Your preoperative checklist
Preparing for haemorrhoid removal surgery
A practical preparation plan: tests, regular medicines, food and drink, and what to bring to hospital.
For adults having elective haemorrhoid removal without a colonoscopy at the same time. Personal written instructions from your surgeon and anaesthetist take priority. If they differ from this page, clarify your plan before starting preparation.
05:30Stop drinking
07:00Arrive on the 3rd floor
07:30Anaesthesia starts
08:00Approximate surgery time
121 Kharkivske Highway, Building D, 3rd floor, Kyiv.
These times assume anaesthesia starts at 07:30. If the time changes, obtain updated eating and drinking instructions from your team.
Show this list in the laboratory, room 139. These are the investigations required before planned surgery.
- Full blood count.
- Biochemistry: total bilirubin, ALT, AST, creatinine and urea.
- Coagulation profile: INR, prothrombin time, prothrombin activity by Quick, prothrombin index, fibrinogen, thrombin time and APTT.
- Blood group and Rh factor.
- Infection screening: HBsAg, anti-HCV, HIV 1/2 and syphilis (RW).
Blood tests: within 14 daysof surgeryECG: within 1 monthwith tracing and report
ECG with report: floor 2, room 248. Bring the ECG tracing and report with you.
If you have chronic medical conditions, regular medicines or abnormal results, your doctor may add tests or change the surgical plan.
Send a list of all medicines and doses in advance, including supplements and weight-loss injections. Tell us about allergies, heart stents, diabetes, kidney disease, sleep apnoea and previous anaesthetic problems.
- Medicines affecting blood clotting: warfarin, apixaban, rivaroxaban, dabigatran, aspirin, clopidogrel and others. Do not stop them yourself. You need a personal plan.
- Insulin and other diabetes medicines: obtain a plan for doses and glucose checks while fasting. Do not omit all insulin yourself.
- Dapagliflozin, empagliflozin, canagliflozin and ertugliflozin: agree a pause in advance. The first three are usually stopped at least 3 days before surgery, and ertugliflozin 4 days before. This also applies when taken for heart or kidney disease. Tell the team if you took a dose more recently.
- Semaglutide, tirzepatide and similar medicines: report the name, last dose, any recent dose increase, nausea or vomiting. Diet and treatment instructions are individual.
In the morning, take only the medicines agreed with your team. A sip of water for them after 05:30 is allowed only on your anaesthetist’s specific instruction. Contact us in advance if you do not have a plan.
This page includes an Iziklin regimen. A light breakfast is allowed the day before. Do not eat after breakfast until surgery. Do not drink milk, alcohol, red or purple drinks. Only clear liquids are allowed: water, tea or coffee without milk, clear broth and juice without pulp.
After breakfast the day beforeClear liquids only
Do not have lunch or dinner. Do not have kefir, yoghurt, smoothies or juice with pulp.
Until 05:30 on surgery dayStill water only
Drink normal small portions. Do not eat breakfast, chew gum, suck sweets, smoke or vape in the morning.
From 05:30Do not drink anything
This is two hours before anaesthesia at 07:30. Tell staff immediately if you accidentally eat or drink after this time.
Pregnancy, diabetes, delayed stomach emptying or weight-loss medicines require an individual plan. Fasting times are counted back from anaesthesia, not from surgery.
This regimen is Iziklin the day before and one Enema cleansing enema on the morning of surgery. Do not add other laxatives, suppositories or enemas.
The day before: Iziklin
Obtain one pack of Iziklin containing two 176 ml bottles. The medicine must always be diluted.
18:00First bottle
Pour the bottle into the measuring cup provided and add water to the 500 ml mark. Drink all of the solution. Drink a further 1 litre of water or clear liquid by 20:00.
20:00Second bottle
Repeat the same steps: dilute to 500 ml and drink all the solution. Drink a further 1 litre of water or clear liquid by 22:00.
TotalAbout 3 litres of fluid
This is the two diluted bottles plus 1 litre of clear liquid after each bottle. Never drink the concentrate without diluting it.
On surgery day: 05:00
Use one bottle of Enema, single-use cleansing enema, in the dose and volume stated on its packaging. Insert it rectally as directed in the medicine leaflet, gently squeeze out the whole contents, withdraw the nozzle while keeping the bottle squeezed, and wait for the urge to empty your bowel. Do not repeat the enema.
Enema is a phosphate single-use enema, not a small-volume micro-enema. Before starting this regimen, tell your surgeon if you have severe kidney disease, heart failure, severe dehydration, bowel obstruction, active bowel inflammation, vomiting or severe abdominal pain. Also report diuretics, lithium, ACE inhibitors, angiotensin receptor blockers or NSAIDs. Patients with these risks need an individual preparation plan.
Stop preparation and seek medical help for severe pain, repeated vomiting, significant bleeding, marked weakness, dizziness or a sharp reduction in urine.
Have a shower. Do not shave or remove hair from the surgical area yourself. Remove jewellery and piercings; use glasses instead of contact lenses.
Arrive at 07:00 on floor 3. Before surgery, the team will check your preparation and discuss anaesthesia and consent. Ask your questions before signing.
Arrange an escort home in advance. Do not drive after anaesthesia or sedation. If discharged the same day, have a responsible adult stay with you for the first 24 hours. Before leaving, obtain written instructions on pain relief, bowel movements and how to get help.
Sources and basis of recommendations
Updated 9 November 2026. Arrival time, rooms, test-validity periods and bowel-cleansing regimen are our department’s arrangements. Iziklin and Enema have contraindications and require individual risk assessment.