Haemorrhoidectomy Surgery

Haemorrhoidectomy is an operation to remove severe haemorrhoids (also known as piles). It is usually a day procedure and is usually carried out under a general anaesthetic. The procedure is common and generally safe, but recovery after the surgery can take a few weeks and can be painful.

Who Needs Haemorrhoidectomy Surgery?

Hemorrhoidectomy surgery may be recommended for individuals who have severe or persistent symptoms of hemorrhoids that significantly impact their quality of life. This includes individuals with large, external, or prolapsed hemorrhoids that cause chronic pain, bleeding, difficulty with hygiene, or interfere with daily activities.

When to See a Specialist

If you experience persistent symptoms of hemorrhoids such as rectal bleeding, itching, pain, or discomfort, it is important to consult with a specialist, such as a colorectal surgeon. They can evaluate your condition, perform a thorough examination, and determine if haemorrhoidectomy surgery is appropriate for you.

Procedure

• Anesthesia: You will be given anesthesia, either general or regional, to ensure you are comfortable during the procedure.
• Positioning: You will be placed in the appropriate position for the surgery, usually lying on your abdomen with your legs spread apart.
• Incision: The surgeon will make incisions around the hemorrhoidal tissue to remove the swollen veins and alleviate symptoms. The type of incision may vary based on the location and severity of the hemorrhoids.
• Removal and closure: The surgeon will carefully remove the hemorrhoidal tissue and then close the incisions using sutures or other techniques.
• Dressing and recovery: A sterile dressing will be applied to the surgical site, and you will be monitored in the recovery area until you are awake and stable.

Road to Recovery

Recovery after haemorrhoidectomy surgery typically takes a few weeks. You may experience some pain, swelling, and discomfort in the anal area during this time. Your healthcare team will provide instructions on pain management, wound care, dietary modifications, and proper hygiene practices to promote healing and prevent complications.

Risk Management

While haemorrhoidectomy is generally considered safe, there are potential risks and complications associated with the procedure, including:

• Pain and discomfort
• Bleeding
• Infection
• Urinary retention
• Fecal incontinence (rare)
• Anal stenosis (narrowing of the anus)

Benefits of Haemorrhoidectomy Surgery

Symptom relief: Haemorrhoidectomy surgery aims to alleviate the pain, bleeding, and discomfort associated with hemorrhoids, improving the patient’s quality of life.

• Long-term results: For most individuals, haemorrhoidectomy provides long-lasting relief from chronic hemorrhoid symptoms.
• Resolution of complications: Surgical removal of hemorrhoids can address complications such as thrombosis (clotting), prolapse (protrusion), or strangulation of hemorrhoids.
• Improved hygiene: Removing large external hemorrhoids can improve hygiene and reduce the risk of irritation and infection.

Frequently Asked Questions

1. Will I experience pain after haemorrhoidectomy surgery?

It is normal to experience some pain and discomfort after the procedure. Your healthcare team will prescribe pain medications and provide recommendations for pain management to help alleviate discomfort during the recovery period.

2. How long does it take to recover from haemorrhoidectomy surgery?

Recovery time varies for each individual, but most people can expect to recover within two to three weeks. It is important to follow your healthcare provider’s instructions regarding activity restrictions, wound care, and dietary modifications during the recovery period.

3. Are there any dietary restrictions after haemorrhoidectomy surgery?

Your healthcare team may recommend a high-fiber diet and increased fluid intake to promote soft and regular bowel movements. Adequate hydration and a fiber-rich diet can help prevent constipation and reduce strain during bowel movements.

4. Can hemorrhoids return after haemorrhoidectomy surgery?

While haemorrhoidectomy surgery provides long-lasting relief for most individuals, there is a small possibility of new hemorrhoids developing in the future. Maintaining a healthy lifestyle, including a high-fiber diet, regular exercise, and good bowel habits, can help minimize the risk of recurrence.

5. When can I resume my normal activities after haemorrhoidectomy surgery?

Your healthcare provider will provide specific guidelines regarding activity restrictions and when you can resume normal activities. Generally, you may need to avoid heavy lifting and strenuous activities for a few weeks, but you can gradually increase your activity level as you recover.