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Hemorrhoidectomy

Overview

Hemorrhoidectomy is a surgical procedure performed to remove hemorrhoids—swollen and inflamed veins in the rectum and anus. Hemorrhoids can be internal or external, and when conservative treatments fail or the condition is severe, a hemorrhoidectomy may be recommended.

Specialty

  • Colorectal Surgery: Hemorrhoidectomy is typically performed by colorectal surgeons who specialize in diseases of the colon, rectum, and anus.
  • Gastroenterology: Consultation may also involve gastroenterologists for preoperative evaluation and postoperative management.
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P. N. Sinha
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How is Hemorrhoidectomy done?

Medical Evaluation:
  • Consultation with a healthcare provider to evaluate symptoms and discuss medical history.
  • Physical examination and possibly diagnostic tests, such as a sigmoidoscopy.
Preoperative Instructions:
  • Follow a special diet, usually low in fiber, leading up to the procedure.
  • Possible bowel prep, which may include laxatives or enemas to clear the intestines.
Medication Management:
  • Inform the surgeon about all medications and supplements taken.
  • Avoid blood thinners and anti-inflammatory medications before surgery as advised by the surgeon.
Fasting:
  • Patients may be instructed to fast for a certain period before the procedure, typically 6-8 hours.

Anesthesia:
  • Hemorrhoidectomy is usually performed under general anesthesia or spinal anesthesia.
Surgical Techniques:
  • Traditional Hemorrhoidectomy:The surgeon removes the hemorrhoids using scalpels or scissors. This method can be performed with or without the use of cauterization to control bleeding.
  • Stapled Hemorrhoidopexy: This technique uses a stapling device to remove the hemorrhoidal tissue and reposition it, reducing blood flow to the hemorrhoids.
Duration:
  • The procedure typically lasts 30-60 minutes.
Recovery:
  • After surgery, patients may be monitored for a few hours before being discharged, often the same day.

Common Complications:
  • Pain and discomfort at the surgical site.
  • Bleeding, both during and after the procedure.
  • Infection at the surgical site.
Rare Complications:
  • Difficulty urinating.
  • Anal stenosis (narrowing of the anal canal).
  • Fistula formation (abnormal connection between the rectum and skin).
What are the Benefits of Hemorrhoidectomy ?
  • Symptom Relief:: Significant reduction in pain, bleeding, and discomfort associated with hemorrhoids.
  • Long-Term Solution: Provides a permanent solution for severe hemorrhoids that do not respond to non-surgical treatments.
  • Improved Quality of Life: Many patients report significant improvement in their overall well-being and comfort post-surgery.

Infrastructure Facilities Required for Hemorrhoidectomy

    Surgical Center Requirements:

  • Operating room equipped with necessary surgical instruments and anesthesia machines.
  • Post-anesthesia care unit (PACU) for monitoring patients after surgery.
  • Facilities for infection control, sterile equipment, and emergency care.

    • Healthcare Team:

  • A team consisting of a surgeon, anesthesiologist, nurses, and possibly a nutritionist for postoperative dietary guidance.

FAQs

Pain levels vary by individual, but post-operative discomfort is common. Pain management strategies will be provided.

Most patients can return to light activities within a week, but full recovery can take several weeks.

Yes, options include dietary changes, topical treatments, and minimally invasive procedures like rubber band ligation or sclerotherapy.

Expect some pain and possible bleeding. Following a high-fiber diet and staying hydrated is crucial for a smooth recovery.

Yes, follow-up appointments are important to monitor healing and manage any complications.

While surgery can be very effective, it is possible for hemorrhoids to recur, especially if lifestyle factors remain unchanged.

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Website Design and Development by Sterco Digitex

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