Our Summary

This study looked at whether it’s necessary and cost-effective to always test tissue removed during operations for hemorrhoids (a common digestive disorder) for cancer and other diseases. The researchers reviewed previously published studies and found that, out of over 48,000 samples, only a very small percentage showed signs of cancer, suggesting that routine testing might not be the best use of resources. However, they also noted that more research is needed to identify which patients are at higher risk and should have their samples tested.

FAQs

  1. What was the main focus of this study on hemorrhoidectomy?
  2. Did the study find it necessary to always test tissue removed during hemorrhoid operations for cancer?
  3. According to the study, is routine testing of removed tissue during hemorrhoid operations cost-effective?

Doctor’s Tip

A doctor may advise a patient undergoing a hemorrhoidectomy to follow a high-fiber diet, drink plenty of water, and avoid straining during bowel movements to help prevent the recurrence of hemorrhoids. They may also recommend using stool softeners or topical treatments to help manage any discomfort during the recovery period. Additionally, the doctor may suggest regular follow-up appointments to monitor healing and address any concerns.

Suitable For

Patients who have severe or persistent symptoms of hemorrhoids that do not improve with other treatments, such as dietary changes, medications, or minimally invasive procedures, are typically recommended for hemorrhoidectomy. Additionally, patients with large or thrombosed hemorrhoids, or those with complications such as bleeding, prolapse, or infection, may also be candidates for surgery. It is important for patients to discuss their symptoms and treatment options with a healthcare provider to determine if hemorrhoidectomy is the best course of action for their individual case.

Timeline

Before hemorrhoidectomy:

  • Patient experiences symptoms of hemorrhoids such as bleeding, itching, and discomfort.
  • Patient consults with a doctor who recommends hemorrhoidectomy as a treatment option.
  • Patient undergoes pre-operative testing and preparation for the surgery.

After hemorrhoidectomy:

  • Patient undergoes the surgical procedure to remove the hemorrhoids.
  • Patient experiences post-operative pain and discomfort, which is managed with pain medication.
  • Patient is advised to follow a specific diet and activity restrictions to aid in the healing process.
  • Patient attends follow-up appointments with their doctor to monitor their recovery and address any concerns.
  • Patient gradually resumes normal activities as the healing process continues.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with a hemorrhoidectomy procedure?
  2. How long is the recovery period after a hemorrhoidectomy and what can I expect during this time?
  3. Are there any alternative treatments or non-surgical options available for my hemorrhoids?
  4. Will I need to make any changes to my diet or lifestyle following the procedure to prevent future hemorrhoids?
  5. How many hemorrhoidectomy procedures have you performed and what is your success rate?
  6. What type of anesthesia will be used during the procedure and what are the potential side effects?
  7. Will I need to stay overnight in the hospital or is this a same-day procedure?
  8. How soon can I expect to see improvements in my symptoms after the hemorrhoidectomy?
  9. Are there any long-term effects or complications I should be aware of after the procedure?
  10. Should I have the tissue removed during the hemorrhoidectomy tested for cancer or other diseases?

Reference

Authors: Men V, Kaur D, Bahl P, Jin J, Hill A. Journal: World J Surg. 2024 Aug;48(8):1981-1989. doi: 10.1002/wjs.12235. Epub 2024 May 26. PMID: 38797982