Hemorrhoidectomy - Surgical Procedure For Treating Hemorrhoids

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

Hemorrhoidectomy is a fairly simple operation and can be done under local, spinal or general anesthesia. As per the patients' condition, the extent of the surgery 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.

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

The course of action for this surgery is a very simple one and once all the necessary planning have been made the operation will take 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 visible. Once the anesthesia has become effective the hemorrhoid will be clamped and tied 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 show up and cause the inability to urinate. If the patient has recouped, he or she can return home the same day, in other words, as an outpatient. On rare situations, if there are any issues with the surgery, the patient will have to be kept under observation.

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

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

As 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 may include 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 arise, it is best to seek medical advice immediately.

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