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Hemorrhoidectomy is the procedure used to remove hemorrhoid. Hemorrhoids, sometimes referred to as piles, are enlarged veins in the lower rectum and anus. The hemorrhoids may induce severe pain, bleeding, and irritation.  

Most symptoms of hemorrhoids can be controlled conservatively. However, when all other therapeutic alternatives have failed, hemorrhoidectomy may be recommended. The most effective way to treat hemorrhoids that are causing terrible discomfort is through surgery.  

Ideal Candidate for a Hemorrhoidectomy 

Hemorrhoidectomy is not usually necessary for those who have hemorrhoids. The doctor might probably initially suggest other, nonsurgical treatments as a result. 

Hemorrhoids could be surgically removed if: 

  • The hemorrhoids are really painful and acute 
  • If you suffer from both internal and external hemorrhoids 
  • A clot has caused the swelling of external hemorrhoids 
  • If less drastic methods have failed 

The Procedure 

The procedure for hemorrhoids is performed in a hospital setting under either general anesthesia or local anesthesia combined with sedation to help you sleep through it. Although it’s typically an outpatient surgery, in some instances it can necessitate an overnight hospitalization. The treatment is carried out by a general surgeon.  

The surgeon uses a knife or surgical scissors to remove the hemorrhoid tissue, and then uses dissolvable stitches to seal the wound. This procedure is known as a closed hemorrhoidectomy 

During an open hemorrhoidectomy, the cut may not always be stitched. For instance, when there is a severe risk of infection, and the surface is particularly big. 

When a stapled hemorrhoidopexy procedure is recommended, staples are used by the surgeon to stop blood flow, trim extra tissue, and raise hemorrhoids into a more advantageous position.  

After surgery, the patient remains in the recovery area until the vital signs are stable, he/she is breathing normally, and is fully awake. 

Potential Risks of Hemorrhoidectomy 

During a hemorrhoidectomy procedure, just like any other procedure, there are possible complications that can occur, although rare. These include: 

  • Narrowing of the anal canal 
  • Inability to urinate 
  • Constipation 
  • A stuck, solid stool in the anal canal 
  • Minimal amounts of stool dripping 

Recovery After Hemorrhoidectomy 

Following the surgery, the hemorrhoids naturally dry out and disappear. It may take one to two weeks for this to occur. Before you are allowed to go home, you should be able to urinate. A typical and extremely fatal consequence of a hemorrhoidectomy is urinary incontinence (retention).  

For a few days post surgery, you may experience some discomfort including abdominal pain, constipation, and swelling. You can aid your recovery after surgery by doing the following: 

  • Avoiding prolonged hours of resting 
  • Drinking a lot of water 
  • Consuming food high in fiber 
  • Not straining too hard when having a bowel movement 
  • Avoiding repeated, intensive lifting 
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