The Haemorrhoidectomy operation

The doctor who is performing the procedure will explain what they are going to do, and will ask for your written consent to perform the procedure. This procedure is performed on grade 3-4 haemorrhoids

1. If you understand both what procedure you are going to have performed and have been told of the risks involved with the procedure then you sign the consent form
2. You will be asked to remove your clothes and put on a gown
3. Prior to going to theatre you will have discussed which anaesthetic is suitable for you with the anaesthetist.
4. You will be escorted to the theatre where you will then have either a general or spinal anaesthetic
5. You will be positioned either on the operating table with stirrups for your feet called the lithotomy position. Or on your front with your bottom raised it will depend on the location of the haemorrhoids. ( it will seem all a bit undignified but you will have either a sheet or blanket covering you until the procedure begins
6. You will have sterile drapes put over you to maintain a sterile field for the surgeon
7. An antiseptic/bacterial solution will be painted around the perineal area to eliminate germs from the skin surface
8. An instrument called a proctoscope will be gently placed in your anus so the doctor will be able to have a good view the haemorrhoid. This will have a light attached so the surgeon may see easily.
9. Local anaesthetic and a blood vessel constrictor will be injected around the haemorrhoids to be treated this will give pain relief to the area as well as reducing the blood flow.
10. The surgeon will then excise (cut away) from the base of the haemorrhoid carefully sealing bleeding vessels with cautery (burn) from the diathermy.
11. Sutures(stitches) are used to tie off larger blood vessels and the haemorrhoid is removed.
12. once the operation is completed non adhesive dressing will be placed around the anus, with dressing gauze and a large sanitary pad this will be taped in position
13. You will be placed on your side after the procedure to cause your buttocks to press together helping with the pressure which reduces bleeding.
14. When you are in recovery the wound site will be inspected frequently to check on bleeding a small amount is expected but larger quantities may require a surgical assessment.
15. 24 hours after the operation the dressings will be removed and you will be encouraged to take a bath.
16. Normal bowel habits should be resumed as soon as possible, and you will be encouraged to eat finer rich foods and drink plenty of fluids. The first bowel movement is often dreaded due to pain however it is important that you open your bowels regularly to prevent constipation.

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donna@gigaalaser.com