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A minimally invasive procedure to treat haemorrhoids (piles)
During a stapled haemorrhoidectomy, the haemorrhoids are stapled inside the rectum (back passage), reducing their blood supply, and causing them to shrink. A stapled haemorrhoidectomy is normally carried out for grade 3 and 4 haemorrhoids that protrude outside the anus.
This page explains what stapled haemorrhoidectomy is, what happens during the procedure, and what to expect during your recovery. Call or book online today to arrange a consultation to discuss private stapled haemorrhoidectomy with a consultant of your choice at Circle Health Group.
Haemorrhoids are not usually dangerous but can be uncomfortable. In most cases, they can be treated with medication and lifestyle changes. However, if these less invasive methods don't work, your haemorrhoids may need to be removed with surgery.
Your consultant will ask you about your symptoms, general health, and medical history including any treatments or lifestyle changes you have made to treat your haemorrhoids. They will perform a physical examination.
At Circle Health Group, your first appointment is very important as it's where we get to know you, discuss your expectations for treatment and encourage you to ask any questions you may have. It is important to us that you are as well-informed and comfortable as possible before, during, and after your surgery, so please ask your consultant any questions you may have.
At the end of your appointment, your consultant will decide whether a stapled haemorrhoidectomy is the right treatment for you based on your symptoms, general health, diagnosis, and physical examination.
Your consultant will tell you everything you need to do to prepare for your surgery. If there's anything you're not sure about, or if you have any questions about how to prepare for your surgery, speak to your consultant or call the hospital for advice. Being well-prepared for your surgery will help to ease any anxiety you may have as well as allow your surgery and recovery to go more smoothly.
Before your surgery, tell your consultant about any medical conditions or allergies you have and any medication you are taking, including over-the-counter medicines. Your consultant may tell you to stop taking some medications like blood thinners before your operation. This is to reduce the risk of bleeding during and after your surgery.
You may need to take laxatives or be given enemas to clean your bowel before your surgery. Your healthcare team will advise you on this. You will not be able to eat or drink anything from midnight on the day of your operation.
Being in optimal health before your surgery can reduce the risk of complications and speed up your recovery.
To make sure you are as healthy as possible before your surgery:
During stapled haemorrhoidectomy, your consultant will insert a circular hollow tube into your anal canal (back passage). A thread is inserted into the anal canal and is woven along the outskirts of the haemorrhoids . The ends of the thread are brought out of the anal canal through the hollow tube.
A special stapler is inserted through the hollow tube and the thread is pulled to move the excess tissue under the stapler. The excess tissue is removed, and the base of your haemorrhoids are stapled to your rectal wall (the last part of your large bowel).
A sterile dressing is applied inside your rectum. This will dissolve or pass with a bowel movement in a few days.
Stapled haemorrhoidectomy takes around 20 minutes.
After your surgery, you will be taken to the recovery room where you will be monitored closely until the effects of the anaesthetic have worn off. You will then be taken to your room.
The main benefits of stapled haemorrhoidectomy are less post-operative pain and a faster recovery time than with a standard haemorrhoidectomy.
You may have some bleeding from your bottom after your surgery. Your healthcare team will give you pads to wear.
It's normal to experience mild pain or discomfort after your stapled haemorrhoidectomy. You'll be given painkillers to make you feel more comfortable, but please tell a member of your healthcare team if you have pain after your surgery.
Stapled haemorrhoidectomy is normally done as a day-case procedure, meaning you'll be able to go home the same day. In some cases, you may need to spend one night in hospital.
You will not be able to drive yourself home from the hospital after your stapled haemorrhoidectomy, or for at least twenty-four hours after a general anaesthetic. Please make arrangements for someone to collect you, or we can organise a taxi if you prefer.
How soon you can go back to work after your surgery depends on how you feel after your procedure, and the type of job you do. Most people return to work within one to two weeks of stapled haemorrhoidectomy.
After the first twenty-four hours, you can drive when you can sit comfortably, safely control your vehicle, and perform an emergency stop. This is normally a few days after your surgery.
Recovery from any type of surgery is a gradual process that is different for everyone. You can help your recovery to go more smoothly by taking things at your own pace and allowing yourself time to heal from your surgery. Follow your consultant's instructions carefully and call the hospital if you have any questions or concerns.
You may have pain for a few days after your stapled haemorrhoidectomy. Take over-the-counter painkillers like paracetamol or ibuprofen if you need to.
Taking regular sitz baths will help ease discomfort and keep the area clean. A sitz bath is a shallow bath filled with warm water that you sit in for around ten to twenty minutes. Take sitz baths around three times a day and after a bowel movement.
It may be uncomfortable the first few times you open your bowels after your stapled haemorrhoidectomy. This will get better with time.
You can make bowel movements easier by drinking plenty of water, getting enough exercise and including lots of fibre in your diet. Your consultant may also prescribe laxatives to help with this after your surgery.
Most people resume normal activities within a few days to a week of stapled haemorrhoidectomy.
As with all types of surgery, there is a small risk of complications associated with stapled haemorrhoidectomy. Your consultant will explain all the possible risks and complications before your surgery and answer any questions you may have about your procedure. Being as well-informed as possible about what to expect from your surgery will help put your mind at rest and allow you to make an informed decision so please ask any questions you may have.
Possible complications of any surgery include:
Possible complications specific to stapled haemorrhoidectomy include:
If you would like to see a consultant or learn more about stapled haemorrhoidectomy, book your appointment online today or call a member of our team directly.