How to prepare for haemorrhoid surgery

Preparation for surgery to remove haemorrhoids (haemorrhoidectomy) includes collecting a detailed medical history, as well as measures to cleanse the intestines and relieve sphincter hypertonicity. The procedures minimize the risks of complications, speed up and facilitate the patient’s recovery. For a successful recovery, the patient must strictly adhere to medical instructions and go through all stages of preparation.

Medical examination

To assess the patient’s condition, identify contraindications and possible complications, the following procedures are performed:

• Biochemical and general analysis of blood and urine. Check the level of sugar, proteins, leukocytes. Indicators are necessary to exclude diabetes and inflammation.
• Coagulogram. Detects blood clotting disorders.
• Electrocardiogram. Evaluates the state of the cardiovascular system.
• Fluorography. Checking for lung pathologies such as tuberculosis or tumors.
• Ultrasound of the abdominal cavity. It is necessary to identify concomitant diseases, namely intestinal ulcers, polyps or appendicitis.
• Tests for antibodies to HIV, hepatitis B, C, syphilis.
• Rectal palpation of the rectum. Diagnostic method for identifying pathological changes in the anal area.
• Anoscopy, colonoscopy or sigmoidoscopy. Methods for examining the intestines using optical instruments. Allows you to obtain more accurate information about the condition of the mucous membranes than palpation.
• Allergy tests. They check the tolerance of drugs and anesthesia.

The list of examinations before surgery is determined by the surgeon and anesthesiologist, taking into account the intervention and concomitant diseases. Consultations with a gynecologist, urologist and other specialists are needed according to indications, and not necessarily for every patient. Anticoagulants and antiplatelet agents, including aspirin, cannot be discontinued on their own or considered absolutely contraindicated. The doctor who is managing the underlying disease, together with the operating team, assesses the risk of bleeding and thrombosis and specifies the dosage regimen in writing. This is especially important for stents, artificial valves and previous thrombosis.

IMPORTANT! All medications taken by the patient must be indicated in the medical history! Even minor medications from the client’s point of view can cause complications of haemorrhoidectomy!

Home preparation for haemorrhoid removal surgery

Aimed at restoring intestinal function. For this purpose it is assigned:

• Diet. Avoid spicy, sweet, smoked foods, alcohol, and foods with hard dietary fiber. Difficult to digest ingredients and foods that cause constipation or flatulence are removed from the diet. These are pickles, cabbage, legumes, tangerines, grapes, dried fruits, nuts, bread, carbonated drinks. It is allowed to eat liquid soups with lean vegetable broth, pureed dishes, fermented milk products, boiled meat or low-fat fish.
• Strict drinking regime. You need to drink 1.5-2 liters of pure still water per day.
• Quitting smoking.
• Enemas. This is done using specialized pharmaceutical preparations or irrigation systems. Be sure to give an enema the evening before the operation and in the morning on the day of haemorrhoid removal.
• Relieving inflammation and swelling of the anal area. For this purpose, rectal suppositories, ointments, oral medications, and baths prescribed by the attending physician are used.

IMPORTANT! It is prohibited to use traditional medicine or drugs at the patient’s personal discretion. Self-medication is dangerous due to the deterioration of the mucous membranes and the opening of bleeding!

Home preparation for haemorrhoid removal surgery lasts at least 2 days. Before the date of the procedure, it is also necessary to cure your teeth. Pathogenic oral bacteria increase the risk of infection in the body. Loose teeth will create problems during the administration of anesthesia.

Preparation directly for the operation

Stop eating at least 12 hours before haemorrhoidectomy. On the day of haemorrhoid removal, the patient is prohibited from drinking any liquids, including water. In the morning, hygiene procedures must be carried out. Take a shower and put on clean underwear. Removable dentures are removed from the oral cavity. Remove all jewelry.

Immediately before haemorrhoid removal, the patient is informed about the progress of the operation and the type of anesthesia is agreed upon. During preparation, medications from the permanent treatment regimen for chronic diseases and allergies to medications are recorded in the medical history. The patient is then referred for the procedure.

Proper preparation for surgery is the key to successful removal of haemorrhoids and a quick recovery for the patient. Do not ignore your doctor’s recommendations. A responsible approach by the patient will minimize the risks of complications or relapse of the pathology. The specialists of our clinic will do everything possible to ensure that haemorrhoidectomy takes place in the most comfortable conditions for the client.