Hemorrhoids are lumps of blood vessels and tissue that protrude in or near the anus due to pressure or other causes. The procedure for prolapsing hemorrhoids (PPH) is to use the circular stapling instrument to remove the anal mucosa. Since the anal mucosa is a non-neurosensitive tissue, the postoperative pain is very slight, so the patient can return to work in the shortest time.

Patients Fit for the PPH

About 60 to 80% of people will suffer from hemorrhoids in their lifetime, and about 10 percent of them (including recurrent bleeding, severe prolapse, and pain) will need surgical treatment. Therefore, it is up to your physician to evaluate whether you are suitable for the PPH.

Surgical Precautions

• Fasting is required on the day of operation and an enema is given before the operation.
• After surgery, the doctor will choose whether to insert gauze into the anus according to your situation. If gauze is exerted, tape will be applied over it; if you have a desire to defecate, this is a normal phenomenon; do not take out gauze without permission to prevent the risk of bleeding.
• If the wound is bleeding badly, or the pain is intolerable, and urine cannot be relieved, please contact the nursing staff for treatment.
• The gauze on your wound can be removed the next day after operation. You can go to the toilet to defecate and take a warm sitz bath (40℃).
• Take a warm sitz bath in the morning, noon, evening, before bed and after each bowel movement (3 - 5 minutes each time).

Dressing Change

• Gently wipe the wound dry after a sitz bath.
• Apply the ointment on your forefinger. Gently put the ointment finger into the anus, deep to about 2 - 3 knuckles, and gently rotate the ointment onto the wound and massage it. Do not use cotton swabs instead of fingers; try to avoid rubbing by others to prevent causing open wound bleeding and pain.
• Apply ointment 2 - 4 times a day after a sitz bath for at least 2 weeks.
• If you touch a circle of staples inside when applying the medicine, this is a normal situation. Please rest assured that the nails will fall off by themselves over time and be discharged with feces.

Diet

• To facilitate your bowel movement, please eat three regular meals, consume more fruits and vegetables high in dietary fiber, and do not eat stimulants such as tobacco, alcohol or spicy food.

Contraindication

• Avoid scrubbing the anus after defecation.
• Avoid prolonged standing, sitting, squatting, and strenuous activities such as lifting heavy objects or cycling.

Revisit Notes

• When the wound oozes pus and fetid discharge.
• When a cut is red, swollen, hot, or painful.
• When a fever occurs over 38℃.
• When the wound is bleeding profusely.
• When no stool is released for more than two days.

If any of the above symptoms occur, please rest assured that your doctor will treat them for you.

For any questions, please feel free to contact us.

Colorectal and anal surgery consultation telephone:

• Colorectal surgery treatment room (04) 22052121 ext. 16356
• Specialized Nurse 0975-680-760, 0975-680-767