Gastroenterology

Haemorrhoidectomy Treatment

Haemorrhoidectomy

Hemorrhoids (piles) are the swellings that contain enlarged blood vessels found inside or around the bottom (anus and the rectum). In most of the cases, hemorrhoids don't result in any symptoms and some people don't even realize that they have hemorrhoid.

What is Hemorrhoid?

Hemorrhoids (piles) are the swellings that contain enlarged blood vessels found inside or around the bottom (anus and the rectum). In most of the cases, hemorrhoids don't result in any symptoms and some people don't even realize that they have hemorrhoid.

But when symptoms do occur, the symptoms may include the following:

  • Bleeding after the passage of a stool (the blood is generally bright red)
  • The bottom is itchy
  • A lump hanging down outside of the patient’s anus, which may be required to be pushed back in after the passage of a stool
  • A mucous discharge after the passage of a stool
  • Redness, swelling, and soreness, around the patient’s anus

Hemorrhoids aren't generally painful unless their blood supply is being slowed down or it is interrupted.

What are the causes of Haemorroid?

The exact known cause of hemorrhoids is still unclear, but they're related with increased pressure in the blood vessels in and around the patient’s anus. This pressure can result in the blood vessels present in the back passage to become inflamed and swollen.Page Image

Other factors that might increase the patient’s risk of developing hemorrhoids include:

  • The patients being obese or overweight
  • Age: As the people get older, their body's supporting tissues get weaker and weaker, increasing the risk of hemorrhoids
  • Being pregnant: Pregnancy can place increasing pressure on the patient’s pelvic blood vessels, resulting in them to enlarge
  • The patients have a family history of hemorrhoids
  • Regularly lifting off heavy objects
  • Repeated vomiting or a persistent cough
  • Patients sit down for very long periods of time

What is Haemorrhoidectomy?

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

Why is haemorrhoidectomy performed?

Most hemorrhoids can either be treated with the help of some non-surgical procedure or medicines or avoided with appropriate exercise and diet. If non-surgical treatments do not work, or the hemorrhoids are particularly large, a doctor might recommend a haemorrhoidectomy. Removing the hemorrhoids will help in relieving the uncomfortable symptoms, but hemorrhoids can also return back.

How to prepare for a haemorrhoidectomy?

If the patients are undergoing a haemorrhoidectomy, they should follow the guidelines, the clinic or hospital gives guidelines to the patients on how to prepare for the surgery. The patients will be asked not to drink or eat for some hours before being admitted to the clinic. If the patients often take blood-thinning medication, they might be asked to stop taking them for some days before the surgery. The patients might also be asked to take a laxative or an enema to empty out their bowel.

What happens during a haemorrhoidectomy?

A haemorrhoidectomy is done under a general anesthetic so that the patients won't be awake during the whole surgery.

There are several types of haemorrhoidectomy methods:

  • One of the methods includes the hemorrhoids being cut away.
  • Other method includes the hemorrhoids being pulled back inside the rectum and stapled in its place.
  • And lastly, the arteries supplying blood to the hemorrhoids are being closed for helping them to shrink.

What to expect after a haemorrhoidectomy?

After the surgery has been performed, the patients will probably feel sore and they might have some bleeding. Many of the people go home the same day as the surgery is performed, but it must be made sure the patients must be collected by someone who can take them home. It is important for the patients to avoid constipation, so they must drink plenty of water and eat a healthy diet that is rich in vegetables, fiber, and fruit. The general anesthetic might make the patients feel tired and sick and for a few days. Many people may be required to take at least one week off work to recover. The doctor will probably ask them to return for a check-up sometime after the operation.

What are the risks that occur to the patients during haemorrhoidectomy?

Haemorrhoidectomy is a quite common and usually safe surgical method. But the patients can also experience some complications, which might include the following:

  • Excess of bleeding
  • Difficulty in urinating
  • Infection, which might result in a high temperature
  • Loss of control of the rectal sphincter
  • Damaging or narrowing of the anal canal

If the patients have any of the above symptoms, or the pain around their anus gets worse rather than better, they should seek advice from their doctor.

Other Surgeries that can be done instead of Hearmorrhoidectomy are as follows:

  • Hemorrhoid Artery Ligation: Hemorrhoidal artery ligation is an operation for reducing the blood flow to the patient’s hemorrhoids. It is generally carried out under general anesthetic and also involves the insertion of a small ultrasound probe into the patient’s anus. The small ultrasound probe produces high-frequency sound waves that help the surgeon to locate the vessels that supply the blood to hemorrhoid. Each blood vessel is being stitched back together for blocking the blood supply to hemorrhoid, which results in it to shrink over the following weeks. The stitches can also be helpful in reducing the hemorrhoids that hang down from the prolapsing (anus).
  • Stapling: Stapling (stapled haemorrhoidopexy) is another option to a conventional haemorrhoidectomy. It is sometimes used for treating prolapsed hemorrhoids and is usually carried out under general anesthetic. The process is not carried out as usually as it used to be because it has a slightly higher risk of some serious complications as compared to the other alternative methods available in the field of medicine. During the surgery, part of the anorectum (the last section of the large intestine) is being stapled. This means that the hemorrhoids are less likely to prolapse. Thus the supply of blood to the hemorrhoids is being reduced, which results in them to shrink with time.

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