Hemorrhoidectomy – hemorrhoids surgery

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In many cases, hemorrhoids can be treated effectively with dietary changes, proper hygiene and local medication. In some cases, diet and medication are not sufficient.

People who do not respond to non-surgical treatments may need surgery for a long-term improvement of hemorrhoids.

Surgery should be considered by those who have large hemorrhoids that are painful and bleeding.


1. Overview
2. Hemorrhoidectomy
3. Risk factors
4. Diagnosis
5. Preparation
6. Pain relief after surgical treatment of hemorrhoids
7. How to prevented hemorrhoids recurrence


Surgery to remove hemorrhoids is called hemorrhoidectomy. During this procedure, the doctor will make several incisions in the anus to remove hemorrhoids.

People who will support the surgery will be anesthetized local or total. Hemorrhoidectomy is an outpatient procedure and the patient can go home right after the procedure.

Although surgery relieves pain, swelling, bleeding and itching caused by hemorrhoids, one of the disadvantages of this procedure is that the incisions are made in a very sensitive area and may be required stitches which may cause local swelling and pain.

Risk factors

Risk factors for development of symptomatic hemorrhoids include:

- hormonal changes associated with pregnancy and childbirth
- normal aging
- insufficient fiber in diet
- chronic diarrhea
- anal sex
- constipation as a result of medical treatments, dehydration or other causes
- spending too much time on the toilet seat during removal.

Hemorrhoids are classified in internal and external hemorrhoids.

External hemorrhoids develop under the skin around the anus and may be accompanied by pain and bleeding. Internal hemorrhoids are inside the anus. They can cause pain and spasms of the anal sphincter. They may bleed or release mucus that could cause skin irritation around the anus. Internal hemorrhoids can be incarcerated or strangled.


Most patients are diagnosed with hemorrhoids after they inform the doctor that they were observed blood on toilet paper or toilet after defecation.

It is important that the patient to visit doctor whenever he notice bleeding from the rectum, because it can also be the symptoms of colorectal cancer or other serious diseases of the digestive tract.

Some of the symptoms of anal-rectal area such as itching, irritation and pain could be caused by abscesses and skin fissures, bacterial infections, fistulas and other conditions. After a digital examination, the doctor will use an anoscope or sigmoidoscope, in order to view the inside of the rectum and lower colon to try to detect internal hemorrhoids.

The patient may be given a barium enema if colon cancer is suspected. The doctor will not perform other routine studies to diagnose hemorrhoids. In some cases the investigation could be conducted to detect blood in stool.


Patients who are scheduled for surgical hemorrhoidectomy will receive an intravenously sedative before the procedure. They will do an enema to clean the rectal area and the lower intestine.

What is the procedure?

1. One of the procedures for hemorrhoids treatment and hemorrhoids prolapse is called hemorrhoidopexy and is minimally invasive. A stapler is used to reposition the hemorrhoids and interrupting their blood supply. Without blood, hemorrhoids dry and eventually fall. Procedure moves the hemorrhoid at the top of the anus, a place where there are fewer nerve endings for pain to be minimal.

The benefits of this procedure include:

- less pain
- rapid recovery
- quantitatively reduced bleeding
- treating itching
- fewer complications.

2. Laser surgery. It used a laser beams to burn hemorrhoidal tissue.

3. Rubber band ligation. A rubber band is placed at the base of the hemorrhoid to stop its blood supply and, this way it will die. This is done in an area where there are fewer receptors for pain, being less painful.

4. Sclerotherapy. A chemical is injected around a blood vessel that feeds the hemorrhoid in order to ease and destroy it.

Although these minimally invasive procedures may involve less pain and fewer complications, hemorrhoidectomy may provide better long term. Talk to your doctor to discover which is the right procedure for you.

Pain relief after surgical treatment of hemorrhoids

Pain, which occurs most often during bowel movements, is the most common symptom after surgery. Drugs for pain relief, especially acetaminophen or ibuprofen can help relieve pain. Do not take any new medication without your doctor recommendation.

Warm sitz baths may be helpful for pain relief. Laxatives can ease eliminate the stool and prevent constipation and forcing during it.

How to prevented hemorrhoids recurrence

The best way to prevent hemorrhoids is to have soft stool so that it can be removed easily, without having to strain. Eating foods high in fiber, but also plenty of fluids can help you loose stools, constantly lowering the risk of developing new hemorrhoids.


Doctors recommend various conservative therapies as first line treatment of hemorrhoids, whether they are internal or external. Nonsurgical treatment protocol includes:

- consumption of a big quantity of liquids
- eating foods high in fiber
- warm sitz baths lasting between 5-10 minutes
- application of anesthetic or witch hazel creams
- use of natural products.

In patients with mild symptoms, these measures will reduce swelling and pain in about two to seven days. Fiber in your diet can be increased by consumption of five servings of fruits and vegetables each day, replacing the white bread with whole grains and raw food preference, rather than cooked.



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