Hemorrhoid Surgery in Rohini, Delhi

Introduction 

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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Symptoms 

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: 

1. Pain and discomfort: Hemorrhoids can cause pain, discomfort, or a feeling of  pressure in the anal area, especially when sitting or during bowel movements. 
2. Itching and irritation: Hemorrhoids can cause itching and irritation around the  anus, which can be exacerbated by moisture, friction, or discharge. 
3. Swelling and lumps: External hemorrhoids may cause visible swelling or lumps  around the anus, which can be tender to the touch. 
4. 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.
5. 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. 
6. Mucus discharge: Hemorrhoids can cause mucus discharge from the anus,  which may contribute to itching and irritation. 
7. 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 

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: 

Open Hemorrhoidectomy: 

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. 

Stapler Hemorrhoidectomy: 

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.

Anesthesia

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
  

FAQs