Hemorrhoids are swollen clusters of veins in the anal area that cause itching sensation,
discomfort, and in severe cases, excruciating pain.
A number of hemorrhoid treatments offer temporary relief from the symptoms while
the veins shrink and heal itself. However, once a condition such as constipation
or sever diarrhea occurs, hemorrhoids may recur and again cause much discomfort and
Recurring hemorrhoids can be very disruptive to work and other activities and may
also lead to complications such as colon and rectal cancer.
People suffering from recurring hemorrhoids, or hemorrhoids that affect a considerably
large area in the anus would usually decide to go under the knife despite the general
aversion to surgery. This type of surgical procedure is call hemorrhoidectomy (for
grade 3 and 4 hemorrhoids).
How Does It Work?
Hemorrhoidectomy involves the physical dismemberment of the veins and the surrounding
area affected with hemorrhoids. Sutures are then placed in the areas treated to aid
in the healing process. Because this is a highly invasive procedure and is considered
a major surgical operation, this is reserved for patients who do not respond to more
conservative treatments, and is usually the last option.
Patients scheduled for hemorrhoidectomy are given sedatives before the operation.
The rectal area and the lower part of the large intestine also undergo a cleaning
process before the scheduled surgery. This provides a clean operating field for the
surgeons and decreases the risks of infection.
Depending on their condition, they are then given a local or general anesthesia right
before the surgery.
For those who are really scared of the scalpel, laser surgery is also now possible.
However, surgery using the scalpel, or the traditional method, is found to yield
better outcomes with very little percentage of recurrence. This is also a very well
– known method and have been practiced for years by surgeons and is proven to be
Unlike other treatment methods, the best part of undergoing this procedure is that
this is a permanent cure. Also, among the permanent cures available, hemorrhoid surgery
is the one that offers the highest percentage of success in terms of non – recurrence.
On the other hand, there are risks involved. Like any invasive surgery, hemorrhoidectomy
exposes the patient to risks of :
•Uncontrolled bleeding during operation
• Allergic reaction to anesthesia
There is also the possibility of complications such as the narrowing of the anus
(stenosis); fistula formation, and non – healing of surgery wounds for some people
due to other medical conditions such as diabetes.
After surgery, severe pain is expected as with any other forms of hemorrhoid surgery.
You will be prescribed with intravenous or oral pain relievers to aid you in the
recovery period. Sitz baths are also widely used for pain management and faster healing
of the surgery wounds.
With the wounds still fresh, it will be very painful once your muscles in the anal
area contract and expand, as in every during bowel movement.
A high – fiber diet aided with laxatives and stool softeners may be prescribed by
your physician to address this.
Total recovery is expected after two weeks and you will be able to resume normal
activities by then.