Posted by: nbaground on: January 25, 2010
When hemorrhoids come in view in a third or fourth stage and cannot be treated with usual medicine and procedures, a surgery is used called hemorrhoidectomy to remove these hemorrhoids. In most cases the operation is used for internal hemorrhoids, but could even be effective for other hemorrhoids if these have not been cured accordingly.
This surgery is carried out using anesthesia; these can be local anesthetic (a numbing injection into the direct part) spinal anesthetic (anesthetizing the patient from the waist down) or normal anesthetic (leaving the patient unconscious). The doctor will decide which of these is best for the patient, depending on the patients health and the condition of the hemorrhoids. Even the patients' say is considered when using any sorts of anesthesia.
The surgeons almost always advise that the patients does not eat or drink anything at least twelve hours before the operation, this will prevent that the patients vomits throughout the operation and even after. Other tests are normally taken before the operation too, including blood samples, urine samples, aspirins which help thin out the blood of the patient and if the patient is in bad health, an x-ray test will take place.
The hemorrhoidectomy surgery itself if a quite simple process which can last from 1-1 1/2 hour, once all of the earlier tests have been completed and cleared. The patient will be placed on an operating bed, laying face down. Stirrups hare used to hold the legs slightly high in order that the buttocks, anus and rectum are easily seen. Soon after the anesthesia has taken effect on the patient the operation will start by clamping and tying the hemorrhoid to prevent bleeding and then taken out.
After the operation, the patient is kept under observation for some time, after ensuring that the patient is in good situation, that there are no signs of anesthesia and the patient is capable to pass the urine, making sure there is no swelling in the tissues that will not permit them to do so; the patient will be sent home as an outpatient. If there are any problems after the surgery, then the surgeons will hospitalize the patient for one night for observation.
After effects of the operation are to be anticipated and because of this the doctor will prescribe some relief tablets for the patient. Blood in stools is even common after the operation and bleeding when trying to move guts. There are numbing tablets that help when trying to move bowels after the surgery and if asked for, it can be given. Antibiotics are even advised to prevent any illness that may appear.
Regular check ups with the doctor is necessary after surgery, but even care at home is advised. At times stool softener medication assists while passing stools as does eating food with a high fiber count. Short walks a couple of times a day and warm baths help to erase any ache and uneasiness that might occur after the operation.
As each person knows, there can be some risks after having an operation and these may happen in early stages and late stages. The difficulties which may take place in an early stage can be hematoma, when the blood clots close to the operated part, incontinence, some bleeding and sometimes infections. The problems in the later stage can appear as the recurrence of the hemorrhoid, rectal prolapse and extreme bleeding. Regular checks with the surgeon can spot these problems before they worsen.
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