Things You Need to Know Before Preparing for a Piles Surgery

Patient waiting on examination table

A hemorrhoidectomy is a critical medical procedure to remove haemorrhoids or piles. Haemorrhoids are caused by the inflammation and swelling of veins in the anal area. This can cause bleeding and discomfort.

A well-trained surgeon removes the swollen veins during a  hemorrhoidectomy. After the surgery, the pain felt around the affected area stops.

With a success rate of 95%, a hemorrhoidectomy is the best treatment for piles. Following a piles surgery, patients are either likely to go home the same day or wait a little longer for a proper examination by the surgeon.

How Hemorrhoids are Determined

Doctors suspect haemorrhoids when patients complaining of detection of blood in their stool and pain in the rectum region during a bowel movement.

Next, the doctor ensures proper diagnosis by performing a digital examination in the rectum.

The lower part of the large intestine and the rectum are checked for haemorrhoids using an anoscope, proctoscope or sigmoidoscope.

How to Prepare for a Piles Surgery

Preparing for a piles surgery can be a complex process. The information provided below will help you understand what you are required to do to prepare adequately for a pile surgery.

  • In order for a hemorrhoidectomy to be performed, the patient will be required to empty his or her colon using a laxative or an enema. This process is to ensure that all the faecal matter in the colon, which can cause infection, is removed.

    It makes surgery easier. This is usually done at home and 24 hours before surgery. Surgeons must ensure that this process is completed before surgery.

  • Patients should not eat or drink anything 8 to 12 hours before the surgery. Fasting is required to ensure that the bowel is kept clean and it helps prevent vomiting, nausea, and aspiration. If patients are required to take their medication before surgery, they should take it with a small amount of water.
  • Patients are required to take an adult along with them because they will be sedated using anaesthesia, therefore they need someone who will drive them home and ensure that they follow post-surgery instructions. This pre-surgery requirement needs to be fulfilled before the surgery.
  • Patients are required to remove any nail polish, jewellery and makeup. The reason is that nails are good indicators of a patient’s blood circulation and nail polishes can get in the way. The same goes for the patient’s face.

    This requirement varies from hospital to hospital and procedure to procedure. Patients are also required to wear clothes that will be easy to remove.

  • Tell your doctor all the medical prescriptions that you are taking. Some may complicate the surgical procedure. Telling them the medicine you are using will enable them to advise you if you should stop taking them before the procedure.
  • Understand what the surgery is about. Get a comprehensive understanding of the risks, benefits and other options. This will guide us to know the outcome of the surgery and how to prepare for it to avoid any complications.

    Gain knowledge of the surgery from your doctor. A well-trained doctor should be able to explain what to expect.

  • Take a bath or shower before you come in for a piles surgery. Do not apply lotions or perfumes. Do not shave the surgical site yourself. Allow the surgeon to do it. Also, make sure to take out contact lenses if you are wearing them.

What to Do After a Hemorrhoidectomy

After the hemorrhoidectomy procedure is completed, the patient is transferred to the recovery room. The recovery period is dependent on the type of anaesthesia used. The recovery period is short if local anaesthesia is used and long if GA is used.

After surgery, the patient lies on their back for at least one hour. This is to avoid anaesthesia-induced symptoms like headaches. An intravenous channel is connected to the patient to clear fluids by mouth.

Catheter support may be required to discharge urine. Liquid foods are given to the patient. This is changed to solid food as time goes on.

Risks and Complications of Hemorrhoidectomy

Most patients have a high recovery rate after hemorrhoidectomy surgery. There is a 5% chance of recurrence following surgery. Complications are rare and if there is any they include:

  • Excessive bleeding
  • Severe constipation
  • Inability to have a bowel movement
  • Swelling of the recital area
  • Analysis fissure or fistula

In a Nutshell

Haemorrhoid surgery is a procedure that is important to treat piles. Now that you know how to prepare before the medical procedure you stand in a better position to achieve a high success rate.

Make sure you reach out to a certified surgeon in Singapore to help you perform haemorrhoid surgery. For more information, please feel free to get in touch with our specialist.

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