Our Summary

This study looked at how a supplement called Pycnogenol® could help people recover after having surgery for hemorrhoids. Hemorrhoids are swollen veins in the lower part of the rectum and anus, which can cause pain, discomfort, and sometimes bleeding. The researchers compared a group of patients who took Pycnogenol® in addition to standard treatment, to a group who only received standard treatment. They found that the patients who took the supplement had less pain, discomfort, and constipation, and a better quality of life after the surgery. They were also more likely to be able to go back to their usual activities and less likely to need pain medication. The researchers suggest that the supplement might be reducing swelling that often occurs after surgery. However, they say that more research is needed to confirm these findings and to see if the supplement could be beneficial in other types of surgery and conditions.

FAQs

  1. What is the supplement Pycnogenol® used for in this study about hemorrhoid surgery?
  2. What were the observed benefits of taking Pycnogenol® after hemorrhoid surgery compared to standard treatment alone?
  3. Do the researchers believe Pycnogenol® could be beneficial for other types of surgeries and conditions?

Doctor’s Tip

One helpful tip a doctor might give a patient about hemorrhoidectomy is to make sure to stay hydrated and eat a high-fiber diet to help prevent constipation, which can worsen hemorrhoid symptoms. It is also important to follow the post-operative care instructions provided by the surgeon, such as taking prescribed pain medication, avoiding heavy lifting, and taking sitz baths to help with discomfort. It is important to communicate any concerns or changes in symptoms to your healthcare provider to ensure a smooth recovery process.

Suitable For

Patients who are typically recommended for hemorrhoidectomy are those who have severe symptoms that do not respond to conservative treatments such as dietary changes, fiber supplements, and topical treatments. These symptoms may include severe pain, bleeding, itching, and prolapse of the hemorrhoid tissue. Patients with large or protruding hemorrhoids, as well as those who have recurrent hemorrhoids, may also be candidates for surgery. Additionally, patients with complications such as thrombosis (blood clots in the hemorrhoid), chronic bleeding, or anal fissures may also be recommended for hemorrhoidectomy.

Timeline

Before hemorrhoidectomy:

  1. Patient experiences symptoms of hemorrhoids such as pain, discomfort, itching, and bleeding.
  2. Patient consults with a doctor and is diagnosed with hemorrhoids.
  3. Doctor recommends conservative treatments such as dietary changes, topical creams, and sitz baths.
  4. If conservative treatments are unsuccessful, doctor recommends hemorrhoidectomy surgery.

After hemorrhoidectomy:

  1. Patient undergoes hemorrhoidectomy surgery, which involves the removal of swollen veins in the rectum and anus.
  2. Patient may experience pain, discomfort, and bleeding post-surgery.
  3. Patient is prescribed pain medication and advised on post-operative care such as keeping the area clean and avoiding straining during bowel movements.
  4. Patient may experience constipation and difficulty with bowel movements due to the healing process.
  5. Patient gradually recovers over the following weeks, with symptoms improving and pain decreasing.
  6. Patient slowly returns to normal activities and lifestyle, with follow-up appointments to monitor recovery and ensure that the surgery was successful.

What to Ask Your Doctor

  1. What is the recovery process like after a hemorrhoidectomy?
  2. How long will it take to fully recover from the surgery?
  3. What are the potential risks and complications associated with a hemorrhoidectomy?
  4. Will I need to make any lifestyle changes or follow a special diet after the surgery?
  5. Are there any alternative treatments or supplements that could help with my recovery?
  6. How can I manage pain and discomfort after the surgery?
  7. When will I be able to return to work or resume normal activities?
  8. Will I need any follow-up appointments or additional treatments after the surgery?
  9. How can I prevent future hemorrhoid flare-ups or complications?
  10. Are there any specific instructions or precautions I should follow before and after the surgery?

Reference

Authors: Belcaro G, Cotellese R, Corsi M, Cesarone MR, Scipione C, Scipione V, Cornelli U, Ippolito E, Dugall M, Hosoi M, Feragalli B. Journal: Minerva Surg. 2024 Jun;79(3):309-314. doi: 10.23736/S2724-5691.23.10241-3. PMID: 38847768