.
The walls of the veins become enlarged and are diluted and irritate easily when passing stools. Surgery is performed to remove the lumps of inflammation is known as a hemorrhoidectomy.

Why is performing a hemorrhoidectomy?

A hemorrhoidectomy is performed to relieve the unwanted symptoms that accompany hemorrhoids, such as pain, bleeding, and anal bulging of hemorrhoids. Surgery is chosen especially after other treatments, which include diet changes and taking certain medications, do not provide a sufficient remedy.

Other reasons why a hemorrhoidectomy may be the only option of choice are:

  • Persistent feeling of heaviness, even after emptying the entrails.
  • Mucus discharge
  • Very large internal hemorrhoids.
  • Large external hemorrhoids that cause difficulties in cleaning the anal area.
  • Internal and external hemorrhoids, which are causing severe discomfort.


A hemorrhoidectomy is performed under general anesthesia, and therefore it is a painless procedure. Can be presented with a scalpel, a seared pencil (a power tool) or a laser. The incisions are given with the help of one of these instruments in the tissues surrounding the hemorrhoids. The swelling of the veins are attached to prevent bleeding, and the hemorrhoids are removed. The operated area can be sutured closed or left open and covered with medicated gauze.

Staple Hemorroidopexia

This involves removing and closing the hemorrhoidal tissue with the help of a circular stapling device. No incisions are made, and the hemorrhoids got up and stapled it up. This is a less painful procedure. However, it is more expensive, and the majority of patients need follow-up surgery.

Rubber strip ligation

In this procedure, the hemorrhoid base is bonded with a rubber soleplate. It helps cut off his blood supply and eventually causes contract hemorrhoids and die, and eventually fall.

Recovery after hemorrhoidectomy

Surgery is most often wholly cure hemorrhoids. However, keep your diet, and gut bowel habits play an important role in long-term recovery.

Surgical removal of hemorrhoids has a 95% recovery rate and no recurrence. However, rubber ligation involves a possibility of 30 to 50% recurrence within 5 to 10 years.

Pain is a common symptom that can persist for some time after surgery. This happens because of the thickening and relaxation of the anus. You will be given narcotics and painkillers to relieve the pain. On the other hand, softening of stool should be taken to avoid stool formation, very hard, so the need to force during bowel movement is prevented. Soaking in hot water can also provide some comfort for post-surgical pain.

The resumption of a hemorrhoidectomy is given mostly without complications, with a high percentage of successful cases, and no recurrence hemorrhoidal. Experienced surgeons have reported a probability of less than 5% post-surgery complication. A full recovery is usually expected within two weeks after the patient can resume daily activities, take obvious precautions.

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Risks and Complications

Hemorrhoidectomy preparation and recovery
Hemorrhoidectomy preparation and recovery

A hemorrhoidectomy may include the following risks and complications:

  • Hematoma (blood collection in the operated area)
  • Fecal incontinence
  • infections
  • A faecal
  • Stenosis of the (narrowing of the anal canal)
  • Rectal Prolapse (the rectal mucosa is outside the opening of the anus)
  • Return

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