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Hemorrhoidectomy

What is a hemorrhoidectomy?

Hemorrhoids are veins in the tissues at the opening of the anus that become enlarged. They can cause pain, bleeding, and/or itching. If you have hemorrhoids, you may have clots forming in the hemorrhoid tissue. Your bowel may treat the clots like stool and try to push them out of your body.

A hemorrhoidectomy is a procedure in which the doctor removes hemorrhoid tissue to remove clots and promote healing.

When is it used?

Hemorrhoidectomy is one method of treating hemorrhoids. Examples of alternatives to this procedure are:

bulletto use a laser to remove the hemorrhoids
bulletto place tight bands around the hemorrhoids
bulletto use a fluid to harden the hemorrhoids
bulletto freeze the hemorrhoids
bulletto try anesthetic ointments and/or sitz baths
bulletto choose not to have treatment, recognizing the risks of your condition.

You should ask your doctor about these choices.

How do I prepare for this procedure?

Plan for your care and recovery after the operation. Allow for time to rest and try to find people to help you with your day-to-day duties.

Follow instructions provided by your doctor. Eat a light meal, such as soup or salad, the night before the procedure. Do not eat or drink anything after midnight and the morning before the procedure. Do not even drink coffee, tea, or water.

What happens during the procedure?

You are given either spinal or general anesthesia. The spinal anesthetic will make you feel temporarily numb from the chest down so that you have no pain during the procedure. The general anesthetic relaxes your muscles, makes you feel as if you are in a deep sleep, and prevents you from feeling pain.

The doctor will put an anoscope (tubelike instrument for examining the lower rectum and anal canal) into your anus and expose the affected hemorrhoids. The doctor will cut the inflamed parts of the hemorrhoids and remove them.

The doctor may also try to trim the lining of the rectum by removing some extra tissue. He or she will check for any bleeding. The doctor may sew the wounds closed or leave them open to heal.

What happens after the procedure?

You may go home that day or may stay in the hospital 1 to 3 days, depending how fast you recover. You will need to take sitz baths, use stool softeners, and apply ointments to the area. Avoid all heavy lifting for 2 to 3 weeks. You may return to work in a few days or weeks, depending on the type of work. You may have trouble passing urine and controlling gas and bowel movements for a few days after this operation.

Ask your doctor what other steps you should take and when you should come back for a checkup.

What are the benefits of this procedure?

You will be relieved of the itching, painful, and bleeding hemorrhoids.

What are the risks associated with this procedure?

bulletThere are some risks when you have general anesthesia. Discuss these risks with your doctor.
bulletSpinal anesthesia may not numb the area quite enough, and you may feel some minor discomfort. Also, in rare cases, you may have an allergic reaction to the drug used in this type of anesthesia. Spinal anesthesia is considered safer than general anesthesia.
bulletYou may have trouble urinating.
bulletThe wound may scar and leave a smaller opening in the rectum, making it difficult to pass stools.
bulletThe remaining hemorrhoids may become inflamed.
bulletThe hemorrhoids could recur.
bulletThere is a risk of infection or bleeding.

You should ask your doctor how these risks apply to you.

When should I call the doctor?

Call the doctor immediately if:

bulletYou develop substantial bleeding.
bulletYou cannot urinate.
bulletYou develop a fever.
bulletYou cannot pass bowel movements.

Call the doctor during office hours if:

bulletYou have questions about the procedure or its results.
bulletYou want to make an appointment for a follow-up office visit.

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Bravo Capsule
Capsule Endoscopy
Cholecystectomy
Colonoscopy
Colon Cancer Screening
EGD
Endoscopic Ultrasound
ERCP
Esophageal Dilation
Esophageal Manometry
Esophageal pH
Fundoplication
Hemorrhoid Banding
Hemorrhoidectomy
Lactose Tolerance Test
Liver Biopsy
LGI-Barium Enema
PEG
Sigmoidoscopy
Stool Acidity Test
Upper GI Series
VC

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BrooklynGI.com with offices in New York City Brooklyn Queens and Manhattan. Treating patients from New York, New Jersey and Connecticut. is dedicated to helping patients and physicians receive accurate and up-to-date information on the Gastrointestinal tract (GI Tract) The organs that compose the GI tract include, Esophagus, Stomach, Small Intestine, Large Intestine (Colon), Pancreas and the Liver and Gall Bladder (Hepato-Biliary Tree) Dr. Scott Tenner
Physicians include Dr. Scott Tenner Dr. Robin Baradarian Dr. Susan Ramdhaney Dr. Nison Badalov
Private Practice at 2211 Emmons Ave. Other locations include Maimonides Medical Center 1025 48th Street, Beth Israel Medical Center at KD3201 Kings Highway, Kingsbrook Jewish Medical Ctr at 585 Schenectady Ave, Brookdale Hospital at One Brookdale Plaza, and Kings Highway Hospital at 2525 Kings Highway
We treat a variety of gastrointestinal GI diseases and conditions including Achalasia
Barrett's Esophagus Chronic Hepatitis Cirrhosis of the liver Celiac disease Collagenous Colitis Colorectal cancer Colorectal polyps Constipation Crohn's disease Diverticulosis And Diverticulitis Fatty liver (Steatohepatitis) Gallstones Gas Gastritis Gastric Cancer GERD Helicobacter pylori infection Hemochromatosis Hemorrhoids Hepatitis (Viral Hepatitis A, B, C etc) Hiatus Hernia Irritable Bowel Syndrome Lactose Intolerance Liver failure and transplantation Lymphocytic Colitis Microscopic Colitis Esophageal Cancer Pancreatitis Peptic Ulcer Primary biliary cirrhosis Reflux esophagitis Ulcerative colitis
A premier site for the diagnosis, treatment and management Gastrointestinal diseases, Drs. Tenner and Baradarian provide a variety of Patient Services.
Drs. Tenner and Baradarian are Board Certified Gastroenterologists performing a variety of tests and procedures at their private offices and at Maimonides Medical Center.
We perform many tests & procedure, including: Barium Enema Barium Esophagram Capsule Endoscopy Colonoscopy Colon Cancer Screening EGD (Esophagogastroduodenoscopy) Endoscopic Ultrasound ERCP (Endoscopic Retrograde Cholangiopancreatography) Esophageal Dilation Esophageal pH Fundoplication Hemorrhoid Banding Hemorrhoidectomy Lactose Tolerance Test Liver Biopsy PEG (Percutaneous Endoscopic Gastrostomy) Sigmoidoscopy Stool Acidity Test Upper GI Series
BrooklynGI.com with offices in New York City Brooklyn Queens and Manhattan. Treating patients from New York, New Jersey and Connecticut. is dedicated to helping patients and physicians receive accurate and up-to-date information on the Gastrointestinal tract (GI Tract) The organs that compose the GI tract include, Esophagus, Stomach, Small Intestine, Large Intestine (Colon), Pancreas and the Liver and Gall Bladder (Hepato-Biliary Tree) Dr. Scott Tenner. Physicians include Dr. Scott Tenner Dr. Robin Baradarian Dr. Susan Ramdhaney Dr. Nison Badalov.
Gastrointestinal GI diseases and conditions including Achalasia Private Practice at 2211 Emmons Ave. Other locations include Maimonides Medical Center 1025 48th Street, Beth Israel Medical Center at KD3201 Kings Highway, Kingsbrook Jewish Medical Ctr at 585 Schenectady Ave, Brookdale Hospital at One Brookdale Plaza, and Kings Highway Hospital at 2525 Kings Highway
Barrett's Esophagus Chronic Hepatitis Cirrhosis of the liver Celiac disease Collagenous Colitis Colorectal cancer Colorectal polyps Constipation Crohn's disease Diverticulosis And Diverticulitis Fatty liver (Steatohepatitis) Gallstones Gas Gastritis Gastric Cancer GERD Helicobacter pylori infection Hemochromatosis Hemorrhoids Hepatitis (Viral Hepatitis A, B, C etc) Hiatus Hernia Irritable Bowel Syndrome Lactose Intolerance Liver failure and transplantation Lymphocytic Colitis Microscopic Colitis Esophageal Cancer Pancreatitis Peptic Ulcer Primary biliary cirrhosis Reflux esophagitis Ulcerative colitis
A premier site for the diagnosis, treatment and management Gastrointestinal diseases, Drs. Tenner and Baradarian provide a variety of Patient Services.
Drs. Tenner and Baradarian are Board Certified Gastroenterologists performing a variety of tests and procedures at their private offices and at Maimonides Medical Center.
We perform many tests & procedure, including: Barium Enema Barium Esophagram Capsule Endoscopy Colonoscopy Colon Cancer Screening EGD (Esophagogastroduodenoscopy) Endoscopic Ultrasound ERCP (Endoscopic Retrograde Cholangiopancreatography) Esophageal Dilation Esophageal pH Fundoplication Hemorrhoid Banding Hemorrhoidectomy Lactose Tolerance Test Liver Biopsy PEG (Percutaneous Endoscopic Gastrostomy) Sigmoidoscopy Stool Acidity Test Upper GI Series

Contact DrTenner@BrooklynGI.com with questions or comments.
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