Hemorrhoid surgery

Definition

Hemorrhoid surgery is the removal of enlarged veins around the anus (hemorrhoids).

Alternative Names

Hemorrhoidectomy

Indications

Hemorrhoid removal may be recommended when nonsurgical treatment (fiber-rich diet, laxatives, stool softener, suppositories, medications, warm baths) has not provided adequate relief from:

  • Persistent itching
  • Anal bleeding
  • Pain
  • Blood clots (thrombosis of the hemorrhoids)
  • Infection

Convalescence

The patient may experience considerable pain after surgery as the anus tightens and relaxes. Medications to relieve pain may be used. To avoid straining, stool softeners will be used. Avoid any straining during bowel movement or urination. Soaking in a warm bath can bring additional comfort. Expect complete recovery in about 2 weeks.

Expectations after surgery

The outcome is usually very good in the majority of cases. Preventive measures such as adherence to a high fiber diet, and avoiding constipation must be taken to prevent recurrence.

Risks

Risks for any anesthesia are:

  • Reactions to medications
  • Problems breathing
Risks for any surgery are:
  • Bleeding
  • Infection
Additional risks include possible narrowing (stricture) of the anus.

References

Feldman M, Friedman LS, Sleisenger MH, eds. Sleisenger & Fordtran's Gastrointestinal and Liver Disease. 8th ed. Philadelphia, Pa: WB Saunders; 2006.Rakel P, ed. Conn's Current Therapy 2007. 59th ed. Philadelphia, Pa: WB Saunders; 2007.
Hemorrhoid surgery - series
Hemorrhoid surgery - series
Review Date: 7/25/2007
Reviewed By: Robert A. Cowles, MD, Assistant Professor of Surgery, Columbia University College of Physicians and Surgeons, New York, NY. Review provided by VeriMed Healthcare Network.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
adam.com