Hemorrhoids are a common and often uncomfortable condition affecting millions of people worldwide. While many cases can be managed with conservative treatments, some individuals may need to consider colorectal surgery as a more definitive solution. This blog post from Vedam Gastro Hospital, one of the best gastro hospitals in Surat, helps you in understanding when colorectal surgery for hemorrhoids becomes a viable option and what patients can expect from the procedure.

Understanding Hemorrhoids

Before delving into surgical options, it’s essential to understand what hemorrhoids are. Hemorrhoids are swollen veins in the lower rectum and anus, similar to varicose veins in the legs. They can be internal (inside the rectum) or external (under the skin around the anus).

Common symptoms include:

● Itching or irritation in the anal region

● Pain or discomfort

● Swelling around the anus

● Bleeding during bowel movements

● A lump near the anus, which may be sensitive or painful

Conservative Treatments

Gastro Surgeons in Surat are of the opinion that most hemorrhoid cases can be managed with non-surgical treatments, including:

1. Dietary changes (increased fiber intake and hydration)
2. Over-the-counter creams and suppositories
3. Sitz baths
4. Lifestyle modifications (avoiding prolonged sitting, regular exercise)
5. Minimally invasive procedures (rubber band ligation, sclerotherapy)

These treatments are often effective for mild to moderate hemorrhoids. However, when these methods fail to provide relief or in cases of severe hemorrhoids, surgery may become necessary.

When to Consider Colorectal Surgery

Colorectal surgery for hemorrhoids is typically considered in the following situations:

1. Persistent Symptoms: If hemorrhoid symptoms persist despite 6–12 months of conservative treatment, surgery may be recommended.
2. Severe Pain: When hemorrhoids cause severe, persistent pain that significantly impacts quality of life, surgical intervention may be necessary.
3. Recurrent Thrombosis: External hemorrhoids can sometimes develop blood clots (thrombosis), causing severe pain. If this occurs frequently, surgery might be the best option.
4. Bleeding: While some bleeding is common with hemorrhoids, excessive or continuous bleeding that leads to anemia may require surgical treatment.
5. Large Internal Hemorrhoids: Grade 3 or 4 internal hemorrhoids (those that prolapse and either need to be pushed back in manually or cannot be pushed back in at all) often require surgery.
6. Mixed Hemorrhoids: When both internal and external hemorrhoids are present and causing significant symptoms, surgery might be the most effective treatment.
7. Impact on Daily Life: If hemorrhoids are severely impacting a patient’s ability to work, engage in social activities, or maintain personal hygiene, surgery may be considered.

Types of Colorectal Surgery for Hemorrhoids

There are several surgical procedures for treating hemorrhoids. These are preferred by the best colorectal surgeons in Surat depending upon the patient’s symptoms, including:

1. Hemorrhoidectomy: This is the most comprehensive surgical treatment, involving the removal of excessive hemorrhoidal tissue. It can be performed using various techniques, including traditional excision, laser surgery, or ultrasound-guided procedures.
2. Stapled Hemorrhoidopexy: Also known as PPH (Procedure for Prolapse and Hemorrhoids), this technique uses a special stapling device to reposition the hemorrhoidal tissue and cut off its blood supply.
3. Doppler-Guided Hemorrhoidal Artery Ligation: This minimally invasive technique uses a Doppler probe to locate the arteries supplying blood to the hemorrhoids. These arteries are then tied off to reduce blood flow and shrink the hemorrhoids.

What to Expect from Hemorrhoid Surgery

Hemorrhoid surgery is typically performed as an outpatient procedure under general, regional, or local anesthesia, depending on the specific technique and patient factors.

Recovery: Recovery time varies depending on the procedure, but patients can generally expect:

● Pain and discomfort for 1–2 weeks post-surgery

● Possible bleeding or discharge for a few weeks

● Gradual return to normal activities within 2–3 weeks

● Full recovery within 4–6 weeks

Potential Complications: As with any surgery, there are risks involved, including:

● Bleeding

● Infection

● Urinary retention

● Fecal incontinence (usually temporary)

● Anal stenosis (narrowing of the anal canal)

It’s crucial to discuss these risks with your surgeon and follow post-operative instructions carefully to minimize complications.

Life After Hemorrhoid Surgery

Most patients experience significant improvement in their symptoms after surgery. However, it’s important to maintain good habits to prevent recurrence:

● Eat a high-fiber diet

● Stay well-hydrated

● Avoid straining during bowel movements

● Exercise regularly

● Avoid prolonged sitting

Making the Decision

The decision to undergo colorectal surgery for hemorrhoids should be made in consultation with a colorectal surgeon from the best stomach hospital in Surat. The specialist will consider factors such as the severity of your symptoms, the impact on your quality of life, and the results of previous treatments.

While surgery can be an effective solution for severe or persistent hemorrhoids, it’s not without risks. Patients should carefully weigh the potential benefits against the risks and consider their personal preferences and lifestyle factors.

Remember, every case is unique, and what works best for one person may not be the ideal solution for another. Open communication with your healthcare provider is key to determining the most appropriate treatment plan for your individual situation.

Conclusion

While colorectal surgery for hemorrhoids is not the first-line treatment, it can provide significant relief for those suffering from severe or persistent hemorrhoids. By understanding when surgery becomes a viable option and what it entails, patients can make informed decisions about their healthcare and take steps towards improved comfort and quality of life.