Hemorrhoidectomy: A Permanent Solution for Severe Hemorrhoids at WIH International Hospital

Living with the discomfort and pain of severe hemorrhoids (piles) can significantly impact your quality of life. At WIH Hospital, our distinguished team of colorectal surgeons specializes in advanced hemorrhoidectomy procedures, offering a definitive solution for persistent or complex hemorrhoids.

Understanding Hemorrhoids and Hemorrhoidectomy

 What are hemorrhoids (Piles)?

     Hemorrhoids, commonly known as piles, are swollen and inflamed veins located in the lower part of your rectum and anus.

     Hemorrhoids are often caused by increased pressure in the lower rectum due to factors such as chronic constipation or diarrhea, straining during bowel movements, prolonged sitting, pregnancy, obesity, and a low-fiber diet.

  • Internal Hemorrhoids: These develop inside the rectum and are usually not visible or palpable from the outside. They are typically painless but may cause bleeding during bowel movements.
  • External Hemorrhoids: These develop under the skin around the anus. They can cause itching, pain, and sometimes bleeding as blood clots.
  • Prolapsed Hemorrhoids: Internal hemorrhoids that enlarge and protrude outside the anal sphincter. These can be painful and may bleed.

Signs and Symptoms of Hemorrhoids (Piles)

  • Rectal Bleeding
  • Anal Itching
  • Anal Pain or Discomfort
  • Swelling or Lumps Around the Anus
  • Mucus Discharge
  • Sensation of Incomplete Bowel Evacuation
  • Prolapse

What Is Hemorrhoidectomy?

A hemorrhoidectomy is a surgical procedure to remove hemorrhoids (Piles), particularly those that are large, severe, or do not respond to non-surgical treatments. It is considered the most effective and definitive treatment for advanced or recurrent hemorrhoidal disease.

 

Who Needs a Hemorrhoidectomy?

  • Large, symptomatic external hemorrhoids
  • Grade III or Grade IV internal hemorrhoids
  • Persistent symptoms
  • Thrombosed external hemorrhoids
  • Combined internal and external hemorrhoids

At WIH International Hospital, our colorectal specialists carefully evaluate each patient to determine the most appropriate treatment.

Diagnosing The Hemorrhoids

  • The surgeon will discuss symptoms in detail and also review bowel habits, diet, lifestyle, and any past medical conditions or treatments.
  • The surgeon will visually examine the anal area for external hemorrhoids, skin tags, fissures, or other abnormalities.
  • Anoscopy/Proctoscopy is inserted a few inches into the anal canal and rectum to directly visualize internal hemorrhoids and assess their size and grade.

Pre-operative and post-operative Care

     Pre-operative Care

  • The nurses will guide for bowel preparation using enemas or laxatives.
  • Follow all fasting instructions.
  • Stop smoking 1-2 weeks before the surgery.
  • An intravenous (IV) line will be inserted to administer fluids and medications.

     Post-operative Care

  • Our experienced nurses will monitor the patient in the recovery room.
  • The surgeon will prescribe medication for pain and discomfort.
  • Our nursing staff will provide the instructions on how to care for the anal area. This usually involves keeping the area clean and dry. Sitz baths (sitting in a shallow bath of warm water) are often recommended several times a day.
  • The patient will typically start with fluids and progress to a soft or regular diet.

Recovery Timeline 

  • Week 1: Maintain a high-fiber diet and drink plenty of fluids.
  • Week 2: The patient can return to light work (desk job) but avoid heavy lifting.
  • Weeks 3-4: The patient can gradually increase activity levels, including more moderate exercise.
  • 4-6 Weeks: Resume all normal activities and maintain good bowel habits (high fiber, hydration).

Benefits of Hemorrhoidectomy

  • Definitive Symptom Relief (Pain and discomfort, Bleeding, Itching, irritation, and Prolapse)
  • Elimination of Problematic Hemorrhoidal Tissue
  • Reduced Risk of Recurrence
  • Prevention of Complications
  • Long-Term Solution
  • Improved Quality of Life

Why Choose WIH International Hospital?

At WIH International Hospital, we specialize in minimally invasive surgical techniques and patient-centered care. Our experienced surgical team ensures:

  • Precise diagnosis and personalized treatment plans

  • Modern operating facilities

  • Post-operative support and care

  • Privacy and comfort throughout your recovery

FAQ

Hemorrhoidectomy is usually performed under general anesthesia. The anesthesiologist will discuss the best option for you.

Many hemorrhoidectomies can be performed as a day-case procedure, meaning you go home the same day. Some patients, or those undergoing more extensive surgery, may require an overnight stay for pain management and observation.

Full recovery can take 2 to 6 weeks, or sometimes longer, for complete comfort. Most people can return to light activities and desk work within 1-2 weeks, but strenuous activities should be avoided for 3-4 weeks or as advised by your surgeon.

If you have a closed hemorrhoidectomy, absorbable sutures are typically used, which dissolve on their own and do not require removal.

The surgeon will prescribe stool softeners and recommend a high-fiber diet and plenty of fluids to make bowel movements as soft and easy as possible. Taking pain medication about 30 minutes before attempting a bowel movement can also help.

A sitz bath involves sitting in a shallow basin of warm water for 10-15 minutes. It helps to relieve pain, reduce swelling, and keep the anal area clean after surgery. They are typically recommended several times a day and after each bowel movement.

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