Hemorrhoidectomy and fissurectomy Surgery

Anal fissure is a common medical condition that causes a great deal of pain. It is a small tear within the thin, moist tissue that lines the anus. It usually occurs when hard or large stools are passed during a bowel movement.

Who Needs Hemorrhoidectomy and Fissurectomy Surgery

Hemorrhoidectomy and fissurectomy surgery may be recommended for individuals who have severe or persistent symptoms of hemorrhoids or anal fissures that do not respond to conservative treatments. This includes individuals who experience significant pain, bleeding, difficulty with bowel movements, and impaired quality of life due to these conditions.

When to See a Specialist

If you have symptoms such as rectal bleeding, persistent pain, or discomfort in the anal area, it is advisable to see a specialist, such as a colorectal surgeon. They can evaluate your condition, perform a thorough examination, and determine if hemorrhoidectomy and fissurectomy 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, typically lying on your abdomen with your legs spread apart.

• Incisions and removal: The surgeon will make incisions to remove the hemorrhoids and excise the affected tissue in the case of anal fissures. This can be done using various techniques, including scalpel, laser, or electrocautery.

• Closure: The incisions may be closed using sutures or left open to heal naturally, depending on the surgeon’s preference and the extent of the procedure.

• 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 hemorrhoidectomy and fissurectomy surgery typically takes several 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 hemorrhoidectomy and fissurectomy surgery are generally safe, there are potential risks and complications associated with the procedures, including:

• Pain and discomfort

• Bleeding

• Infection

• Anal stenosis (narrowing of the anus)

• Incontinence (rare)

Benefits of Hemorrhoidectomy and Fissurectomy Surgery

• Symptom relief: These surgical procedures aim to alleviate pain, bleeding, and discomfort associated with hemorrhoids and anal fissures, improving the patient’s quality of life.

• Healing and prevention: Surgical removal of hemorrhoids and repair of anal fissures promote healing and reduce the risk of recurrence and complications.

• Improved bowel movements: By addressing the underlying conditions, these procedures can help restore normal bowel function and ease discomfort during bowel movements.

Frequently Asked Questions

1. Will I experience pain after hemorrhoidectomy and fissurectomy 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 hemorrhoidectomy and fissurectomy surgery?

   Recovery time varies for each individual, but most people can expect to recover within several 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 hemorrhoidectomy and fissurectomy surgery?

   Your healthcare team may recommend a high-fiber diet, increased fluid intake, and stool softeners 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 or anal fissures recur after surgery?

   While surgical procedures can provide long-lasting relief for most individuals, there is a small possibility of new hemorrhoids or fissures 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 hemorrhoidectomy and fissurectomy 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.