Haemorrhoid Surgery (Haemorrhoidectomy)

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Procedure Description

Haemorrhoid surgery, or haemorrhoidectomy, is a medical procedure designed to remove haemorrhoids, which are swollen blood vessels in the lower rectum or anus. These can cause significant discomfort, pain, and bleeding, particularly during bowel movements. Haemorrhoids are common, especially among adults over 45, with the severity of symptoms varying widely. While some people can manage mild haemorrhoids with dietary changes and topical treatments, surgery becomes necessary in cases of large, painful, or persistent haemorrhoids that do not respond to conservative treatments.

The procedure itself involves surgically removing the swollen veins. There are two main types of haemorrhoid surgery: open haemorrhoidectomy, where the surgical area is left open to heal naturally, and closed haemorrhoidectomy, where the incision is closed with sutures. Surgeons may also opt for minimally invasive procedures like stapled haemorrhoidopexy or haemorrhoid artery ligation (HAL), especially in cases where the haemorrhoids are internal. The choice of technique depends on the severity of the haemorrhoids, their location, and the patient’s overall health.

During a haemorrhoidectomy, patients are typically under local, regional, or general anesthesia to ensure comfort. After making an incision in the tissue surrounding the haemorrhoid, the swollen vein is carefully tied off to prevent bleeding and then removed. The surgical site is then either stitched closed (closed haemorrhoidectomy) or left to heal naturally (open haemorrhoidectomy). The specific technique used will be determined by the patient’s medical needs and the surgeon’s assessment.

Procedure Duration

The duration of haemorrhoid surgery varies depending on the type and extent of the procedure. On average, the surgery takes about 30 to 60 minutes. Minimally invasive techniques, like stapled haemorrhoidopexy, may take less time than traditional haemorrhoidectomy. However, for complex or extensive haemorrhoids, the surgery may extend beyond an hour. Generally, haemorrhoidectomy is conducted as an outpatient procedure, allowing patients to return home the same day unless complications arise or an overnight hospital stay is advised.

Recovery from haemorrhoid surgery can be divided into short-term and long-term phases. Initially, patients may experience discomfort, swelling, and minor bleeding, which are natural parts of the healing process. The initial recovery phase, where acute pain is most noticeable, typically lasts for about 1-2 weeks. During this period, patients are advised to avoid heavy lifting, maintain a high-fiber diet, and stay hydrated to ease bowel movements and reduce strain.

Full recovery can take about four to six weeks, depending on individual healing rates and adherence to post-operative care instructions. Pain during bowel movements may persist for several weeks but usually subsides as the body heals. Regular follow-ups with the healthcare provider help monitor the healing process and manage any potential complications, ensuring a smooth recovery.

Benefits

  • Long-lasting relief: Haemorrhoidectomy offers a permanent solution to chronic haemorrhoids, significantly reducing the chance of recurrence.
  • Reduced pain and discomfort: Surgery alleviates the painful symptoms associated with severe haemorrhoids, improving the quality of life.
  • Minimally invasive options: Techniques like stapled haemorrhoidopexy and HAL offer less invasive alternatives with shorter recovery times.
  • Improved bowel function: With haemorrhoids removed, patients often experience less strain during bowel movements.
  • Enhanced mobility and activity levels: Many patients report an improvement in daily activities post-surgery due to reduced pain and discomfort.

Potential Destinations

  • Thailand
    Known for its advanced healthcare infrastructure and experienced surgeons, Thailand offers high-quality haemorrhoidectomy procedures at competitive prices. Many hospitals in Bangkok and other major cities are accredited internationally and cater to medical tourists, offering comfort and convenience for patients seeking treatment abroad.
  • India
    With a reputation for affordable, high-quality surgical care, India is a popular destination for haemorrhoid surgery. Indian hospitals often have advanced facilities and experienced colorectal surgeons who specialize in haemorrhoidectomy, ensuring excellent care and outcomes.
  • Mexico
    Mexico is a convenient option for North American patients, offering quality care at lower costs. Border cities like Tijuana have internationally accredited hospitals specializing in minimally invasive haemorrhoid surgeries, making it an ideal destination for patients seeking quick access to care.
  • Turkey
    Turkey’s medical tourism sector is well-developed, with many hospitals in Istanbul and Ankara providing haemorrhoidectomy services. The country is known for its experienced medical staff, advanced facilities, and cost-effective treatment options, making it a top choice for patients from Europe and beyond.
  • South Korea
    South Korea is a leader in minimally invasive surgeries and colorectal procedures. Its hospitals are equipped with the latest technology and staffed by highly skilled surgeons. With a strong focus on patient comfort and quick recovery, South Korea attracts medical tourists seeking haemorrhoidectomy with minimal downtime.

Risks & Considerations

  • Post-operative pain: Patients may experience significant pain, especially during bowel movements, for a few weeks after surgery. Pain management options, including prescribed medications, can help ease discomfort.
  • Bleeding: Minor bleeding is common immediately following surgery and may persist during bowel movements for several weeks. Patients should follow their doctor’s advice to minimize bleeding risks.
  • Infection: Any surgical procedure carries a risk of infection. Proper wound care and hygiene are essential to reduce this risk, and antibiotics may be prescribed as a preventive measure.
  • Anal stricture: In some cases, scar tissue can cause narrowing of the anal canal, leading to a condition known as anal stricture. This can make bowel movements painful and may require additional treatment.
  • Recurrence: While haemorrhoidectomy significantly reduces the risk of recurrence, haemorrhoids can reappear if lifestyle and dietary factors are not managed effectively.

How to Choose the Right Doctor and Hospital

Choosing the right doctor and hospital for haemorrhoid surgery is crucial for a successful outcome. Begin by researching facilities with a strong reputation in colorectal surgery and minimally invasive procedures. Hospitals that cater to international patients often have dedicated departments for medical tourism, with multilingual staff and support for overseas patients.

Ensure the surgeon is experienced in haemorrhoidectomy and board-certified in colorectal or general surgery. It’s also beneficial to review the hospital’s accreditation status and read testimonials from former patients. Verifying these factors can help you select a qualified professional and reliable healthcare facility for your haemorrhoidectomy procedure, promoting a smoother and safer experience.

To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote

Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com

Frequently Asked Questions

What actually happens during hyperstimulation of the ovaries?

The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.

What happens during egg retrieval?

When the follicles have developed enough to be harvested, the patient attends an appointment  where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.

What happens to the eggs?

In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle.  Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.

How are the embryos transferred back to the uterus?

The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.

Embryoscope©

Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.

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