Anorectal Care

Hemorrhoidectomy

 

What are hemorrhoids?
Everyone has blood-filled sacs with veins complexes that cushion the anal canal. Chronic trauma and straining during bowel movements can damage the internal tissue support of these sacs, causing them to swell and further fill with blood. When the sacs get bigger and protrude from the anal canal, they become hemorrhoids. Internal hemorrhoids form inside the anal canal, whereas external hemorrhoids form outside the anal canal or on the external skin.

What is a hemorrhoidectomy?
Hemorrhoidectomies may be used when external hemorrhoids clot repeatedly, the rubber banding procedure is not successful, a protruding hemorrhoid is not responding to treatment, or ongoing bleeding occurs.

During this procedure, the bleeding tissue is surgically removed with a radiofrequency device under local anesthesia. Both ends of the hemorrhoid must be tied to prevent bleeding while the hemorrhoid is removed.

After the hemorrhoid is removed, the incision is sewn or cauterized shut. Medicated gauze is then placed over the remaining wound.

Healing time is generally two to three weeks. During this time, you must increase fiber intake, drink plenty of fluids and take stool softeners to keep your stool soft. Some bleeding may occur, so blood in the stool is normal.

Can the procedure be done in the doctor’s office?
Yes, most hemorrhoidectomies can be performed in the comfort of the office under local anesthesia.  We perform less invasive surgeries using a radio frequency machine.

How long is the procedure?
About 20 minutes.

Does it hurt?
Pain is typically experienced, and patients should alternate warm sitz baths with ice packs to reduce discomfort. Antibiotics may be prescribed as a precautionary measure against infection.

The worst side effect is usually pain and some difficulty with urination. Rarely does the anal passage narrow after a hemorrhoidectomy, making it more difficult to pass stool. Bleeding can also occur from the incision site. If any of these effects occur, Locations your doctor.

How should I prepare for the procedure?
You will be given the pre-op bowel prep instructions.

Will hemorrhoids come back?

Recurring hemorrhoids in different locations may occur, although rarely. If this happens, infra-red coagulation, rubber band ligation or repeat hemorrhoidectomy in the next few years may be necessary. Also, a sensible diet, moderate exercise, and proper bowel habits are helpful.