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Introduction to Haemorrhoidectomy – the surgical solution for haemorrhoids

Most small or moderate sized haemorrhoids can be treated using a very straightforward procedure known as 'banding'. However very large or complex haemorrhoids cannot be treated this way and a haemorrhoidectomy procedure is necessary, where surgical removal of the haemorrhoids is conducted under a general anaesthetic in the operating theatre.

A haemorrhoidectomy generally involves the removal of multiple haemorrhoids, after which the incisions are closed with stitches internally. Externally the incisions are not stitched and instead left to heal naturally.

Unlike the banding technique, recovery from the procedure can take many weeks and involves an extended period of pain in the area as the wounds heal. It is however the most effective long-term treatment for large haemorrhoids.

The procedure is conducted as day surgery and takes around 40 minutes to complete.

After a few hours of observation, most patients are able to return home the same day. To help with the pain, patients receive a prescription for pain medication, for example oxycodone, for when any pain returns after the procedure.

Postoperative Instructions

The following information has been put together so that you know what to expect after an haemorrhoidectomy

Pain management

During the operation you were provided with some pain relief medication, but this wears off after a few hours and it is important to have pain medication available for when this happens. It is much better to take pain medication as the pain begins to return rather than wait until it is severe. Unless you have been given different specific instructions, we recommend the following regime...

Two (500mg) Paracetamol tablets every four to six (4-6) hours.

Two (200mg) Ibuprofen tablets every six to eight (6-8) hours (check with your surgeon first that you can take this).

If pain continues beyond this period, or if it becomes severe, you should contact your surgeon.

Another effective option for dealing with any pain in the anal area is to take salt baths two or three times a day and after any bowel movements. All you need to do is add a handful of table salt to a shallow bath - the salt helps keeps the wound clean.

Another effective option for dealing with any pain in the anal area is to take salt baths two or three times a day and after any bowel movements. All you need to do is add a handful of table salt to a shallow bath - the salt helps keeps the wound clean.

Wound dressings

After surgery to the anal region, any incisions or wounds are generally allowed to heal naturally as closure with stitches can increase infection risk. Instead incisions and wounds are dressed after the procedure in the operating theatre. You should then...

  • wait until the evening on the day of surgery to remove any dressing / s - these will come off reasonably easily in a shower or bath.
  • not need to put any other dressing / s on after these have come off.
  • wear an absorbent pad in your underwear - this will absorb any small leakage from the wound.
  • use a barrier cream (such as Vasoline or Bepanthen) to prevent any fluid from the wound from irritating the skin around the anus.

Bowel Activity

It is very common to experience some pain when going to the toilet for about a week after the procedure, and there may be some blood either appearing on toilet paper or in the toilet bowl, however otherwise everything should be functioning as normal. It's best to avoid getting constipation, as hard stools will cause more pain.

When you should get in contact with your surgeon

Most surgical procedures are uneventful, with minimal complications. However, you need to be aware of the following symptoms as they may indicate a developing serious complication...

  • Fever.
  • Excess bleeding.
  • Difficulty urinating.
  • Severe or increasing pain.

If you experience any of these symptoms or have any concerns after your surgery, please contact the rooms on 07 5598 0955 for advice.

A postoperative appointment will be made for you before you are discharged from hospital. If you are discharged on a weekend, after normal surgery hours or it is not clear what follow up appointments are required, then contact the rooms the next working day to make an appointment. For your convenience, our surgeons are located at several hospitals across the Gold Coast.

Resuming day-to-day activity

It is sensible to take a break from your normal routine (including work) for at least four days after the procedure, since it is likely you will be in some pain during this time. Anything more vigorous than normal domestic activity, for example sport or heavy manual work, should not be resumed for 2-3 weeks after surgery, and then in a gradual fashion.

Caring for Patients Across the Gold Coast

Call 07 5598 0955 to book a consultation regarding haemorrhoids with one of the dedicated surgeons at Core Specialist Group at our Gold Coast location, contact our friendly staff to enquire how we can best help you.