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Haemorrhoidectomy

A haemorrhoidectomy is surgery to treat hemorrhoids or piles. Piles are soft, fleshy lumps that form inside just inside the anus. They easily bleed during bowel movements. Though they are not usually painful, they can cause itching. If the lumps grow, they can protrude outside through the anus in a condition called prolapsed pile. You can feel the lump while cleaning yourself. Hemorrhoids generally develop gradually, over a lengthy duration of time and are often related to constipation. Sometimes, the condition is genetic and made worse by pregnancy.

 

businessman in the toilet with problems of constipation

Treatment

Hemorrhoids can often be dealt with by eating more fiber and more intake of fluid. If these measures do not work, they may be treated with ‘banding’ or dissolving the lumps with injections. If these methods do not work, patients will need to undergo a haemorrhoidectomy to surgically remove the piles.

A haemorrhoidectomy is usually performed under general anesthesia and takes about twenty minutes. The surgeon will usually just cut away the hemorrhoids or use the staple gun technique, which does not create an open wound

Complications

A haemorrhoidectomy may cause the usual complications like pain, bleeding, infection of the surgical wound or blood clots. More serious complications may include the following:

  • Incomplete haemorrhoidectomy
  • Difficulty passing urine
  • Anal stenosis
  • Developing skin tags
  • Developing an anal fissure
  • Incontinence

Recovery

same day. The wound takes several weeks to heal completely. You should drink plenty of water during convalescence. Talk to your doctor about an exercise regime that can help you recover faster.

The hemorrhoids can occasionally redevelop.