A hemorrhoidectomy is the extraction of hemorrhoids from a patient while under anesthesia. There are different kinds of hemorrhoidectomies, and depending on the situation, there are different types of anesthesia used for the procedures.
The basic hemorrhoidectomy lasts about 1 to 2 hours. It requires the patient to either lie on their stomach with their backside (buttocks) slightly raised, or to lie on their backs with their legs in stirrups to expose the anus and rectal area.
The anesthesia chosen for this procedure is usually based on three things: the patients’ personal or health preference, the length of the operation, and the surgical preference of the doctor. There are also three different types of anesthesia that can be chosen for a hemorrhoidectomy. The first is general anesthesia in which the patient is rendered unconscious. The second is spinal anesthesia in which the patient is numbed from the waist down. The third is local anesthesia in which the area is directly injected with a numbing agent.
When the anesthesia sets in, the rectal area is cleaned with antiseptic. The hemorrhoids are then clamped and cut off. The wounds are stitched up and covered with antibiotic ointment and gauze.
The hemorrhoidectomy procedure is usually recommended only in very severe cases, being that the healing process is long and very painful. It also comes with high risks, such as not being able to urinate and/or getting urinary tract infections. The hemorrhoidectomy surgery is also possibly linked to the loss of bladder control in later life.
Stapled hemorrhoidectomy or PPH (procedure for prolapsed hemorrhoids) is a newer procedure in hemorrhoid surgery. Developed in the early 1990’s, this hemorrhoid surgery is far less painful and the recovery time is much quicker than the basic hemorrhoidectomy. Rather than having the hemorrhoid cut off directly, the tissue supporting the hemorrhoid is removed. The surgery lasts from 15-30 minutes and the wounds heal very quickly. This hemorrhoid surgery procedure has become the most popular over the years. It is used for hemorrhoids in the third and fourth degree stages in which they have prolapsed or fallen out of the anus.
The risks of stapled hemorrhoidectomy can be: damage to the sphincter muscle and rectal wall, infection of the pelvic area and incessant pain. The hemorrhoids may also reappear. Possible rectum prolapse may occur as well.
Recovering from hemorrhoid surgery is one of the most painful medical conditions affecting the rectal area. The second is claimed to be anal abscesses, and the third is the hemorrhoidectomy fissure.
Anal fissures and hemorrhoids are often confused. Seeing a doctor would be the wisest decision you can make when feeling any pain or seeing any blood in the rectal area. NEVER wait to see a physician because:
1. If you indeed have hemorrhoids and put off seeing your physician for a proper diagnosis, they will generally become more souiver as well as extremely painful. Remember, waiting to see a doctor will only increase your chances of needing some form of hemorrhoid surgery
written by David Gilbert
©2009 Hemorrhoid Information Center -H.I.C. Digestive Health