Concerns After Hemorrhoid Surgery: Surgical Staples and Recovery - Surgery

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Post-hemorrhoid surgery


Hello doctor, I had a hemorrhoid surgery covered by health insurance in mid-March for grade IV mixed hemorrhoids and four small internal hemorrhoids.
After the surgery, when I applied medication internally, I felt a hard line that resembles a staple (suture?).
Is this normal to be left inside the intestine? Will it affect the results of an X-ray or MRI? The doctor hasn't specified which minimally invasive surgical method was used, and I'm personally guessing it was sutured, which makes me very anxious...

Niming, 40~49 year old female. Ask Date: 2024/04/29

Dr. Zhang Shuhao reply Surgery


After surgery, feeling a hard line inside is likely the suture site from the hemorrhoidectomy.
It may be either absorbable sutures or the remnants from tissue coagulation.
In either case, it will gradually be absorbed over time and will not affect the results of X-rays or MRI.
There is no need for excessive concern.

Reply Date: 2024/04/29

More Info


After undergoing hemorrhoid surgery, particularly for complex cases like grade IV mixed hemorrhoids and multiple internal hemorrhoids, it's common to have concerns about the surgical techniques used and the recovery process. The presence of what feels like a hard line or "staple" inside the rectum is likely due to the surgical method employed, which may involve the use of surgical staples or sutures to secure the tissue after excision.

In hemorrhoid surgeries, especially those that are minimally invasive, surgeons often use various techniques, including stapled hemorrhoidopexy or traditional suturing methods. If you feel a hard object, it could be a staple or a suture that was used to close the surgical site. These materials are typically designed to be biocompatible and should not cause any harm if they remain in the body, as they are intended to dissolve over time or be absorbed by the body. However, if they are non-dissolvable staples, they may remain in place indefinitely without causing issues.

Regarding your concerns about the impact on imaging studies like X-rays or MRIs, surgical staples can sometimes be visible on imaging, but they generally do not interfere with the diagnostic quality of these tests. If you have an MRI scheduled, it is essential to inform your healthcare provider about the staples, as some types of metal can affect the MRI process. However, most surgical staples used in hemorrhoid surgeries are MRI-safe.

Recovery from hemorrhoid surgery can vary significantly from person to person. It is crucial to follow your surgeon's post-operative care instructions, which typically include dietary modifications, pain management, and hygiene practices to promote healing and prevent complications such as infection or recurrence of hemorrhoids.
If you experience any unusual symptoms, such as increased pain, bleeding, or signs of infection (like fever or discharge), it is essential to contact your healthcare provider promptly. They may want to perform a follow-up examination to ensure that your recovery is progressing as expected.

In terms of anxiety about the surgical method used, it is understandable to feel concerned, especially if you are unsure about the specifics of your procedure. If you have not received detailed information from your surgeon, consider scheduling a follow-up appointment to discuss your concerns. Clear communication with your healthcare provider can help alleviate anxiety and provide you with the reassurance you need regarding your recovery.

In summary, the hard line you feel is likely related to the surgical technique used, and it should not pose a problem for your recovery or future imaging studies. Focus on following your post-operative care instructions and maintaining open communication with your healthcare team to ensure a smooth recovery process.

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