?CAN HEMORRHOID SURGERY BE DONE DURING PREGNANCY

WHAT ARE HEMORRHOIDS?

Hemorrhoids are enlarged and obstructive veins (varices) that are located in the wall of the lower part of the rectum and anus. The swollen veins are caused by increased pressure. The lumps forming inside or outside the anus can cause pain or bleeding.
The diagnosis is comprised of examining the anus and rectum with an anoscope, sigmoidoscope, or colonoscope.
Most hemorrhoid symptoms go away without treatment, however, the use of fiber, stool softeners, and sitz baths may help relieve the symptoms.
Some hemorrhoids are treated with a rubber band ligation or with surgery when other treatments fail.
The rectum is one of the parts of the digestive system above the anus, where stool collects before it leaves the body through the anus. The anus is the opening at the end of the digestive system through which stool leaves the body.
Hemorrhoids form when the veins in the lower part of the rectum or the anus become enlarged.
Internal hemorrhoids are hemorrhoids that form above the junction of the anus and rectum (the anal-rectal junction). External hemorrhoids are hemorrhoids that form below the anal-rectal junction. Both internal and external hemorrhoids can remain inside the anus or protrude outside the anus.

WHAT IS THE TREATMENT FOR HEMORRHOIDS?

Hemorrhoids are treated in two ways:

First: traditional surgery:
The surgery is done by making incisions in the tissues that are located around the hemorrhoids, then tying the vein inside the hemorrhoids to prevent bleeding. After that, the hemorrhoids are removed and the surgical wound area is sutured while keeping it open and placing a bandage on the wound or what is known as a surgical wick. This surgery is usually done under the effect of general anesthesia, and it takes more than an hour. After the surgery, the patient has to stay in the hospital for a period of time before being discharged to go home.

Post-traditional surgery:
The most difficult thing that the patient experiences after the traditional surgery is the severe pain, which lasts for several weeks. Even with the help of painkillers, the pain remains to be unbearable, in addition to a possibility of many complications to happen such as:
Urine retention sensation.
Uncontrolled defecation.
Infection in the surgical area.
Obstruction in the anus.
Bleeding
Narrowing of the anus.
Rectal prolapse.

Second: Treatment of hemorrhoids using laser:
Unlike traditional surgery, when using laser technology, the surgeon does not make any incisions in the anal region. Instead, the surgeon uses a laser catheter made of fibers on the hemorrhoids, and the device sends laser pulses that destroy blood vessels and shrink them.
Unlike traditional surgery, laser treatment does not require general anesthesia, but spinal and sometimes local anesthesia is administered depending on the case. Also, the patient is discharged from the hospital in a couple of hours after the operation, besides many other advantages such as:
There is no pain post-operation, and if there is any, it is very minimal and for a short period of time.
The recovery period does not require more than two days, after which the patient returns to their normal life.
No bleeding during or after the surgery.
The duration of the surgery does not exceed 10 minutes.
None of the complications that are possible after a traditional surgery occurs with the laser approach.
The success rate of the operation is up to 99%.
Thus, laser treatment avoids many serious complications, from which recovery may take months after the surgery. At Hemocure, you will find the best international laser technologies for the treatment of anorectal diseases, including hemorrhoids.

Then comes the important question, Can hemorrhoid surgery be done during pregnancy?
Doctors usually prefer to treat hemorrhoids during pregnancy naturally and away from any surgical intervention and anesthesia, because anesthesia, especially general anesthesia, affects the pregnancy. However, in some rare cases where there is continuous bleeding of hemorrhoids and persistent pain, it is important to perform a hemorrhoid surgery. Therefore, doctors resort to certain types of hemorrhoid surgeries that do not require general anesthesia, as they use local anesthesia for the anus only. Accordingly, the best and safest way to treat hemorrhoids for pregnant women is by laser hemorrhoid surgery.

Transanal Hemorrhoidal Dearterialization (THD) Laser Operation: This type of surgery repairs internal hemorrhoids, in which a Doppler probe and a clockwise scope are used, in which hemorrhoids are lifted and connected with the vessels feeding the area. The recovery time after the surgery is very short and does not pose a risk to the pregnant woman. Accordingly, pregnant women can safely undergo laser hemorrhoid surgery.