How Soon Can You Remove Hemostatic Packing After Hemorrhoid Surgery?

Q: How Soon Can You Remove Hemostatic Packing After Hemorrhoid Surgery?

Hello： Do not attempt to remove it yourself.

When can the hemostatic sutures be removed after hemorrhoid surgery?

This morning at 9:30, I had surgery for first-degree internal and external hemorrhoids (LigaSure CF1212, smelljaw).
At 11:00 PM, I felt the urge to pass gas, but I couldn't due to the gauze packing inside, causing significant abdominal bloating.
Can I safely remove the gauze packing myself with gloves? I'm concerned that the packing may be adhered to the wound, which could cause further injury.

Lin, 30~39 year old female. Ask Date: 2020/08/30

Dr. Yu Mingchang reply Surgery

Hello: Do not attempt to remove it yourself.

Reply Date: 2020/08/30

More Info

After hemorrhoid surgery, particularly when using hemostatic packing, it's essential to follow the guidelines provided by your surgeon regarding the timing and method of removal. Generally, hemostatic packing is used to control bleeding and promote healing in the surgical site. The timing for removal can vary based on the specific surgical technique used, the extent of the surgery, and the individual patient's healing process.

Typically, hemostatic packing is left in place for a period ranging from 24 to 48 hours post-surgery. This allows for adequate hemostasis and minimizes the risk of bleeding. In some cases, your surgeon may recommend keeping the packing in place for a longer duration if they feel it is necessary for your healing. It is crucial to adhere to your surgeon's specific instructions regarding the removal of the packing.

Attempting to remove the packing yourself, especially within a short time frame after surgery, is not advisable. There are several reasons for this:
1. Risk of Injury: The surgical site is likely still sensitive and healing. Attempting to remove the packing could cause trauma to the area, leading to increased bleeding or complications.

2. Adhesion Concerns: As you mentioned, there is a possibility that the packing may adhere to the surgical site. Removing it forcefully could disrupt the healing tissue, leading to further complications.

3. Infection Risk: Introducing bacteria from your hands or the environment into the surgical site can increase the risk of infection.

If you are experiencing significant discomfort, such as abdominal bloating or an inability to pass gas, it is essential to communicate this to your healthcare provider. They can assess your situation and determine the best course of action. If the packing is causing severe discomfort, your surgeon may decide to remove it sooner than initially planned, but this should only be done by a qualified medical professional.

In the meantime, there are several strategies you can employ to alleviate discomfort:
- Positioning: Adjusting your position can sometimes relieve pressure and discomfort. Try lying on your side or using a cushion to reduce pressure on the surgical area.

- Hydration: Staying well-hydrated can help with bowel movements and reduce the feeling of bloating.

- Gentle Movement: If you are able, gentle walking can help stimulate bowel function and may alleviate some discomfort.

- Pain Management: If prescribed, take pain medications as directed to help manage discomfort.

In summary, do not attempt to remove the hemostatic packing yourself. Instead, contact your healthcare provider to discuss your symptoms and receive appropriate guidance. They will be able to provide the best advice tailored to your specific situation and ensure your recovery proceeds smoothly.

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