Can Non-Absorbable Sutures from Hemorrhoid Surgery Be Removed?

Hemorrhoidectomy

Hello Dr.
Ke, thank you for taking the time to answer our questions.
I underwent a circumferential resection surgery at the beginning of February.
Due to my oversight, I did not ask the doctor for details and later discovered that the circumferential sutures left after the surgery are non-absorbable.
I would like to know if the sutures can be removed.
My unique identity and background have affected my daily life, particularly in that aspect, and it has been quite troubling.
I do not have the courage to visit the hospital outpatient clinic to discuss these issues with the doctor.
Thank you for your hard work.

Liangzi, 20~29 year old female. Ask Date: 2016/05/05

Dr. Ke Fangxu reply Surgery

1.
Circular resection involves removing the mucosa and placing two rows of metal staples, which are non-absorbable and cannot be removed.
2.
Generally, the wound will be completely healed within a month after surgery.
If there is a habit of anal intercourse, it should be possible to resume at this point; however, the staples can be felt by touch, which may cause discomfort for the partner during anal intercourse.
The only solution might be to remove the staples, but currently, there are no reports of any physicians performing such a procedure.

Reply Date: 2016/05/05

More Info

After undergoing a circumferential excision surgery for hemorrhoids, it is understandable to have concerns about the non-absorbable sutures that were left in place. Non-absorbable sutures are designed to remain in the body until they are manually removed, and they can sometimes cause discomfort or irritation, especially in sensitive areas.
In general, non-absorbable sutures can and should be removed if they are causing problems or if they are no longer needed for wound support. The timing of suture removal typically depends on the type of surgery performed and the healing process. For hemorrhoid surgery, sutures are usually removed within 1 to 3 weeks post-operation, depending on the surgeon's assessment of the healing progress.
If you are experiencing discomfort or complications related to the sutures, it is important to consult with your healthcare provider. While it may feel daunting to discuss these issues, healthcare professionals are trained to handle such situations with sensitivity and confidentiality. They can provide you with the best advice on whether the sutures should be removed and how to proceed with your care.

In terms of the impact on your daily life, it is crucial to prioritize your health and well-being. If the sutures are affecting your quality of life, it is worth addressing the issue sooner rather than later. You might consider reaching out to your healthcare provider via phone or a secure messaging system if you feel uncomfortable discussing it in person. This way, you can express your concerns and get guidance on the next steps without feeling overwhelmed.

Moreover, if the sutures are causing significant pain, irritation, or any other complications, it is essential to seek medical attention. Complications from non-absorbable sutures can include infection, inflammation, or even the formation of scar tissue, which could lead to further discomfort.
In summary, non-absorbable sutures from hemorrhoid surgery can be removed, and it is advisable to do so if they are causing issues. Do not hesitate to communicate your concerns to your healthcare provider, as they can help you navigate this situation and ensure that you receive the appropriate care. Remember, your health is paramount, and addressing these issues will contribute to your overall well-being.

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