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What is hemorrhoidectomy?
A hemorrhoidectomy is a surgical procedure to remove large or severe hemorrhoids, particularly if other methods like medications or minimally invasive procedures (i.e., rubber band ligation or sclerotherapy) do not work. The procedure is typically performed for Grade III and Grade IV hemorrhoids, or for thrombosed hemorrhoids (hemorrhoids with blood clots).
????️ How the Hemorrhoidectomy Is Done
Anesthesia:
The procedure is done under general anesthesia, spinal anesthesia, or local anesthesia with sedation, depending on the severity and as tolerated by the patient.
Incision:
The surgeon removes the excess hemorrhoidal tissue using a scalpel, laser, or cautery (electrosurgery).
Sutures:
The wound may be stitched (sutured) or left open, depending on the procedure. Some surgeons use stapling techniques to close the wound.
✅ Advantages of Hemorrhoidectomy
Permanent relief: It is the best choice for large hemorrhoids and can result in long-term or permanent hemorrhoid symptom relief.
Effective for big, prolapsed, and thrombosed hemorrhoids that do not respond to other treatments.
High success rate: Over 90% of patients experience significant or complete symptom relief after surgery.
⚠️ Risks and Side Effects
Pain: This is the biggest worry after surgery, as recovery can be quite painful, especially during bowel movements.
Bleeding: Some bleeding is normal after the operation, but excessive bleeding or complications are rare.
Infection: As with any operation, there is always a chance of infection.
Urinary retention: Difficulty passing urine may occur, especially after anesthesia.
Anal stenosis (rare): Constriction of the anal canal, which can cause difficulty passing stool.
⏱️ Recovery Time
Initial recovery typically takes 2–4 weeks.
Pain control is very significant during healing, and stool softeners are usually prescribed to avoid straining.
Most patients are able to return to normal activities within 2–4 weeks, and full recovery occurs in 4–6 weeks.
Follow-up appointments are usually scheduled to monitor healing.
???? In Summary:
Hemorrhoidectomy is a highly successful operation for advanced or recurrent hemorrhoids, especially if other methods of treatment have failed. While the operation brings long-term relief, postoperative pain and the recuperation period can be significant.
Would you like more information on what to expect before or after a hemorrhoidectomy, or a comparison with other surgeries?
Hemorrhoid surgery is usually reserved for severe or chronic cases of hemorrhoids that are not responsive to other treatments, including diet, topical medications, or less invasive procedures (e.g., rubber band ligation or infrared photocoagulation). Surgery is usually necessary for Grade III or IV hemorrhoids, or if other procedures fail.
⚖️ Benefits of Hemorrhoid Surgery
Long-Term Relief
Surgery can be very effective in providing long-term relief for hemorrhoids, especially in severe or recurrent hemorrhoids.
It addresses the underlying cause of the hemorrhoids, removing the swollen tissue.
Eliminates Pain and Bleeding
Surgery can completely eliminate the pain, bleeding, and prolapse (hemorrhoids that hang outside the anus), improving quality of life.
Permanent Solution
As opposed to non-surgical treatments, which may require follow-up treatments, surgery can provide a long-lasting solution for the majority of patients.
⚠️ Risks and Side Effects of Hemorrhoid Surgery
Pain and Discomfort
One of the most common risks after surgery is postoperative pain, and it can be significant. Such pain usually lasts for a few days to a week and can be eased using medications like pain killers, stool softeners, and sitz baths.
Bleeding
A little bleeding is normal right after surgery and might occur with bowel movements, but it should end within a few days.
Heavy bleeding is not common but can happen and might require additional medical attention.
Infection
As with any surgery, there is a risk of infection. This risk is minimized by keeping the area clean and following the aftercare instructions.
Urinary Retention
Urination Problems
Some patients, particularly those undergoing excision or ligation procedures, may experience difficulty urinating after surgery due to swelling or anesthesia. This typically is temporary.
Fecal Incontinence
It is rare for the surgery to injure the muscles or nerves around the anus, which can lead to fecal incontinence (difficulty controlling bowel movements).
Narrowing of the Anus (Stricture)
If too much tissue is removed, the anal canal may narrow and it will be harder to pass stool, and further treatment might be necessary.
Recurrence of Hemorrhoids
Even though surgery is effective, it is possible for hemorrhoids to recur, especially if lifestyle and diet are not modified.
???? Types of Hemorrhoid Surgery
Hemorrhoidectomy
Most common surgical procedure, which excises large hemorrhoids. Often done for Grade III or IV hemorrhoids (large external or prolapsed hemorrhoids).
Done under general or spinal anesthetic.
May be done with scalpel, laser, or cautery (electrosurgical procedures).
Stapled Hemorrhoidopexy
Involves stapling the hemorrhoidal tissue back and removing the excess. Often used for prolapsed hemorrhoids.
Less painful than a traditional hemorrhoidectomy but with a possibly higher risk of recurrence.
???? Bottom Line:
Hemorrhoid surgery is a highly effective treatment for severe cases, with long-term relief when other treatments fail. However, it is not without risks such as pain, bleeding, and anal complications. Surgery is typically recommended after non-surgical options have been exhausted, or when hemorrhoids are causing significant symptoms and disrupting daily life.
Would you like to learn more about the different surgical techniques or how to prepare optimally for hemorrhoid surgery?
Overcoming Onychomycosis™ By Scott Davis It is a simple, natural, and all-in-one solution for onychomycosis. The program can help you to treat your nail fungus naturally. Once you follow this program, you do not need to spend on expensive treatments to prevent a recurrence. In brief, you can have a proven solution for your chronic nail fungus. Besides, the program is easy to follow, and most users find it effective against onychomycosis.