Hemorrhoids Cure
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angie (68)
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Hemorrhoidectomy is surgery to remove hemorrhoids. You will be given general anesthesia or spinal anesthesia so that you will not feel pain.
Incisions are made in the tissue around the hemorrhoid. The swollen vein inside the hemorrhoid is tied off to prevent bleeding, and the hemorrhoid is removed. The surgical area may be sewn closed or left open. Medicated gauze covers the wound.
Surgery can be done with a knife (scalpel), a tool that uses electricity (cautery pencil), or a laser.
The operation is usually done in a surgery center. You can usually go home the same day (outpatient). People older than age 70, those who are in poor health, pregnant women, people who do not have someone at home to help, and those who live more than an hour away from the surgical center will usually be briefly hospitalized for surgery.
Doctors are studying a new procedure that uses a stapling device to remove hemorrhoidal tissue and close the wound. No incision is made. Two well-designed studies (randomized, controlled trials) have shown that the technique results in less pain after surgery compared with traditional hemorrhoid surgery. However, long-term effectiveness and pain relief are not known. Another study has reported that nearly a third of the people who had surgery with this technique developed pain more than 6 months after surgery. More studies are needed before doctors know the long-term effects of this technique.
What To Expect After Surgery
Recovery takes about 2 to 3 weeks.
Going home after surgery
Before the surgery, you will be given a long-acting local anesthetic. It should last 6 to 12 hours to provide pain relief after surgery. If you are not going to stay in the hospital after surgery, you will be released after the anesthesia wears off and you have urinated. Inability to urinate (urinary retention) sometimes occurs because of swelling (edema) in the tissues or a spasm of the pelvic muscles. This complication occurs in about 20% of people who have a hemorrhoidectomy.
Someone should drive you home.
Care after surgery
You can expect some pain after surgery. You will be given a prescription for pain medication.You should not take aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen for 10 days after surgery because of the risk of excessive bleeding.
Some bleeding is normal, especially with the first bowel movement after surgery.
You may apply numbing medications before and after bowel movements to relieve pain.
Ice packs applied to the anal area may reduce swelling and pain.
Frequent soaks in warm water (sitz baths) help relieve pain.
Some doctors may recommend that you take an antibiotic (such as metronidazole) after surgery to prevent infection and reduce pain.
Health professionals recommend that you take stool softeners that contain fiber to ensure smooth bowel movements. Straining during bowel movements can cause hemorrhoids to recur.
Follow-up exams with the surgeon usually are done 1 week and 3 weeks after surgery to check for problems.
Why It Is Done
Hemorrhoidectomy is appropriate when you have:
Very large internal hemorrhoids.
Internal hemorrhoids that still cause symptoms after nonsurgical treatment.
Large external hemorrhoids that cause significant discomfort and make it difficult to keep the anal area clean.
Both internal and external hemorrhoids.
How Well It Works
Hemorrhoids recur 5% to 8% of the time after hemorrhoidectomy.
Hemorrhoidectomy is done with equal success using traditional surgical tools and lasers.
Risks
Pain, bleeding, and an inability to urinate (urinary retention) are the most common side effects of hemorrhoidectomy.
Other relatively rare risks include the following:
Early problems
Bleeding from the anal area
Collection of blood in the surgical area (hematoma)
Inability to control the bowel or bladder (incontinence)
Infection of the surgical area
Stool trapped in the anal canal (fecal impaction)
Late problems
Narrowing (stenosis) of the anal canal
Recurrence of hemorrhoids
An abnormal passage (fistula) that forms between the anal or rectal canal and another area
What To Think About
The success of hemorrhoidectomy depends largely on your ability to make changes in your daily bowel habits that will make passing stools easier. Hemorrhoidectomy may provide better long-term results than procedures that cut off blood flow to hemorrhoids (fixative procedures). However, surgery is more costly, has a greater risk of complications, and usually is more painful.
Most internal hemorrhoids improve (they get smaller and discomfort decreases) with either home treatment or fixative procedures. When compared with surgery, fixative procedures involve less risk, are less painful, and require less time away from work and other activities.
Surgery is not recommended for small internal hemorrhoids (unless you also have large internal hemorrhoids or internal and external hemorrhoids).
Lasers are often advertised as being a less painful, faster-healing method of removing hemorrhoids. None of these claims have been proven. Lasers are more expensive than traditional techniques. The procedure takes longer, and it may cause deep tissue injury.
YES, THEY CAN COME BACK AGAIN AND AGAIN…not much fun is it ?
The annoying thing is : some people never get them at all..
Yes, I believe that they can keep coming back.
yes, sadly they do.
Unfortunately, no fix is permenant.
It’s just like if you have cancer; you can get it again.