Daus Mahnke, MD
A hemorrhoidectomy is an operation to remove hemorrhoids.
are swollen veins located in or around the anus and rectum. Hemorrhoids can cause discomfort, pain, or bleeding.
Hemorrhoidectomy is used to treat painful, swollen hemorrhoids. The procedure is most often done for the following reasons:
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:
Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications such as:
Other factors that may increase your risk of complications include:
Your doctor may do the following:
Leading up to the procedure:
Your surgery will be done using either:
Discuss these options with your doctor before the day of your surgery.
An anoscope will be inserted into your anus. The doctor will be able to see the hemorrhoids through the scope.
An incision will be made around each hemorrhoid. The swollen vein inside the hemorrhoid will be tied off so that it does not bleed. The hemorrhoid will then be removed. The wounds will either be stitched closed or left open to heal.
There are other variations of this procedure. Ask your doctor to describe which procedure will be used.
You will be monitored in a recovery area for a few hours.
About 1-2 hours
You should not feel pain during the procedure. After the procedure, you might have pain in the area. Ask your doctor about medication to help with the pain.
During your stay, the hospital staff will take steps to reduce your chance of infection such as:
There are also steps you can take to reduce your chances of infection such as:
Be sure to follow your doctor's
instructions, which may include:
Complete recovery will take 2-3 weeks. If your hemorrhoids come back, let your doctor know.
Call your doctor if any of the following occurs:
If you think you have an emergency, call for medical help right away.
American Gastroenterological Association
American Society of Colon and Rectal Surgeons
The Canadian Association of Gastroenterology
The College of Family Physicians of Canada
Hemorrhoids. EBSCO DynaMed website. Available at:
http://www.ebscohost.com/dynamed. Updated March 21, 2013. Accessed May 23, 2013.
Living with hemorrhoids. American Gastroenterological Association website. Available at:
http://www.gastro.org/patient-center/digestive-conditions/hemorrhoids. Published April 25, 2010. Accessed May 23, 2013.
6/2/2011 DynaMed's Systematic Literature Surveillance
http://www.ebscohost.com/dynamed: Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO.
Smoking cessation reduces postoperative complications: a systematic review and meta-analysis.
Am J Med. 2011;124(2):144-154.e8.
Last reviewed May 2013 by Marcin Chwistek, MD; Brian Randall, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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