A haemorrhoidectomy is an operation to remove the haemorrhoids. It will usually be recommended if other forms of treatment have not been effective, or if you have large haemorrhoids causing severe pain and discomfort.
Haemorrhoidectomy involves gently opening the anus so the haemorrhoids can be cut out. It is a major operation and you will need to take a week or so off work to recover.
After having a haemorrhoidectomy, there is less chance of haemorrhoids returning compared to other methods but it is recommended to have a high-fibre diet to prevent haemorrhoids returning.
Stapling, also known as stapled haemorrhoidopexy, is an alternative to a traditional haemorrhoidectomy. It is often used to treat prolapsed haemorrhoids (where the haemorrhoids hang out of your anus) and is carried out under general anaesthetic.
This type of surgery usually has a shorter recovery time than a traditional haemorrhoidectomy, and you will usually be able to return to work about a week afterwards. Pain associated with this type of surgery is often reduced as well.
Haemorrhoidal Artery Ligation
Haemorrhoidal artery ligation (HALO), also known as transanal haemorrhoidal dearterialisation (THD), is an operation to reduce the blood flow to your haemorrhoids.
Ultrasound is a procedure where high-frequency sound waves are used to create an image of the inside of the body and the probe is used to identify areas in the bowel where an artery (blood vessel) supplies blood to a haemorrhoid. A stitch is then placed in each artery to block the blood supply to the haemorrhoid causing the haemorrhoid to shrink.
Risks of Haemorrhoidal Surgery
Complications are rare but can sometimes occur after surgery. Risks will be discussed in full with your Consultant before surgery but may include:
- Faecal Incontinence - Faecal incontinence is where you involuntarily pass faeces. This can sometimes be corrected with another operation.
- Anal fistula - An anal fistula is when a small channel develops between the anal canal and the surface of the skin around or near the anus.
- Haemorrhage - A haemorrhage is bleeding six days following surgery. It is a small risk. Your Consultant will provide information on what you should do if this happens.
Individual information on surgery and recovery times will be discussed at your consultation but they should be expected to be quicker than those of other types of haemorrhoid treatments. Following surgery you will also be provided with effective pain relief as needed and care from our healthcare professionals.
Haemorrhoid surgery in Belfast at Kingsbridge Private Hospital is one of the General Surgeries we offer.