A hemorrhoidectomy is a surgery to treat hemorrhoids. To this end, proper resection techniques, stapling and sterilization is needed for successful treatment. This kind of procedure treats the symptoms caused by hemorrhoids. General Surgery in Chicago IL is usually indicated in the following situations:
• Failure with clinical treatment
• Hemorrhoids
• Internal bleeding
• External hemorrhoids with recurrent thrombosis
• Prolapse that generates symptoms that interfere with quality of life
• Persistent bleeding that causes anemia
• Necrosis
• Swelling sharp when using the bathroom
• Chronic pain
Contraindications
Bleeding after defecation and anal pain may indicate the presence of hemorrhoids. Fecal occult blood tests investigate diseases of the colon and rectum. Other contraindications for a hemorrhoidectomy are:
• Abscess
• Gangrene, extensive and local
• Anal stenosis
• Fecal incontinence
• Crohn’s Disease
• Severe immunosuppression
Preoperative tests and preparation
Patients younger than 40 years and without comorbidities just need blood tests. If a patient is over 40 years of age, it is customary to ask for an electrocardiogram, chest x-ray, and other examinations. For most cases, however, a sigmoidoscopy is required. It is necessary to provide a period for recovery, ranging from 5 to 15 days in each case. Fasting 8 hours for solid food and 4 hours for water is also advised. Prior consultation with the anesthesiologist is required as well. It is recommended to perform the surgery with specialized professional.
How does the procedure work?
The most commonly used method consists of resection (removal) of hemorrhoidal tissue. The position of the patient on the operating table can be prone (face down) or in a gynecological position. There are professionals who use electric scalpels; others use a common scalpel. The style of closure (suturing) is also left up to the surgeon.
Currently, there is also the technique of PPH (mucosal resection of rectal suspension by stapling). It is a General Surgery in Chicago IL technique that uses a stapler with metal staples. This technique is suitable for large prolapses, and it has the advantage of being less painful. A Doppler is indicated only for internal hemorrhoids, where the procedure is conducted with an anoscope, which is a flexible stem the thickness of one centimeter which contains an ultrasound (Doppler) to assist the surgeon in identifying arteries.
