Hemorrhoid Surgery in Rohini, Delhi
Hemorrhoid surgery, medically termed hemorrhoidectomy, is a specialized procedure designed to remove hemorrhoids – swollen veins located in the lower rectum and anus. Hemorrhoids often cause discomfort, itching, and bleeding, significantly impacting one’s quality of life. This comprehensive guide provides detailed insights into hemorrhoid surgery, addressing treatment options and the recovery process.
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Hemorrhoids, also known as piles, are swollen veins in the lower rectum and anus. They can be internal (inside the anus) or external (under the skin around the anus). Symptoms of hemorrhoids can vary depending on their location and severity, but common signs include:
- Pain and discomfort: Hemorrhoids can cause pain, discomfort, or a feeling of pressure in the anal area, especially when sitting or during bowel movements.
- Itching and irritation: Hemorrhoids can cause itching and irritation around the anus, which can be exacerbated by moisture, friction, or discharge.
- Swelling and lumps: External hemorrhoids may cause visible swelling or lumps around the anus, which can be tender to the touch.
- Bleeding: Hemorrhoids can cause bright red blood on toilet paper, in the toilet bowl, or on the surface of the stool. Bleeding is more common with internal hemorrhoids.
- Prolapse: In some cases, internal hemorrhoids can protrude outside the anus (known as a prolapsed hemorrhoid), causing pain, irritation, and a feeling of a bulging mass.
- Mucus discharge: Hemorrhoids can cause mucus discharge from the anus, which may contribute to itching and irritation.
- Difficulty with hygiene: The presence of hemorrhoids can make it difficult to clean the anal area thoroughly after bowel movements, leading to irritation and a persistent feeling of uncleanliness.
If you experience any of these symptoms, it is important to consult with a healthcare professional for a proper diagnosis and treatment.
Grades of Hemorrhoids:
Hemorrhoids, or piles, are typically classified into four grades based on their severity and symptoms. Here’s a simplified explanation of the grading system:
Grade I (First-degree) Hemorrhoids:
These are the mildest form of hemorrhoids. They are small, internal hemorrhoids that do not protrude outside the anus. Grade I hemorrhoids may cause bleeding during bowel movements but are generally painless.
Grade II (Second-degree) Hemorrhoids:
These hemorrhoids are still internal but are larger than Grade I hemorrhoids. Grade II hemorrhoids may protrude outside the anus during bowel movements but retract back inside on their own afterward. They can cause bleeding and discomfort but are usually not painful.
Grade III (Third-degree) Hemorrhoids:
These hemorrhoids are more severe, as they protrude outside the anus during bowel movements and do not retract back inside on their own. They may require manual repositioning after bowel movements. Grade III hemorrhoids can cause bleeding, discomfort, and pain.
Grade IV (Fourth-degree) Hemorrhoids:
These are the most severe form of hemorrhoids. They are permanently prolapsed, meaning they remain outside the anus and cannot be manually repositioned. Grade IV hemorrhoids can cause significant pain, bleeding, swelling, and possibly complications such as thrombosis (blood clot formation) or strangulation (restricted blood flow).
If you suspect you have hemorrhoids or are experiencing symptoms, it is essential to consult with a healthcare professional for a proper diagnosis and treatment. The severity of your hemorrhoids will help determine the most appropriate treatment option.
Treatment options for hemorrhoids depend on the severity of the symptoms and the underlying condition. Conservative treatments may be recommended for mild to moderate hemorrhoids, which can include:
- Over-the-counter creams, ointments, or suppositories
- Sitz baths (warm water soaks)
- High-fiber diet and increased water intake
- Stool softeners
- Pain relief medications
However, if symptoms persist or worsen, hemorrhoid surgery may be necessary.
Do I need to undergo Hemorrhoid Surgery?
Individuals with the following conditions may be candidates for hemorrhoid surgery:
- Large, painful, or prolapsed hemorrhoids (when the hemorrhoid protrudes outside the anus)
- Hemorrhoids that do not respond to conservative treatments
- Recurrent bleeding from hemorrhoids
- Hemorrhoids causing significant discomfort or impacting daily life
Types of Surgeries
There are several types of hemorrhoid surgery, including:
An open hemorrhoidectomy is a traditional surgical procedure used to remove hemorrhoids. This method is usually recommended for patients with large or severe hemorrhoids. During the procedure, the surgeon makes an incision around the hemorrhoid, removes the swollen vein, and closes the wound with sutures. Although
it is effective, open hemorrhoidectomy may require a longer recovery time and can be more painful compared to other treatment options.
A stapler hemorrhoidectomy, also known as a procedure for prolapse and hemorrhoids (PPH), is a minimally invasive alternative to open hemorrhoidectomy. This method is suitable for patients with moderate to severe hemorrhoids or those with prolapsed hemorrhoids. The surgeon uses a special stapling device to remove a circular section of the hemorrhoid tissue, effectively cutting off the blood supply to the remaining hemorrhoid. This procedure typically results in less pain and a quicker recovery time compared to open hemorrhoidectomy.
Rubber band ligation: A non-surgical procedure that involves placing a small rubber band around the base of the hemorrhoid, cutting off its blood supply and causing it to shrink and fall off.
Sclerotherapy: A non-surgical procedure that involves injecting a chemical solution into the hemorrhoid, causing it to shrink.
Hemorrhoid surgery is usually performed under spinal anesthesia, or local anesthesia with sedation, depending on the type of surgery and the patient’s medical history.
What to Expect During Consultation?
During the consultation, the surgeon will:
- Discuss the patient’s medical history and symptoms
- Perform a physical examination, which may include a digital rectal exam and anoscopy
- Discuss the risks, benefits, and alternatives to hemorrhoid surgery
- Provide pre-operative instructions, including dietary restrictions, medications to avoid, and bowel preparation if necessary
Hemorrhoid surgery typically takes 30 minutes to 1 hour, depending on the type and size of the hemorrhoids.
Patients undergoing hemorrhoid surgery may be discharged the same day or after an overnight stay, depending on the type of surgery and the patient’s overall health.
Although hemorrhoid surgery is generally safe, complications can occur, such as: • Bleeding
- Pain during bowel movements
- Anal stenosis (narrowing of the anal opening)
- Fecal incontinence (inability to control bowel movements)
- Recurrence of hemorrhoids
- Anesthesia-related complications
Before surgery, patients will undergo a pre-operative evaluation, including:
- Blood tests (e.g., complete blood count, coagulation profile)
- Imaging studies (e.g., ultrasound, CT scan) if necessary
- Electrocardiogram (ECG) to assess heart function
- Consultation with the anesthesiologist to discuss anesthesia options and risks
What Should I Expect During My Surgery Recovery?
After hemorrhoid surgery, patients can expect:
- Pain and discomfort managed with medications prescribed by the surgeon
- Gradual return to normal activities within 1-2 weeks, depending on the type of surgery
- Restrictions on lifting heavy objects for a short period
- Temporary dietary modifications, such as a high-fiber diet and increased water intake
- Follow-up appointments to monitor recovery and ensure proper healing
What Results Should I Expect After Surgery?
Hemorrhoid surgery is effective in relieving pain, itching, and bleeding associated with hemorrhoids. Most patients experience significant improvement in their symptoms after surgery. However, there is a risk of hemorrhoid recurrence, which can be minimized by maintaining a high-fiber diet, drinking plenty of water, and avoiding straining during bowel movements.
Pain following hemorrhoid surgery is expected but at DSH we focus on pain management & it can be managed with medications prescribed by our qualified & experienced surgeon. Most patients experience significant improvement in pain within a few days after the procedure. Over-the-counter pain relievers or prescription medications may be recommended to control pain and discomfort during the recovery period.
Hemorrhoid surgery is a common and effective treatment for painful or bleeding hemorrhoids that do not respond to conservative treatments. By understanding the process, risks, and recovery expectations, patients can make informed decisions about their treatment options and prepare for a successful surgery and recovery. Always consult with a qualified healthcare professional to discuss your specific situation and determine the best course of action for your condition.