Hemorrhoid surgery

Description:
Hemorrhoids are swollen (enlarged, dilated) veins ( varicose veins ) inside (internal) or outside (external) the anus that are usually caused by increased pressure, such as straining when constipated or during pregnancy . Hemorrhoids can cause pain, bleeding , clots, and itching .

Hemorrhoids can be removed surgically while the patient is sleepy (sedated) and pain-free (local anesthesia or spinal anesthesia) or deep asleep and pain-free (general anesthesia). The enlarged vein ( hemorrhoid ) is removed and a gauze packing is inserted to reduce bleeding.

Indications:
Hemorrhoid removal may be recommended when nonsurgical treatment ( fiber rich diet, laxatives, stool softener, suppositories, medications, warm baths) has not provided adequate relief from:



What to Expect After:
The outcome is very good in more than 90% of the cases.

Convalescence:
The patient may experience considerable pain after surgery as the anus tightens and relaxes. Medications to relieve pain may be used. To avoid straining, stool softeners will be used. Avoid any straining during bowel movement or urination. Soaking in a warm bath can bring additional comfort. Expect complete recovery in about 2 weeks.

Risks:
Risks for any anesthesia are:

Risks for any surgery are:

Additional risks include possible narrowing (stricture) of the anus.

Cost:
The costs of any surgery varies significantly between surgeons, medical facilities, and regions of the country. Patients who are younger, sicker, or need more extensive surgery will require more intensive and expensive treatment.

Surgery charges can be separated into five parts: 1) the surgeon's fee, 2) the anesthesiologist's fee, 3) the hospital charges, which includes nursing care and the operating room, 4) the medications, and 5) additional charges.

1. Surgeon's fee: approximately $500
2. Anesthesiologist's fee: averages $350 to $400 per hour
3. Hospital charges: basic rate averages $1,500 to $1,800 per day (more for the intensive care unit (ICU) or private rooms)
4. Medication charges: $200 to $400
5. Additional charges: assisting surgeon, treatment of complications, diagnostic procedures (such as blood or X-ray exams), medical supplies, or equipment use.

Insurance coverage for surgery expenses depends on many factors and should be explored for each individual instance.