Hemorrhoids are also known by the name of piles are the result of swollen veins located in the lower rectum, or the anus. They can trigger irritation, itching, bleeding and, sometimes, extreme pain when bowel movements occur. While many cases can be managed through home remedies and lifestyle changes, some require more intensive treatments–especially when symptoms become chronic or severe. This is where treatment for hemorrhoids surgery becomes necessary. In cases where treatment for hemorrhoids surgery is needed, understanding the procedure is crucial.
Surgery is usually viewed as an option last resort if conventional treatments like topical ointments and sitz baths and diet changes do not work. For many who require long-term relief, surgery can provide and a better health. Understanding the treatment for hemorrhoids surgery is important for patients. Let’s look at why hemorrhoid surgery might be required as well as the surgical options available and what the patients can anticipate during their recuperation, including the necessary treatment for hemorrhoids surgery.
Why Surgery for Hemorrhoids is Sometimes Necessary
There are not all hemorrhoids that require surgery. However, some cases require medical attention:
1. Chronic or Severe Hemorrhoids
If hemorrhoids continue to recur for more than a few weeks, or persist, surgery could be the most effective treatment.
2. Prolapsed Hemorrhoids
These are internal hemorrhoids which are pushed through the anal opening. At times they might not retract by themselves creating discomfort and health issues.
3. Thrombosed Hemorrhoids
A hemorrrhoid with thrombosis has a blood clot which creates extreme discomfort and inflammation. Although minor thromboses can be treated through conservative treatment, more severe ones usually necessitate surgical draining or elimination.
4. Heavy Bleeding
The persistent bleeding in the rectal area from hemorrhoids can cause anemia and interfere with everyday life which is why surgical treatment is required.
5. Failed Non-Surgical Treatments
When changes in lifestyle, medication as well as outpatient procedures like sclerotherapy or rubber band ligation do not work, surgery is the next step.
Types of Hemorrhoid Surgery
When considering treatment for hemorrhoids surgery, it’s essential to weigh all available options and discuss them with a healthcare provider.
There are many types of hemorrhoid surgery, each one suited to the specific needs of the patient. Here are the most commonly used types:
Patients should fully understand the implications of treatment for hemorrhoids surgery, including recovery times and post-operative care.
1. Hemorrhoidectomy
This involves the surgical removal of hemorrhoids. This is the most effective technique to treat severe or large external and internal hemorrhoids. The procedure can be done under general, spinal or local anesthesia.
- Open Hemorrhoidectomy: This involves the removal of the hemorrhoidal tissue while leaving the wound to heal naturally.
- Closed Hemorrhoidectomy The wound is stitched shut after removal.
- Stapled Hemorrhoidopexy Also called PPH (Procedure of Prolapse and Hemorrhoids) This procedure will be more comfortable and quicker to heal from, however it might not be appropriate in all situations.
Pros :High efficacy, low Recurrence rates
Cons: Recovering pain Risk of complications such as bleeding or urinary retention.
2. Laser Hemorrhoid Surgery
Laser treatment for hemorrhoids is an minimally-invasive procedure that utilizes high-energy light sources to reduce or eliminate the hemorrhoidal tissue.
Pros: Less pain, minimal bleeding, faster recovery
Cons: Could be more expensive and limited to specific types of hemorrhoids.
3. Doppler-Guided Hemorrhoidal Artery Ligation (DGHAL)
This process involves the tying off of the blood vessels that supply fluid to the hemorrhoid with Doppler ultrasound.
Pros: Less invasive, less postoperative pain
Cons: Not appropriate for hemorrhoids with prolapse.
Preparing for Hemorrhoid Surgery
Prior to undergoing surgery, patients typically require:
-
- A full medical assessment
- How to stop the use of blood thinners
- A bowel prep day prior to (if recommended by the surgeon)
- The procedure should be completed 6-8 hours after the procedure
It’s advisable to have a discussion with your doctor about the treatment for hemorrhoids surgery prior to any procedures.
- A well-planned preparation can ensure the safety of your surgery as well as a more smooth recovery.
What to Expect After Hemorrhoid Surgery
1. Postoperative Pain
It is normal to experience pain, particularly when bowel movements occur. Softeners for stool and pain medication are commonly prescribed.
2. Wound Care
Maintaining the area clean and dry is vital. Bathing several times per day may help in the healing process and relieve pain.
3. Dietary Changes
Patients must adhere to a high-fiber food plan and consume plenty of fluids to avoid constipation that can cause pain at the site of surgery.
4. Recovery Time
Most people can return to work within a couple of weeks, however the healing process may take up to up to 4-6 weeks, depending on the kind of procedure.
5. Follow-Up
A follow-up appointment with the surgeon will ensure that the wound is healing correctly and also checks for any complications such as bleeding or infection.
Risks & Complications
As with all surgical procedures the hemorrhoid procedure comes with dangers, such as:
- Infection
- Bleeding
- Anal stricture (narrowing of the anal canal)
- Urination difficulty
- Hemorrhoid recurrence
However, thanks to modern methods and highly skilled surgeons, complications are very rare and easily treated.
Advantages of Surgical Treatment for Hemorrhoids
- For long term relief of chronic aches and pains
- Better quality of life
- Recurrences less frequent compared to non-surgical alternatives
- Proactive for prolapsed and severe hemorrhoids that are protracted and severe.
Conclusion
Although surgery isn’t always the first choice to treat hemorrhoids it’s usually the most effective treatment for chronic, painful or prolapsed hemorrhoids. If you’ve tried other treatment options but haven’t had much success, consulting an expert in colorectal surgery about treatment for hemorrhoids surgery may be the next option.
Modern methods like laser hemorrhoid surgeries and hemorrhoidopexy with staples has made the process easier and quicker to heal from. However, selecting the correct type of surgery is dependent on your particular health and medical background.
Consult a professional to discuss your issues and get the proper diagnosis and be aware of the options available for treatment for hemorrhoids surgery. If you take the proper care the hemorrhoid procedure could be life-changing, providing lasting relief and restoring your peace of mind.