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


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.
  • Tell your caregiver if you have any other medical conditions, such as bleeding problems or cancer. Tell him if you have had any anal or rectal surgeries.
  • You may need to take an antibiotic medicine 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 use an endoscope to look inside your bowel and check your hemorrhoids. An endoscope is a long bendable tube with a camera on the 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 be given an enema (liquid medicine put in your rectum) to help empty your bowel.
  • 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.
  • 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.


What will happen:

  • Your caregiver will place a small tool in your anus to keep it open. Incisions will be made in the skin tissue around your hemorrhoid. 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 vessel will be tied to help prevent bleeding. The same steps are done to remove any other hemorrhoids.
  • If you are having a closed hemorrhoidectomy, the incisions will be fully closed with stitches. If you are having an open hemorrhoidectomy, your stitches may be left partially open to allow fluid to drain. A bandage will be rolled up and placed in your rectum. A dry bandage will then be then placed just inside your anus.

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. Do not get out of bed until your caregiver says it is okay. Your caregiver may remove your bandages before you go home.


  • 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.


  • 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.

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.

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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.