This includes haemorrhoidectomy, skin tag excision, surgery for anal fistula/abscess, and fissure. These surgeries leave an open wound in the perianal area in a very sensitive part of the body. It’s important to keep stools soft but also take regular analgesia
- Analgesia
- Local anaesthetic is injected in the form of a block (pudendal block) and hence in the first 12-16 hours, there is very little pain. However, as the block wears off, the patient may experience pain during defecation and after. It is important to take regular painkillers such as paracetamol.
- Application of local anaesthetic in the form of ointment may help with the pain.
- All patients are given 5 days of oral antibiotics, which help reduce the incidence of post-operative pain.
- Aftercare
- Constipation can lead to the development of an anal fissure which will lead to an increase in pain and may need medical attention.
- A soft consistency of stools is recommended, however, diarrhoea or frequent bowel motions are not recommended.
- After bowel motion, it is recommended to have a shower if possible. Lukewarm running water will allow the removal of any residual matter but also gives temporary relief. The other option is to have regular sitz baths, which can also give temporary relief.
- Bleeding after surgery is common. Bleeding usually occurs in the first few days and may occur 10-14 days after surgery when the healing is at its weakest.
- Patients may experience occasional discharge for several weeks after the surgery. Placing a pad within the underwear may help to manage the discharge.
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