Hemorrhoidectomy

WHAT YOU SHOULD KNOW:

A hemorrhoidectomy is surgery to remove hemorrhoids. Hemorrhoids are swollen blood vessels inside your rectum or on your anus.


CARE AGREEMENT:

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

RISKS:

  • After your surgery, you may have nausea or vomiting. A small piece of skin may extend outside of your anus. The area where your hemorrhoids were removed may bleed or get an infection. You may have an anal fissure (tear), which may cause pain or itching. Your anus may become more narrow. It may be hard to urinate or have a bowel movement. You may be unable to control your bowel movements, gas, or urine. You may have pain during your bowel movements.

  • You may get a blood clot in your leg or arm. The clot may travel to your heart or brain and cause life-threatening problems, such as a heart attack or stroke. It is possible that you will get a serious infection in your blood. You may bleed, and not be able to stop it. You may need another surgery to fix some of these problems. Even with surgery, you may get hemorrhoids again. Without surgery, your hemorrhoids may bleed and become more painful.

WHILE YOU ARE HERE:

Before your surgery:

  • Informed consent is a legal document that explains the tests, treatments, or procedures that you may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done. Make sure all your questions are answered.

  • An IV is a small tube placed in your vein that is used to give you medicine or liquids.

  • Antibiotics: This medicine is given to help treat or prevent an infection caused by bacteria.

  • Enema: You may be given an enema (liquid medicine put in your rectum) to help empty your bowel.

  • Pre-op care: You may be given medicine right before your surgery. This medicine may help make you feel relaxed and sleepy. You may be asked to lie on your stomach or on your back. If you are asked to lie on your back, your legs will be placed up in stirrups. Your buttocks may be raised slightly. Tape will be used to separate your buttocks and expose your anus.

  • Anesthesia: This is medicine to make you comfortable during the surgery. Caregivers work with you to decide which anesthesia is best for you.

    • Local anesthesia: Your caregiver may give you an injection of numbing medicine into the skin of your rectum. Medicine to decrease bleeding may be added.

    • General anesthesia will keep you asleep and free from pain during surgery. Anesthesia may be given through your IV. You may instead breathe it in through a mask or a tube placed down your throat. The tube may cause you to have a sore throat when you wake up.

    • Regional anesthesia: Medicine is injected to numb the body area where the surgery or procedure will be done. You will remain awake during the surgery or procedure.

During your surgery:

  • Your caregiver will place a small tool in your anus to keep it open. A suction tool may be used to remove bowel movement and mucus inside your rectum. Your rectum will be washed with a germ-killing solution. A numbing medicine is then put on the rectal or anal wall with the hemorrhoid. Incisions will be made in the skin tissue around your hemorrhoid, and your caregiver will clamp your hemorrhoid. He will then use a knife, special scissors, or cautery (a tool that heats the tissue) to remove the hemorrhoid. The swollen blood vessels will be tied to prevent bleeding.

  • The same steps will done to remove any other hemorrhoids. If you are having a closed hemorrhoidectomy, the cuts will be closed with stitches. If you are having an open hemorrhoidectomy, your stitches will left partially open to allow fluid to drain. A bandage will be rolled up and placed put into your rectum. A dry bandage is then placed just inside your rectum.

After your surgery:

You will be taken to a room where you can rest until you wake up. If you are staying in the hospital, you will be taken back to your room. Your caregiver may remove your bandages soon after surgery to check your wound. Do not get out of bed until your caregiver says it is okay. Your caregiver may give you more than one of the following:

  • Pain medicine: You may be given a prescription medicine to decrease pain. Do not wait until the pain is severe before you ask for more medicine.

  • Stool softeners: This medicine makes it easier for you to have a bowel movement. You may need this medicine to treat or prevent constipation.

  • Antibiotics: This medicine is given to help treat or prevent an infection caused by bacteria.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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