hemorrhoidectomy /hem·or·rhoid·ec·to·my/ (hem″ah-roi-dek´tah-me) excision of hemorrhoids.
hemorrhoidectomy
hemorrhoidectomy [hem″ŏ-roi-dek´to-me]
hemorrhoidectomy
hem·or·rhoid·ec·to·my (h m  -roi-dk t-m )n. Surgical removal of hemorrhoids. |
hemorrhoidectomy
[hem′əroidek′təmē]
Etymology: Gk, haimorrhois, a vein that discharges blood, ektomē, excision
the removal of dilated veins in the anal region to mitigate pain and bleeding. Most hemorrhoidectomies are outpatient procedures. Rubber band ligation, which can be done through an anoscope without sedation, is the most popular outpatient therapy. Surgery may be indicated for larger symptomatic external and internal hemorrhoids. The patient is usually placed in the lithotomy or jackknife position and receives spinal, caudal, epidural, or local anesthesia. Possible postoperative complications include constipation, pain, fecal impaction, hemorrhage, infection, and urinary retention. Also spelled haemorrhoidectomy.
hemorrhoidectomy [hem″ŏ-roi-dek´to-me]
surgical excision of hemorrhoids. Barron ligation (or rubber band ligation) is a conservative surgical technique in which the hemorrhoids are bound with rubber bands so that the ligated portion sloughs away after several days. Laser procedures are also used.
Patient Care. Postoperatively the patient must be monitored for signs of hemorrhage; this is an uncommon occurrence but one that can develop quickly. The patient may be kept in either a prone position to relieve pressure on the operative site or a supine position (for a short period) with a rubber air ring under the buttocks for support. Warm sitz baths are usually begun the day after surgery, to relieve discomfort. Compresses of witch hazel or some other astringent agent may be applied to reduce swelling and promote healing. Difficulty in evacuating often occurs during the immediate postoperative period. The two most effective methods of relieving discomfort are keeping the area clean with multiple showers or sitz baths and maintaining a soft stool with a high-fiber diet and such agents as Metamucil.
hemorrhoidectomy
Hemorrhoid surgery Surgery Excision of hemorrhoids Indications Refractory itching, pain, clots, bleeding. See Hemorrhoids.
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