Hemorrhoidectomy is a surgical procedure employed to remove hemorrhoids, which are swollen, enlarged and inflamed clusters of veins combined with connective tissues and smooth muscles. They are located and found around the anus at the lower portion of the rectal area. “Piles” is also the other name given to this medical condition.
A general surgeon (board certified and who completed a one year advanced training in rectal and colon surgery) is the qualified person capable of doing the surgical hemorrhoidectomy procedure. The board certified doctor must also be a surgeon duly certified by the board of American rectal and colon surgeons. The surgical procedure can be done in either of the following:
•Outpatient clinic
•Surgeon’s office
•Ambulatory surgery center
Before seeking treatment for hemorrhoids and undergoing surgical procedure, you must ask your doctor any or all of the foregoing questions to better understand your condition and the procedure to be done.
•How many hemorroidectomy surgeries have you done?
•How many patients did you have that recovered from hemorrhoids without being surgically operated?
•Did you have patients who reported complications from the surgical procedure, what was the complication about?
•What are the probabilities that recurrence of the removed hemorrhoid will return?
It is important to raise the above issues with your doctor to expand your options on whether to push through with the surgery or not.
When to have an hemorrhoidectomy
The surgical procedure of hemorrhoidectomy is necessary in the instances following:
•Presence of very large internal type of hemorrhoidal tissue incapable of being treated with alternative non-surgical methods.
•Presence of internal hemorrhoidal mass that causes symptoms despite having gone through non-surgical treatments.
•Presence of external hemorrhoidal tissues that are very large and poses difficulty in keeping clean the anal area.
•Presence of both internal and external type of hemorrhoidal tissues
•Has had other hemorrhoidal treatments that failed.
Risks and after effects of the surgery
Changing of bowel movement habits is paramount to preventing the recurrence of hemorrhoid condition after surgery. Statistically, 5 out of a hundred individuals have a hemorrhoidal recurrence after their surgical procedure.
Risk and side effects of the surgical procedure may include any of the following:
•Bleeding, pain and the inability to urinate leading to urinary retention
•Anal area bleeding
•Development of hematoma in the surgical area as a result of the collection of blood at the surgical site
•Incontinence
•Infection
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