Hemorrhoid Surgery

Hemorrhoid surgery, also known as piles surgery among the public, is the surgical treatment of enlarged veins (hemorrhoids) in the anus and rectum area. This surgery is preferred especially for hemorrhoids that cause severe pain, bleeding, and discomfort, and do not improve with other treatment methods (medications, lifestyle changes). The aim of hemorrhoid surgery is to improve patients' quality of life, relieve pain, and prevent complications caused by hemorrhoids. The surgery can be performed using different techniques depending on the size, type (internal or external hemorrhoids), and the patient's overall health condition.

Hemorrhoid surgery is generally performed to relieve severe and chronic discomfort caused by hemorrhoids. Hemorrhoids are swollen blood vessels in the anus and rectum that can cause symptoms such as pain, bleeding, and itching.

Situations requiring hemorrhoid surgery include:

• Severe hemorrhoids that do not improve despite medication and lifestyle changes: Hemorrhoids causing persistent pain and bleeding that do not respond to conservative treatments can be treated surgically.

• Advanced-stage hemorrhoids: Surgical intervention may be needed when hemorrhoids prolapse outside the anus and cannot be pushed back manually.

• Hemorrhoids causing continuous bleeding: Surgery may be necessary in cases of severe bleeding that can lead to anemia.

• Severe pain caused by hemorrhoids: Hemorrhoids causing intense pain that negatively impacts daily life can be treated with surgery.

• Hemorrhoid thrombosis: When a blood clot forms inside a hemorrhoid, causing severe pain and swelling, surgery may be required.

• Failure of other treatments: Surgery may be considered when other treatments such as rubber band ligation or sclerotherapy are unsuccessful.

The decision for hemorrhoid surgery is made by the doctor based on the patient’s condition and the severity of their symptoms.

Hemorrhoid surgeries vary depending on the severity of the disease and the patient’s condition. The main types of hemorrhoid surgeries we perform at A Life are:

• Classical Hemorrhoid Surgery: In this method, hemorrhoids are surgically removed.
• Laser Hemorrhoid Surgery: Hemorrhoids are eliminated using laser energy.
• Closed Hemorrhoid Surgery: In this technique, hemorrhoids are cut with a special device and the blood vessels are sealed.
• THD (Transanal Hemorrhoidal Dearterialization) Method: Using Doppler ultrasonography, the arteries supplying the hemorrhoids are identified and tied off.

Hemorrhoid surgery is a surgical procedure performed to relieve severe and chronic discomfort caused by hemorrhoids. Surgical techniques vary depending on the stage and type of hemorrhoids, as well as the patient’s overall health condition.

Hemorrhoidectomy is the surgical removal of hemorrhoids. It is generally performed in advanced-stage (stage 3 and 4) hemorrhoids and in cases where other treatment methods have failed.

Types of Hemorrhoidectomy:

Open hemorrhoidectomy is the surgical removal of hemorrhoids and is a traditional method. It is especially performed in advanced-stage (stage 3 and 4) hemorrhoids and in cases where other treatment methods have failed.

Closed hemorrhoidectomy is the surgical removal of hemorrhoids and is also known as "Ferguson hemorrhoidectomy." This method offers some advantages compared to open hemorrhoidectomy.

Stitched hemorrhoid surgery is one of the traditional surgical methods used in the treatment of hemorrhoids. In this method, the surgeon cuts and removes the hemorrhoid tissue and then closes the resulting opening with stitches.

Laser hemorrhoid surgery is a minimally invasive method used in the treatment of hemorrhoids. In this method, laser energy is used to reduce or eliminate hemorrhoid tissue. It has some advantages compared to traditional surgical methods.

Stapler hemorrhoidectomy, also known as the Longo procedure, is a relatively new surgical technique used in hemorrhoid treatment. Unlike traditional hemorrhoidectomy methods, this technique is based on removing excess mucosa in the rectum and reducing blood flow to the hemorrhoids, rather than directly removing the hemorrhoids.

The preoperative process for hemorrhoid surgery is very important for the patient's comfort and the success of the surgery. During this period, both physical and psychological preparations are necessary.

Preoperative Preparations:

• Detailed Consultation with the Doctor:
  
  • Have a thorough discussion with your doctor before the surgery to get information about the procedure.
  • Share your current health status, medications you are taking, and any allergies with your doctor.
  • Ask questions about the risks, benefits, and recovery process of the surgery.
• Medical Evaluation:
  
  • Your doctor may request some blood tests and other medical evaluations before the surgery.
  • These tests are performed to assess your overall health and suitability for surgery.
• Medication Use:
  
  • Certain medications such as blood thinners (aspirin, warfarin, etc.) may need to be discontinued before the surgery.
  • Adjust your medication use according to your doctor's instructions.
• Bowel Preparation:
  
  • Laxatives or enemas may be used to cleanse the bowels before surgery.
  • Follow your doctor's instructions carefully regarding bowel preparation.
• Nutrition:
  
  • Consume light and easily digestible foods the day before the surgery.
  • You may be required to stop eating and drinking after a certain time the night before surgery. Pay attention to your doctor's instructions on this matter.
• Psychological Preparation:
  
  • It is normal to feel anxiety and worry before surgery.
  • Try to reduce anxiety by talking to your doctor or using relaxation techniques.
• Hygiene: Take a shower before the surgery to ensure personal hygiene.

The postoperative period after hemorrhoid surgery is an important part of the healing process, and there are some key points to pay attention to during this time. At A Life, we adopt a comprehensive approach to ensure our patients recover comfortably and quickly after surgery.

First Days After Surgery

• Pain and Discomfort: It is normal to feel mild to moderate pain and discomfort after surgery. Regular use of the painkillers prescribed by your doctor will help control this discomfort.

• Bleeding: Light bleeding during the first few days after surgery is normal. However, if you experience severe bleeding, contact your doctor immediately.

• Sitz Bath: To keep the surgical area clean and promote healing, it is recommended to take a sitz bath in warm water several times a day.

• Bowel Habits: To prevent constipation, drink plenty of fluids and consume fiber-rich foods. Avoid straining during bowel movements.

• Activity: Rest is important during the first few days after surgery. However, prolonged bed rest is not recommended. Light-paced walking helps increase blood circulation and speeds up healing.

Healing Process

• The healing process varies depending on the type of surgery and the patient’s overall health.

• Most patients can return to their normal activities within 1-2 weeks after surgery.

• Avoid heavy lifting and strenuous exercise.

• Attend regular follow-up appointments as recommended by your doctor.

The risks of hemorrhoid surgery, although generally a safe procedure, carry some risks like any surgical operation. These risks may vary depending on the type of surgery, the patient’s overall health, and the surgeon’s experience.

Possible risks of hemorrhoid surgery include:

• Bleeding: Bleeding can occur during or after surgery. This risk may increase during the healing process.

• Infection: There is a risk of infection at the surgical site.

• Pain: Postoperative pain is normal but may be severe and prolonged in some patients.

• Anesthesia Complications: Allergic reactions or other complications related to anesthesia may occur.

Risks specific to hemorrhoid surgery:

• Anal Stricture: Narrowing of the anus, which can make bowel movements difficult.

• Fecal Incontinence: Although rare, temporary or permanent difficulties in controlling gas or stool may occur.

• Urinary Retention: Difficulty urinating after surgery, especially in men.

• Fistula or Abscess: Formation of abnormal passages or infection accumulation at the surgical site.

• Recurrence of Hemorrhoids: There is a risk of hemorrhoids recurring after surgery.

• Delayed Wound Healing: The healing process may take longer than expected or problems may arise in wound healing.

At A Life, we aim to provide the best service in hemorrhoid surgeries with our experienced surgeons and state-of-the-art equipment. Our priority is the comfort and rapid recovery of our patients. We conduct a thorough evaluation before surgery to determine the most suitable treatment method for you.

Hemorrhoid surgery prices vary depending on the type of surgery, the patient’s condition, and the materials to be used. At A Life, we are committed to providing quality service to our patients at the most affordable prices. For detailed information and pricing, you can contact us.

Internal hemorrhoid surgery is the surgical treatment of hemorrhoids that develop inside the anus and are not visible from the outside. Internal hemorrhoids are swollen blood vessels located beneath the mucosa lining the inner surface of the rectum. They can cause symptoms such as bleeding, pain, itching, and discomfort during bowel movements.

External hemorrhoid surgery is the surgical removal of hemorrhoids that develop outside the anus. External hemorrhoids are swollen blood vessels located under the skin around the anus and can cause bothersome symptoms such as pain, itching, bleeding, and swelling.

At A Life, we are committed to providing quality service to our patients at the most affordable prices. For detailed information about laser hemorrhoid surgery prices, please contact us. We would be happy to offer you a personalized price quote.

The recovery process after laser hemorrhoid surgery is generally faster and more comfortable compared to traditional surgical methods. However, the time for full healing and return to daily life may vary from person to person. Here is general information and important points to consider after laser hemorrhoid surgery:

First 24 Hours:

• Rest: It is important to rest and avoid heavy activities after surgery.

• Pain and swelling: Mild pain and swelling may occur. Use the painkillers recommended by your doctor and apply cold compresses to the area.

• Bleeding: A small amount of bleeding is normal. However, if you experience severe bleeding, contact your doctor.

• Nutrition: Eat easily digestible, fiber-rich foods and drink plenty of water.

• Hygiene: Gently clean and dry the area after using the toilet.

First Week:

• Sitz bath: Sit in a basin filled with warm water 2-3 times a day. This helps keep the area clean, relieves pain, and speeds up healing.

• Walking: Taking short walks increases blood circulation and supports healing.

• Work and daily activities: Those with light jobs can usually return to work within a few days. However, those with heavy jobs may need longer rest.

• Medications: Continue to use the medications prescribed by your doctor regularly.

First Month:

• Check-ups: Attend follow-up appointments as scheduled by your doctor.

• Nutrition and lifestyle: Continue to eat fiber-rich foods, drink plenty of water, exercise, and maintain a healthy lifestyle.

• Sexual activity: Avoid sexual activity until your doctor allows it.

Full Recovery:

• Full recovery time varies from person to person and usually takes 2-4 weeks.

• During this period, pain and discomfort gradually decrease and you can resume your normal daily activities.

Hemorrhoid surgery is a surgical procedure performed to remove or reduce swollen veins (hemorrhoids) in the anal area. How the surgery is done depends on the type, severity of the hemorrhoids, and the patient’s overall health.

Before Surgery:

• Evaluation: Your surgeon will review your medical history and perform a physical examination.

• Preparation: You may need to empty your bowels before surgery. Your surgeon will give you instructions about this. Also, you may need to stop or adjust some medications.

During Surgery:

Hemorrhoid surgery is usually done under general or local anesthesia. The procedure varies depending on the method used:

• Classical Hemorrhoid Surgery (Hemorrhoidectomy): In this method, hemorrhoids are surgically removed. The surgeon cuts the hemorrhoid tissue and ties off bleeding vessels. The wound may be left open or closed with stitches.

• Closed Hemorrhoid Surgery (Stapler Hemorrhoidectomy): In this technique, hemorrhoids are cut with a special device and vessels are sealed. This method may cause less pain and faster recovery.

• Laser Hemorrhoid Surgery: Hemorrhoids are eliminated using laser energy. This method is associated with less pain, bleeding, and risk of complications.

• THD (Transanal Hemorrhoidal Dearterialization) Method: Using Doppler ultrasound, the arteries supplying the hemorrhoids are identified and tied off. This is a less invasive option and usually causes less pain.

After Surgery:

• Recovery: The healing process depends on the type of surgery and the patient’s overall health.

• Pain management: Painkillers, ice packs to reduce swelling, and sitz baths may be used.

• Diet: Eating fiber-rich foods and drinking plenty of water help prevent constipation and speed up healing.

• Activity: Avoid heavy lifting and rest.

• Follow-ups: Your doctor will schedule check-ups to monitor your recovery.

Pain after hemorrhoid surgery is one of the most common concerns among patients. The good news is that with modern surgical techniques and effective pain management methods, postoperative pain can be significantly reduced.

Causes of Pain:

• Surgical Trauma: Cutting, stitching, and manipulating tissues during surgery can cause pain.

• Stretching of Anal Muscles: The anal muscles may be stretched during surgery, leading to pain.

• Inflammation: Inflammation at the surgical site can cause pain.

• Bowel Movements: Stretching of anal muscles during bowel movements can increase postoperative pain.

Severity and Duration of Pain:

• Variability: The intensity of pain varies from person to person, depending on the type of surgery and the severity of hemorrhoids.

• First Few Days: Pain is usually more intense during the first few days after surgery.

• Decrease: Pain generally begins to decrease within the first week and significantly subsides within 2-4 weeks.

• Rare Cases: In some patients, pain may persist longer, but this usually indicates an underlying issue.

Postoperative care after hemorrhoid surgery is very important to speed up your recovery, prevent complications, and ensure your comfort. Here are the points to pay attention to:

• Painkillers: Take the painkillers prescribed by your doctor regularly.

• Cold compress: Apply a cold compress to the surgical area several times a day for 15-20 minutes. This helps reduce pain and swelling.

• Sitz bath: Sit in a basin filled with warm water 2-3 times a day. This helps keep the area clean, relieve pain, and speed healing.

• Cleaning: Gently clean and dry the area after using the toilet. You can use unscented, alcohol-free wet wipes or soft toilet paper.

• Bathing: Instead of showering on the first day after surgery, take sitz baths. You can shower afterward but avoid hot water.

• Fiber-rich foods: Eat fiber-rich foods (fruits, vegetables, whole grains) to prevent constipation.

• Plenty of water: Drink at least 2-2.5 liters of water daily.

• Soft foods: Prefer easily digestible soft foods for the first few days after surgery.

• Rest: Rest during the first few days after surgery.

• Avoid heavy lifting: Avoid heavy lifting and strenuous exercises.

• Walking: Take short walks to improve blood circulation and speed healing.

• Follow your doctor’s instructions: Use the medications prescribed by your doctor regularly.

• Stool softeners: Consult your doctor about stool softeners if you experience constipation.

• Do not smoke: Smoking slows the healing process.

• Avoid alcohol: Alcohol can cause dehydration and constipation.

• Avoid tight clothing: Tight clothes may press on the surgical area and cause discomfort.

• Don’t miss doctor’s check-ups: Attend follow-up appointments to monitor your recovery.

Bleeding after hemorrhoid surgery is a common occurrence and usually not alarming, but it should be monitored carefully. The amount and duration of bleeding vary depending on the type of surgery, severity of hemorrhoids, and individual healing process.

Normal Bleeding:

• In the first few days after surgery, it is normal to see a small amount of bright red blood, especially during bowel movements.

• This bleeding usually appears as dripping or spotting and stops on its own.

• Seeing a small amount of blood on toilet paper or in the toilet bowl should not cause concern.

You should contact your doctor if you experience:

• Heavy bleeding: Continuous or heavy bleeding (for example, soaking a pad or tampon within an hour)

• Clotted blood: Large clots or dark-colored blood

• Other symptoms with bleeding: Fever, chills, severe pain, faintness

• Prolonged bleeding: Bleeding lasting more than one week or increasing in amount

Feeling pain during bowel movements after hemorrhoid surgery is a common issue experienced by patients. This pain usually arises from sensitivity, swelling, and the stretching of tissues during the healing process in the surgical area. The intensity of the pain varies from person to person and is generally stronger during the first few days.

Swelling in the anal area after hemorrhoid surgery is a very common condition. This swelling is caused by tissue manipulation during surgery and the resulting inflammatory reaction. It is usually not alarming and decreases over time.

Causes of Swelling:

• Trauma: Cutting, stitching, and manipulating tissues during surgery causes edema (swelling) in the area.

• Inflammation: As part of the body's natural healing process, inflammation develops in the surgical area. This inflammation can cause swelling, redness, and tenderness.

• Infection: In rare cases, an infection may develop in the surgical area, which can increase swelling.

Opening of stitches after hemorrhoid surgery is a rare complication. It usually occurs within the first few weeks after surgery and presents with symptoms such as pain, bleeding, and discharge.

Causes of Stitch Opening:

• Infection: Infection developing in the surgical area can weaken stitches and cause them to open.

• Constipation: Hard bowel movements can put excessive pressure on the surgical site, leading to stitch opening.

• Excessive Activity: Heavy lifting or strenuous exercise after surgery can strain and open the stitches.

• Inadequate Healing: Slow wound healing in some individuals can result in weak stitches.

• Stitch Technique: Rarely, improper stitching technique or insufficient strength of stitches can cause opening.

Symptoms of Stitch Opening:

• Pain: Sudden and severe pain in the surgical area

• Bleeding: Fresh bleeding from the opening

• Discharge: Yellowish or bloody discharge

• Swelling: Increased swelling in the surgical area

• Fever: Elevated fever as a sign of infection

Patient reviews after laser hemorrhoid surgery are generally very positive. Most people are satisfied with the surgery being quick and easy, the comfortable recovery process, and minimal pain.

Here are some common comments patients share after laser hemorrhoid surgery:

• "I experienced much less pain than I expected after the surgery. I hardly needed painkillers."
• "I felt some discomfort during the first few days, but overall the pain level was quite low."
• "Thanks to sitz baths and the creams recommended by my doctor, I was able to easily manage my pain."
• "The recovery process was very fast. I was able to return to my normal life within a few days."
• "I’m very happy that I could get back to work and daily activities quickly."
• "There was very little bleeding and swelling after the surgery. I healed quickly."
• "I'm very glad I chose laser hemorrhoid surgery. I wish I had done it earlier."
• "I got rid of my hemorrhoid problem and now I feel much more comfortable."
• "My doctor and hospital staff were very attentive. They informed me very well before and after the surgery."

Diet after hemorrhoid surgery is very important to speed up your recovery and prevent complications. The main goal of your diet during the postoperative period should be to prevent constipation, soften stools, and regulate bowel movements. Here are things to pay attention to:

Drink Plenty of Fluids:

• Drink at least 2–2.5 liters of water daily.

• You can also prefer herbal teas, fresh fruit juices, and ayran (a yogurt-based drink).

• Avoid caffeinated and carbonated beverages.

Emphasize Fiber-Rich Foods:

• Fiber-rich foods increase stool bulk, soften it, and help ease bowel movements.

• Consume whole grain breads, whole wheat pasta, bulgur, and oatmeal.

• Legumes (lentils, chickpeas, beans), fruits (apple, pear, strawberry, banana), and vegetables (broccoli, spinach, carrot) are rich in fiber.

• Especially dried fruits like prunes, figs, and apricots help regulate bowel movements.

Use Healthy Fats:

• Healthy fats like olive oil, avocado, and walnuts help lubricate stools and ease their passage.

Pay Attention to Protein Intake:

• Protein is important for tissue repair and healing.

• Include protein sources such as chicken, fish, eggs, milk, and yogurt in your diet.

Foods to Avoid:

• Spicy and hot foods: May irritate the anal area.

• Processed foods: Fast food, ready meals, chips are low in fiber and can cause constipation.

• Excessively fatty foods: Can make digestion difficult and cause constipation.

• Alcohol: May irritate the bowels and cause dehydration.

Sample Menu:

• Breakfast: Oatmeal, fruit, yogurt

• Lunch: Grilled chicken/fish, salad, bulgur pilaf

• Dinner: Vegetable soup, boiled vegetables, whole grain bread

• Snacks: Fruits, nuts, ayran

Difficulty having bowel movements after hemorrhoid surgery is a very common problem and usually results from pain and swelling in the surgical area. There are several possible causes:

Pain and Fear:

• Postoperative pain may cause you to avoid going to the toilet.

• Sensitivity and stitches in the anal area can lead to fear of pain during defecation, causing you to delay bowel movements.

Constipation:

• Preoperative bowel cleansing and painkillers used after surgery can cause constipation.

• Insufficient fluid intake and a low-fiber diet can also trigger constipation.

Anal Stricture:

• In rare cases, narrowing of the anus may develop after surgery. This can cause difficulty in passing stool and problems with bowel movements.

Swelling (edema) after hemorrhoid surgery is a natural response of the tissues to trauma and is a normal part of the healing process. The severity and duration of the swelling vary depending on the individual, the type of surgery, and the severity of the hemorrhoids.

• First few days: Swelling is at its peak during the first few days after surgery.

• First week: Swelling usually begins to decrease within the first week.

• 2-4 weeks: In most patients, swelling completely resolves within 2 to 4 weeks.

• Rare cases: In some patients, swelling may last longer, which could indicate an underlying issue.

Anal stricture after hemorrhoid surgery is a possible complication characterized by narrowing of the anal canal. This condition can cause difficulty during bowel movements, pain, and discomfort. The recovery time depends on the severity and cause of the stricture, as well as the treatment applied.

Recovery Time for Anal Stricture:

• In mild cases, anal stricture may resolve on its own within a few weeks.

• In more severe cases, recovery may take several months with treatments such as anal dilation or medication.

• If surgical intervention is required, the healing process may take longer.

Bleeding after hemorrhoid surgery is a common occurrence. The amount and duration of bleeding vary from person to person, depending on the type of surgery and severity of the hemorrhoids. Usually, it is mild and short-lived, but in some cases, it can last longer.

Normal Bleeding Duration:

• First few days: It is normal to see a small amount of bright red blood, especially during bowel movements in the first few days after surgery. This usually comes from healing tissues.

• 1–2 weeks: Bleeding generally decreases and stops within 1–2 weeks.

• Sometimes: Bleeding may last longer than 2 weeks but is usually mild and intermittent.

Amount of Bleeding:

• Dripping or spotting: Most patients experience dripping or spotting bleeding.

• Blood on toilet paper or in the toilet bowl: Seeing a small amount of blood is normal.

When to Contact Your Doctor:

• Severe bleeding: Continuous or heavy bleeding (e.g., soaking a pad or tampon within an hour)

• Clotted blood: Large clots or dark-colored blood

• Other symptoms with bleeding: Fever, chills, severe pain, faintness

• Prolonged bleeding: Bleeding lasting more than 2 weeks or increasing in amount

To Reduce Bleeding:

• Avoid constipation: Drink plenty of water, eat fiber-rich foods, and use stool softeners if needed.

• Avoid heavy lifting

• Rest

• Sitz baths

• Follow your doctor’s instructions

Hemorrhoids (piles) are a very common condition in society that negatively affect quality of life. At A Life, we are here to help you get rid of your hemorrhoid problem as quickly and comfortably as possible.

Laser hemorrhoid surgery is a less invasive method compared to traditional surgical techniques and is effectively used in the treatment of hemorrhoids. In this method, laser energy is used to target and eliminate the hemorrhoid tissue.