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Stapled Hemorrhoidopexy

What you should know

Stapled hemorrhoidopexy is surgery to treat hemorrhoids. It is also called stapled hemorrhoidectomy, or procedure for prolapse of hemorrhoids (PPH). Hemorrhoids are swollen blood vessels inside your rectum or on your anus. A prolapsed hemorrhoid is a hemorrhoid that extends out of 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

  • Too much or too little tissue may be removed during surgery. The stapled skin tissue may detach. Even with surgery, you may get hemorrhoids again. After your surgery, you may have pain, bleeding, bruising, or infection. 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. The tissue in your rectum or anus may have an anal fissure (tear), causing pain or itching. Your anus may also become more narrow.

  • 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.

Getting Ready

The week before your surgery:

  • Bring your medicine bottles or a list of your medicines when you see your caregiver. Tell your caregiver if you are allergic to any medicine. Tell your caregiver if you use any herbs, food supplements, or over-the-counter medicine.

  • You may need to take antibiotics before your surgery. This medicine helps kill bacteria that may cause an infection.

  • You may need to have certain lab tests and x-rays done. Your caregiver may need to look inside your bowel and check your hemorrhoids with a special scope. This scope is a long bendable tube with a camera on its end. Ask your caregiver for more information about these tests and other tests that you may need. Write down the date, time, and location of each test.

  • Write down the correct date, time, and location of your surgery.

The night before your surgery:

  • Ask caregivers about directions for eating and drinking.

The day of your surgery:

  • You or a close family member will be asked to sign a legal document called a consent form. It gives caregivers permission to do the procedure or surgery. It also explains the problems that may happen, and your choices. Make sure all your questions are answered before you sign this form.

  • You may need an enema to empty your bowel before surgery. During this procedure, caregivers will put liquid into your rectum through a tube. This liquid helps you have a bowel movement.

  • Caregivers may insert an intravenous tube (IV) into your vein. A vein in the arm is usually chosen. Through the IV tube, you may be given liquids and medicine.

  • Your caregiver may put antibiotic medicine into your IV before your surgery. Antibiotics may be given to help you treat or prevent an infection caused by bacteria.

  • An anesthesiologist will talk to you before your surgery. You may need medicine to keep you asleep or numb an area of your body during surgery. Tell caregivers if you or anyone in your family has had a problem with anesthesia in the past.

Treatment

What will happen:

You may be placed either on your stomach or face up with your knees bent upwards. A special tool will be placed in your anus to keep it open. Your caregiver will tighten the skin tissue on the wall of your rectum or anal canal. He will staple the base of the hemorrhoid to the wall of your rectum. This will stop the blood flow to your hemorrhoid, which helps decrease swelling. Extra tissue will be taken out and sent to the lab for tests. A small sponge may be put into your anal canal to help stop the bleeding.

After your surgery:

You will be taken to a room where you can rest until you wake up. You may be allowed to go home. If you are staying in the hospital, you will be taken back to your room. Do not try to get out of bed until your caregiver says it is okay.

Contact a caregiver if

  • You cannot make it to your surgery on time.

  • You get a cold or the flu.

Seek Care Immediately if

  • Your hemorrhoids become very painful.

  • Your hemorrhoids begin to bleed and do not stop.

© 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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