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Hemorrhoidectomy

Home 9 General Surgeries 9 Hemorrhoidectomy

Hemorrhoidectomy

Haemorrhoids are swollen veins that form in the lowest section of the rectum and anus. They usually become swollen due to increased pressure in the rectum during bowel movements, sitting on the toilet for long periods, or due to chronic diarrhoea or constipation. The excess pressure causes the veins to become stretched and irritated. Haemorrhoids are not generally too serious but can cause bleeding and pain during bowel movements.

Often, changes to diet and lifestyle and over-the-counter medication can treat haemorrhoids. In cases when these methods are not sufficient, procedures can be performed to shrink or remove them.

In some cases, lasers can be used by a doctor in their office to remove them. In other cases, surgery may be a preferable and more permanent solution, particularly in cases of severe, large or bleeding haemorrhoids. Haemorrhoidectomy is a safe and reliable procedure involving very small incisions may around the anus and rectum.

Surgical Process

Haemorrhoidectomy can be performed under local or general anaesthesia. Patients can generally return home on the day of their procedure. The area may be painful and tender immediately after the procedure. Recovery and return to normal activities usually take around two weeks.

Methods

A doctor can use a device to cut off the blood supply to haemorrhoids, leading them to reduce and eventually die. This is sometimes called a stapled haemorrhoidectomy. It can be used to treat haemorrhoids that have not prolapsed or bulged out of the skin. This procedure causes less bleeding and requires a shorter recovery period.

In another method called Haemorrhoidal Artery Ligation and Recto Anal Repair (HAL-RAR), a miniature Doppler sensor is inserted into the anus to detect which arteries are supplying blood to the haemorrhoids. The blood supply can be stopped so that the haemorrhoids reduce and eventually die. This method is effective and painless. Assessments and consultations will be carried out to decide which treatment method is the best option.

After Treatment

After treatment, there may be some initial discomfort during defecation. Painkillers can be used to manage this in accordance with your doctor’s advice. Stool softeners can also be used to make defecation easier during this process.

Recovery time after any haemorrhoid procedure should be quick. No inpatient stay is generally required. If there is significant or persistent pain or bleeding, call your doctor for advice.

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