Will Keloid-Prone Patients Face More Complications After Hemorrhoid Surgery?

If someone has a keloid tendency and undergoes hemorrhoid surgery, will it worsen the situation? Thank you for clarifying?

If someone has a keloid tendency and undergoes hemorrhoid surgery, will it worsen the situation? Thank you for clarifying.

Wei Li-yun, 50~59 year old female. Ask Date: 2022/09/15

Dr. Lü Mingchuan reply Plastic Surgery

You can visit the outpatient clinic for medical care.

Reply Date: 2022/09/15

More Info

Keloids are raised scars that form due to an overproduction of collagen during the healing process. Patients who are prone to keloids may indeed face more complications after surgeries, including hemorrhoid surgery. This is primarily due to the body's exaggerated healing response, which can lead to excessive scar tissue formation at the surgical site.

When a keloid-prone individual undergoes any surgical procedure, including hemorrhoid surgery, the risk of developing keloids at the incision site is heightened. This is particularly relevant for surgeries that involve incisions or cuts in the skin, as the healing process can trigger the body's inflammatory response, leading to the formation of keloids. In the case of hemorrhoid surgery, the surgical site is typically in a sensitive area, which can complicate healing and increase the likelihood of keloid formation.

Here are some considerations for keloid-prone patients undergoing hemorrhoid surgery:
1. Preoperative Consultation: It is crucial for patients with a history of keloid formation to discuss this with their surgeon before the procedure. The surgeon may take extra precautions or suggest alternative techniques that minimize the risk of keloid formation.

2. Surgical Technique: Surgeons may opt for techniques that reduce tension on the wound edges, as tension can exacerbate keloid formation. Techniques such as using absorbable sutures or employing a less invasive approach may be beneficial.

3. Postoperative Care: After surgery, proper wound care is essential. Patients should follow their surgeon's instructions meticulously to promote optimal healing. This includes keeping the area clean and dry, avoiding excessive movement that could strain the incision, and monitoring for signs of infection.

4. Keloid Prevention Treatments: Some patients may benefit from treatments aimed at preventing keloid formation. These can include silicone gel sheets, pressure therapy, or corticosteroid injections at the surgical site. Discussing these options with a dermatologist or a plastic surgeon experienced in keloid management can be helpful.

5. Monitoring for Complications: After surgery, keloid-prone patients should be vigilant for any signs of abnormal scarring. If a keloid begins to form, early intervention can help manage it more effectively.

6. Emotional and Psychological Support: The potential for keloid formation can be a source of anxiety for many patients. Providing emotional support and counseling can help patients cope with their concerns regarding scarring and the implications for their body image.

In summary, while keloid-prone patients may face a higher risk of complications after hemorrhoid surgery, careful planning, surgical technique, and postoperative care can mitigate these risks. It is essential for patients to communicate openly with their healthcare providers about their concerns and to follow recommended guidelines to ensure the best possible outcome.

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