At Saudi German Hospital, we understand that haemorrhoids are a sensitive issue, and many people may feel embarrassed or uncomfortable discussing them. However, we believe that it is important to provide comprehensive information on haemorrhoidectomy, a surgical procedure that can be an effective
treatment for haemorrhoids.
What is Haemorrhoidectomy?
Haemorrhoidectomy is a surgical procedure that involves the removal of haemorrhoids, which are swollen and inflamed veins in the anus and lower rectum. This procedure is usually recommended when other treatments, such as dietary changes, over-the-counter medications, or non-surgical procedures, have failed to provide relief.
Types of Haemorrhoidectomy
There are several types of haemorrhoidectomy, and the type of procedure recommended may depend on the severity of the haemorrhoids and the patient’s overall health. Some of the most common types of haemorrhoidectomy include:
- Conventional haemorrhoidectomy: This procedure involves the removal of haemorrhoids using a scalpel or other surgical instrument. This is the most common type of haemorrhoidectomy and is usually performed under general anaesthesia.
- Stapled haemorrhoidectomy: This procedure involves using a circular stapler to remove haemorrhoids and reposition the remaining tissue. This procedure is less invasive than conventional haemorrhoidectomy and may have a shorter recovery time.
- Laser haemorrhoidectomy: This procedure involves using a laser to remove haemorrhoids. This is a relatively new procedure and is not as widely used as conventional or stapled haemorrhoidectomy.
Hemorrhoids are enlarged blood vessels around the anus that are also known as piles. If your symptoms are not being controlled by medications and are worsening, your doctor will recommend a Hemorrhoidectomy. Hemorrhoids, on the other hand, are classified into two types:
- External Hemorrhoids: Are on the outside of the back passage covered in skin. The loose skin can become irritable and external hemorrhoids may cause a lot of discomfort, itching, and irritation. However, if a blood clot forms in the blood vessel, it can cause a lot of pain.
- Internal Hemorrhoids: Are on the inside of the back passage where the rectum joins the anus. They are also covered with the mucous lining of the rectum that becomes very painful. Internal Hemorrhoids may become extremely painful with constipations, straining, usually at the time of a bowel movement. These prolapsed haemorrhoids remain outside and may also produce mucous causing wet sensation in the under clothes.
Preparing for Haemorrhoidectomy
Before undergoing haemorrhoidectomy, patients may be advised to make certain lifestyle changes, such as increasing their intake of fibre and fluids and avoiding straining during bowel movements. Patients may also need to stop taking certain medications, such as blood thinners, before the procedure.
The Procedure
Haemorrhoidectomy is usually performed under general anaesthesia, which means that the patient will be unconscious during the procedure. The surgeon will then make incisions around the haemorrhoids and remove them using a scalpel or other surgical instrument. The remaining tissue will be stitched together to promote healing.
During the Surgery
Cuts are made in the tissue surrounding the haemorrhoid. To prevent bleeding, the swollen vein inside the haemorrhoid is tied off, and the haemorrhoid is removed. The surgical site can be sewn shut or left open.
In a closed hemorrhoidectomy, however, the excision will be made with a sharp instrument, such as a scalpel, scissors, electrocautery, or even a laser, and the wound will be completely closed with an absorbable suture.
In most cases, all three haemorrhoid columns are treated at the same time. Postoperative care includes frequent sitting baths, mild analgesics, and constipation avoidance. A closed hemorrhoidectomy works 95% of the time.
The incision is left open during an open hemorrhoidectomy. When the location or amount of disease makes wound closure difficult or the risk of postoperative infection is high, surgeons may choose an open hemorrhoidectomy. A combination of open and closed techniques is frequently used.
After the Surgery
Your blood pressure, pulse, and wound will be monitored regularly for several hours after surgery. You will, however, be able to drink and eat whenever you are thirsty or hungry. You will also experience pain for a few days, but it will subside with prescribed pain relievers.
Recovery
After a haemorrhoidectomy, patients may experience some pain, swelling, and discomfort in the affected area. They may also experience bleeding or discharge from the anus. Patients will need to take some time off work and avoid strenuous activities, such as heavy lifting or vigorous exercise, for a few weeks after the procedure.
Conclusion
Haemorrhoidectomy is a safe and effective treatment for haemorrhoids that have not responded to other treatments. At
Saudi German Hospital, we understand that this is a sensitive issue, and we are committed to providing our patients with comprehensive information and compassionate care. If you are suffering from haemorrhoids and would like to explore your treatment options, we encourage you to contact us to schedule a consultation