Can Early Stage Hemorrhoids Be Treated with Outpatient Surgery?

Q: Can Early Stage Hemorrhoids Be Treated with Outpatient Surgery?

In response to your question： The treatment for hemorrhoids must first determine whether it is internal or external hemorrhoid bleeding. <br>Typically, internal hemorrhoid bleeding can be treated with endoscopic ligation, which can be performed on an outpatient basis; external he

Doctor, can hemorrhoids in the early stage be treated with outpatient surgery?

Frequent relapses can be quite bothersome.
Is it possible to achieve a permanent solution through outpatient surgery? Do all public hospitals have such facilities (e.g., in Xinying)? Are there any potential complications from the surgery? Does health insurance cover the procedure? How long is the recovery time, considering I still need to work? Thank you, Dr.
Liu, for taking the time to answer these questions.

simon, 20~29 year old female. Ask Date: 2006/07/13

Dr. Liu Nanshan reply Gastroenterology and Hepatology

In response to your question: The treatment for hemorrhoids must first determine whether it is internal or external hemorrhoid bleeding.
Typically, internal hemorrhoid bleeding can be treated with endoscopic ligation, which can be performed on an outpatient basis; external hemorrhoids, on the other hand, require hospitalization for surgical intervention, with a typical hospital stay of 2-3 days.
These procedures can be performed at teaching hospitals with a colorectal surgery department.
Any surgical procedure carries the risk of complications or sequelae, although the likelihood is low and is also related to the clinical experience of the practitioner.
For instance, endoscopic ligation may result in complications such as wound bleeding or infection.

Reply Date: 2006/07/13

More Info

Early-stage hemorrhoids can indeed be treated with outpatient surgical procedures, and many patients find this approach effective in alleviating their symptoms and preventing recurrence. The most common outpatient procedures for hemorrhoids include rubber band ligation, sclerotherapy, and infrared coagulation. These methods are minimally invasive and can often be performed in a doctor's office or outpatient clinic, allowing patients to return home the same day.

Rubber band ligation is particularly popular for treating early-stage hemorrhoids. During this procedure, a small rubber band is placed around the base of the hemorrhoid, cutting off its blood supply. Over time, the hemorrhoid shrinks and falls off. This method is generally well-tolerated, with minimal discomfort and a low risk of complications. Sclerotherapy involves injecting a solution into the hemorrhoid to shrink it, while infrared coagulation uses heat to destroy the hemorrhoidal tissue.

Regarding the availability of these procedures, most public hospitals, including those in urban areas like Sin Ying, typically have the necessary equipment and trained personnel to perform these outpatient surgeries. However, it is advisable to check with the specific hospital to confirm their capabilities and the availability of the procedure.

As for potential side effects, while outpatient procedures for hemorrhoids are generally safe, some patients may experience mild pain, bleeding, or discomfort after the procedure. These symptoms are usually temporary and can be managed with over-the-counter pain relief medications. Serious complications are rare but can include infection or excessive bleeding, which would require further medical attention.

In terms of insurance coverage, many health insurance plans, including Taiwan's National Health Insurance, typically cover outpatient procedures for hemorrhoids, but it is essential to verify with your specific plan to understand the extent of coverage and any potential out-of-pocket costs.

Recovery time after outpatient hemorrhoid surgery is usually quite short. Most patients can return to their normal activities within a few days, although it is advisable to avoid strenuous activities or heavy lifting for at least a week. If your job involves sitting for extended periods, you may want to take short breaks to alleviate pressure on the affected area. Your healthcare provider will give you specific advice on post-operative care and when you can safely resume your regular activities.

In conclusion, outpatient surgery for early-stage hemorrhoids is a viable option for many patients seeking relief from their symptoms. It is effective, generally safe, and allows for a quick recovery, making it an attractive choice for those who want to avoid the discomfort and inconvenience of more invasive surgical procedures. Always consult with a qualified healthcare provider to discuss your specific situation, the best treatment options available, and any concerns you may have regarding the procedure.

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