Hemorrhoid Surgery (Hemorrhoidectomy)

Do you have Hemorrhoids and are contemplating or have had a Hemorrhoidectomy? If you are thinking of surgery, or want to ask questions on anything to do with Hemorrhoids, or want to share with others who have been through this, this is the place!

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Hemorrhoid Surgery (Hemorrhoidectomy)

Postby Savaici » 22 Sep 2013, 19:28


"What is a hemorrhoidectomy?

A hemorrhoidectomy is the removal of hemorrhoidal tissue. Hemorrhoidal tissues contain blood vessels that act as cushions by swelling slightly to protect the anal canal during bowel movements. Anal pressure can cause these tissues to stay swollen. Straining during bowel movements and pregnancy commonly cause too much pressure in the anal canal. Symptoms of hemorrhoids include rectal pain and bleeding.



Types of hemorrhoidectomy

The types of hemorrhoidectomy procedures include:


Other procedures that may be performed


Why is a hemorrhoidectomy performed?


Your doctor may recommend a hemorrhoidectomy under the following conditions:

You have additional anorectal conditions that require surgery.
You have combined internal and external hemorrhoids.
You have significant amounts of bleeding from your hemorrohoids.
You have a strangulated internal hemorrhoid. This occurs when the anal sphincter traps the hemorrhoid and cuts off blood supply to the tissue.You have a hemorrhoid with blood clots (thrombosed external hemorrhoid) that recur after less invasive procedures.

Who performs a hemorrhoidectomy?

The following specialists can perform a hemorrhoidectomy:
General surgeons specialize in the surgical treatment of a variety of diseases, disorders and conditions. Colon and rectal surgeons are general surgeons with extra training in the surgical treatment of intestinal and rectal conditions. Proctologists specialize in diseases of the anus, rectum and colon using medical and surgical techniques.

How is a hemorrhoidectomy performed


Types of anesthesia that may be used


What to expect the day of your hemorrhoidectomy

The day of your surgery, you can generally expect to: Talk with a preoperative nurse. The nurse will perform an exam and ensure that all needed tests are in order. The nurse can also answer questions and will make sure you understand and sign the surgical consent form. Remove all clothing and jewelry and dress in a hospital gown. It is a good idea to leave all jewelry and valuables at home or with a family member. Your care team will give you blankets for modesty and warmth. Talk with the anesthesiologist or nurse anesthetist about your medical history and the type of anesthesia you will have. A surgical team member will start an IV. The anesthesiologist or nurse anesthetist will start your anesthesia. A tube will be placed in your windpipe to protect and control breathing during general anesthesia. You will not feel or remember this or the surgery as they happen. The surgical team will monitor your vital signs and other critical body functions. This occurs throughout the procedure and your recovery until you are alert, breathing effectively, and your vital signs are stable.

What are the risks and potential complications of a hemorrhoidectomy?


General risks of surgery

The general risks of surgery include: Anesthesia reaction, such as an allergic reaction and problems with breathing. Bleeding, which can lead to shock. Blood clot, in particular a deep vein thrombosis that develops in the leg or pelvis. A blood clot can travel to your lungs, heart or brain and cause a pulmonary embolism, heart attack, or stroke.Infection and septicemia, which is the spread of a local infection to the blood.

Potential complications of hemorrhoidectomy

Complications of hemorrhoidectomy include:
*Anal stricture (narrowing of the anal canal). *Difficulty urinating or urinary retention. *Fecal impaction (hard stool that is trapped in the anal canal) *Fecal incontinence (leaking a small amount of stool) *Pain with bowel movements. *Recurrence of hemorrhoids

Reducing your risk of complications

You can reduce the risk of certain complications by following your treatment plan and: * Avoiding straining during bowel movements. This may require a stool softener, increasing the fiber in your diet, and drinking eight to 10 glasses of water a day. *Ensuring that all members of you care team are aware of any allergies. *Following activity, dietary and lifestyle restrictions and recommendations. This includes avoiding heavy lifting and strenuous activity as recommended by your doctor. *Informing your doctor or radiologist if you are nursing or if there is any possibility of pregnancy. *Notifying your doctor right away of any concerns, such as bleeding, fever, increase in pain, or wound redness, swelling or drainage. *Taking your medications exactly as directed. *Telling all members of your care team if you have any allergies,
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Re: Hemorrhoid Surgery (Hemorrhoidectomy)

Postby pinpin » 23 Sep 2013, 07:03

How do I prepare for a hemorrhoidectomy?

You are an important member of your own healthcare team. The steps you take before surgery can improve your comfort and outcome.You can prepare for a hemorrhoidectomy by:

Not eating or drinking before surgery as directed. Your surgery may be cancelled if you eat or drink too close to the start of surgery because you can choke on stomach contents during anesthesia.Stopping smoking as soon as possible. Even quitting for just a few days can be beneficial and help the healing process.

Questions to ask your doctor


It is also a good idea to bring a list of questions to your appointments. Questions can include: Why do I need a hemorrhoidectomy? Are there any other options for treating my condition? What type of hemorrhoidectomy procedure will I need? How long will the surgery take? When can I go home? What restrictions will I have after the surgery? When can I return to work and other activities? What assistance will I need at home? How should I take my medications? How will you treat my pain? When should I follow up with you? How should I contact you? Ask for numbers to call during and after regular hours.What can I expect after a hemorrhoidectomy? Knowing what to expect can help make your road to recovery after a hemorrhoidectomy as smooth as possible.

How long will it take to recover?




Will I feel pain?


When should I call my doctor?

Inability to urinate or have a bowel movementLeg pain, redness or swelling, especially in the calf, which may indicate a blood clot
Pain that is not controlled by your pain medication.
Unexpected drainage or pus coming out of your rectum

How might a hemorrhoidectomy affect my everyday life?

Drinking plenty of water. Eating a high-fiber diet. Getting regular exercise and physical activity. Maintaining a healthy weight. Going when you feel the urge to have a bowel movement. Taking a fiber supplement as directed by your healthcare provider.
07.02.2013 - got open hemorrhoidectomy, leaded to slow healing wound. Link to story
11.12.2013 - LIS surgery
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Re: Hemorrhoid Surgery (Hemorrhoidectomy)

Postby BVTL-73 » 11 Feb 2020, 09:30

Should I go to the emergency room if I have no insurance
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