Advertisement

Hemorrhoids pp 215-221 | Cite as

Technical Tips and Tricks of Hemorrhoidectomy

  • Francis Seow-Choen
  • Isaac Seow-En
Reference work entry
Part of the Coloproctology book series (COLOPROCT, volume 2)

Abstract

Surgical hemorrhoidectomy is still an important part of the treatment of prolapsed and symptomatic hemorrhoids. While it is effective in most cases, troublesome and even serious side effects may following surgery which had not been performed expertly. In this chapter, we draw from our extensive experience to highlight some tips and tricks which we believe will help surgeons obtain better results following hemorrhoidectomy.

References

  1. Ellesmore S, Windsor ACJ (2009) Surgical history of haemorrhoids. In: Khubchandani I, Paonessa N, Azimuddin K (eds) Book chapter: surgical treatment of haemorrhoids, 2nd edn. Springer, LondonGoogle Scholar
  2. Ho YK, Foo CL, Seow-Choen F, Goh HS (1995) Prospective randomized controlled trial of a micronized falvonidic fraction to reduce bleeding after haemorrhoidectomy. Br J Surg 82:1034–1035CrossRefPubMedGoogle Scholar
  3. Ho YK, Seow-Choen F, Tan M, Leong AFPK (1997a) Randomized controlled trial of open and closed haemorrhoidectomy. Br J Surg 84:1729–1730CrossRefPubMedGoogle Scholar
  4. Ho YK, Seow-Choen F, Low JY, Tan M, Leong AP (1997b) Randomized controlled trial of trimebutine (anal sphincter relaxant) for pain after haemorrhoidectomy. Br J Surg 84:377–379CrossRefPubMedGoogle Scholar
  5. Ho KS, Eu KW, Heah SM, Seow-Choen F, Chan YW (2000) Randomized clinical trial of haemorrhoidectomy under a mixture of local anaesthesia versus general anaesthesia. Br J Surg 87:410–413CrossRefPubMedGoogle Scholar
  6. Ho KS, Tan CYM, Daud MAM, Seow-Choen F (2012) Stopping or reducing dietary fiber intake reduces constipation and its associated symptoms. World J Gastroenterol 18:4593–4596CrossRefPubMedPubMedCentralGoogle Scholar
  7. Ibrahim S, Tsang C, Lee YL, Eu KW, Seow-Choen F (1998) Prospective, randomized trail comparing pain and complications between diathermy and scissors for closed hemorrhoidectomy. Dis Colon Rectum 41:1418–1420CrossRefPubMedGoogle Scholar
  8. Khubchandani I, Paonessa N, Azimuddin K (eds) (2009) Book shapter: surgical treatment of haemorrhoids, 2nd edn. Springer, LondonGoogle Scholar
  9. Maeda Y, Phillips RKS (2009) Open hemorrhoidectomy. In: Khubchandani I, Paonessa N, Azimuddin K (eds) Book chapter: surgical treatment of haemorrhoids, 2nd edn. Springer, LondonGoogle Scholar
  10. Mann CV (ed) (2002) Surgical treatment of haemorrhoids, 1st edn. Springer, LondonGoogle Scholar
  11. Quah HM, Seow-Choen F (2004) Prospective randomized trail comparing diathermy excision and diathermy coagulation for symptomatic prolapsed haemorrhoids. Dis Colon Rectum 44:367–370CrossRefGoogle Scholar
  12. Seow-Choen F, Low HC (1995) Prospective randomized study of radical versus four-pile haemorrhoidectomy for symptomatic large circumferential prolapsed piles. Br J Surg 82:188–189CrossRefPubMedGoogle Scholar
  13. Seow-Choen F, Ho YH, Ang HG, Goh HS (1992) Prospective, randomized trail comparing pain and clinical function after conventional scissors excision/ligation vs diathermy excision without ligation for symptomatic prolapsed haemorrhoids. Dis Colon Rectum 35:1165–1169CrossRefPubMedGoogle Scholar
  14. Tan JJY, Seow-Choen (2001) Prospective randomized trail comparing diathermy and harmonic scalpel haemorrhoidectomy. Dis Colon Rectum 44:677–679CrossRefPubMedGoogle Scholar
  15. Tan KY, Seow-Choen F (2007a) Methylene blue injection reduces pain after lateral anal sphincterotomy. Tech Coloproctol 11:68–69CrossRefPubMedGoogle Scholar
  16. Tan KY, Seow-Choen F (2007b) Fiber and colorectal disease: separating fact from fiction. World J Gastroenterol 13:4161–4167CrossRefPubMedPubMedCentralGoogle Scholar
  17. Tan KY, Seow-Choen F (2009) The operative treatment by, and results of, diathermy hemorrhoidectomy. In: Khubchandani I, Paonessa N, Azimuddin K (eds) Book shapter: surgical treatment of haemorrhoids, 2nd edn. Springer, LondonGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Seow-Choen Colorectal Centre PLCSingaporeSingapore
  2. 2.Department of Colorectal SurgerySingapore General HospitalSingaporeSingapore

Personalised recommendations