Hemorrhoid treatment

Hemorrhoid treatment can be done through:

• Medication

• Surgery
• Rubber Band ligation
• Transanal Hemorrhoidal dearterialization
• Traditional Hemorrhoidectomy
• Stapled Hemorrhoidectomy(SH)
• Harmonic Scalpel (Ultrasound Knife) Hemorrhoidectomy

Medication

Use oral drug, anal ointments, suppositories and stool softener are the main drug treatment to prevent condition worsened and relieve pain.

Surgery

Rubber Band ligation：

(1) Suitable for Grade 1 & 2 internal Hemorrhoids or
(2) Suitable for the combination of Grade 1 & 2 Internal Hemorrhoids with mild external Hemorrhoids. After ligation, hemorrhoids will fall off in 7-14 days.

Transanal Hemorrhoidal dearterialization：

(1) Suitable for Grade 1 & 2 Internal Hemorrhoid, or
(2) Suitable for prolapsed internal hemorrhoids, a combination of Grade 1 & 2 Internal Hemorrhoid and external Hemorrhoid. Surgeon uses ano-rectal ultrasound scan to locate the hemorrhoidal arteries, then the surgeon uses sutures to stop the arterial blood flow. After suturing, blood vessel becomes small and scarred.

Traditional Hemorrhoidectomy：

It is suitable to cure most of the hemorrhoids diseases. Due to severe pain after operation, it is being used less frequently in recent year.

Stapled Hemorrhoidectomy(SH)：

Surgeons use a circular cutting and stapling tool to cut out the internal hemorrhoids and staple the cut ends at the same time. It is suitable to cure internal hemorrhoids and prolapsed internal hemorrhoids. It causes less painful and allows early return to work. Also, stapled hemorrhoidectomy can lift up the prolapsed anal skin, and reposition the external hemorrhoid to anal canal.

Harmonic Scalpel (Ultrasound Knife) Hemorrhoidectomy：

Harmonic scalpel use ultrasound energy to activate a 2cm long and 1.5mm wide metal rod. The activated metal rod can coagulate tissue protein, cut away the hemorrhoids, and seal off the blood vessels and nerve endings. Harmonic Scalpel Hemorrhoidectomy is suitable for most of the hemorrhoids. Harmonic Scalpel Hemorrhoidectomy has a short operating time, very little bleeding, less post operative pain, less dosage of analgesia, and quick recovery. Patient can return to do office work few days after surgery.

* As the severity of disease and the general condition of each patient is different, please discuss with your doctor about the best solution for you

Concerns before and after surgery

In Hospital

Preoperative preparation:

• Start low residue diet at least 2 days before surgery
• Eat congee / rice noodle / macaroni 1 day before surgery
• Eating is prohibited six hours prior to surgery

Postoperative Precautions:

• Maintain a low residue diet before complete healing
• Avoid eating spicy food and drinking alcohol
• Follow up in clinic 3-7 days after surgery then few weeks afterwards

In Clinic

Preoperative preparation:

• Start low residue diet at least 2 days before surgery
• Eat congee / rice noodle / macaroni 1 day before surgery
• Eating is prohibited six hours prior to surgery

Postoperative Precautions:

• Maintain a low residue diet before complete healing
• Avoid eating spicy food and drinking alcohol
• Follow up in clinic 3-7 days after surgery then few weeks afterwards