Hemorrhoidectomy - Surgical Procedure Meant For Removing Hemorrhoids

Hemorrhoidectomy is a surgical procedure to treat internal hemorrhoids of third degree and fourth degree, when other approaches fail to cure them, in other words, the pain, itchiness, swelling and bleeding continues. In some cases hemorrhoidectomy is also recommended for external hemorrhoids, which have been unsuccessful to be treated with the correct method.

Hemorrhoidectomy is a fairly simple operation and can be carried out under local, spinal or general anesthesia. As per the patients' condition, the extent of the surgical procedure and the patients' preference, the surgeons will choose the correct type of anesthesia for the surgery. Local anesthesia is a numbing agent which is injected into the immediate part; spinal anesthesia will anesthetize the patient from the pelvis down and general anesthesia will render the patient into unconsciousness.

Normally tests are taken before the surgery is done, depending on the patients health condition these test may include an x-ray of the chest, urine and blood samples and even aspirin to thin the blood. Often the doctor will recommend that the patient avoids eating or drinking from the night before the operation to prevent the possibility of vomiting during or after the surgery is done.

The course of action for this surgery is a very simple one and while all the necessary planning have been made the operation will go on from one hour to one hour and a half. The patient is placed face down on the operation table with the buttocks slightly lifted and the legs placed in stirrups, this way the anus and rectum are exposed. Once the anesthesia has become effective the hemorrhoid will be held tightly to prevent it from bleeding and finally detached.

Once the surgery is performed the patient will be placed in recovery until the anesthesia wears off and the patient can urinate, this is to check that swelling in the tissues does not appear and cause the inability to urinate. If the patient has recovered, he or she can return home the same day, basically, as an outpatient. On rare situations, if there are any issues with the surgery, the patient will have to remain under observation.

Pain and bleeding after the surgery is to be expected and therefore the doctor is likely to suggest the patient with some medicine. It is also normal to bleed when moving bowels, especially directly after the surgery and it is at times recommended to take some numbing drugs before trying to move bowels. Using antibiotics after the operation will refrain any infections that might occur.

It is strongly suggested by doctors to take special care after surgery to prevent any unwanted pain and discomfort. Trying to soften stools by consuming a high fiber diet will ease strain when moving stools, taking stool softeners is also a great idea. Taking baths in warm water will relax muscles and ease pain as well.

Like with any type of surgery there can be risks and difficulties in both early and late stages. In early stages after the operation the problems can be constipation, hematoma (collection of blood in the surgical area) incontinence, infection and also bleeding. In later stages after surgery problems are rectal prolapse, a narrowing of the anal canal and the reappearance of hemorrhoids. If these symptoms occur, it is best to seek medical advice immediately.

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