Can External Hemorrhoids Be Surgically Removed After Thrombosis? - Surgery

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External hemorrhoids, particularly those that have undergone thrombosis, can indeed be surgically removed after the thrombosis has resolved. The surgical procedure is typically referred to as hemorrhoidectomy. This procedure is often considered when patients experience recurrent thrombosis or significant discomfort due to the hemorrhoids.

When a thrombosed external hemorrhoid resolves, the associated pain and swelling usually diminish, but the hemorrhoid itself may still be present. If you are experiencing recurrent thrombosis or significant symptoms, surgical removal can be a preventive measure to avoid future episodes. The decision to proceed with surgery should be made in consultation with your healthcare provider, who can evaluate your specific situation and discuss the potential benefits and risks.

Regarding your question about same-day discharge after the procedure, many patients can indeed go home on the same day as their hemorrhoidectomy, especially if the procedure is performed under local anesthesia or sedation. However, this can depend on several factors, including the extent of the surgery, your overall health, and how well you recover from anesthesia. It’s essential to have a responsible adult accompany you home if you receive sedation.

In terms of your current condition, you mentioned that your external hemorrhoid is approximately grade II, which means it protrudes during bowel movements but reduces spontaneously afterward. This grade of hemorrhoid can often be managed conservatively with lifestyle modifications, such as increased fiber intake, hydration, and avoiding straining during bowel movements. However, if you find that your symptoms are persistent or worsening, surgical intervention may be warranted.

It's also important to discuss with your doctor any concerns you have about the surgery, including recovery time, pain management, and post-operative care. After the surgery, you may experience some discomfort, swelling, or bleeding, which is generally manageable with prescribed pain relief and proper care. Your doctor will provide specific instructions on how to care for the surgical site and when to follow up for further evaluation.

In summary, surgical removal of external hemorrhoids after thrombosis is a viable option, particularly for recurrent cases. Many patients can go home the same day after the procedure, but this should be confirmed with your healthcare provider based on your individual circumstances. Always ensure that you have a thorough discussion with your doctor about the best course of action for your specific situation.