Hemorrhoid Excision
Date of Surgery -
Preop Diagnosis - hemorrhoid
Postop Diagnosis - hemorrhoid
Surgeon - Dr. Luk / Dr. Tran
Anesthesia - General anesthesia
Blood Loss - Minimal
Complication - None
Findings - hemorrhoid
Specimens - hemorrhoid tissue
Indication- hemorrhoids
Procedure Performed-
evaluation under anesthesia
excision of hemorrhoid
Patient comes in with the above diagnosis and was consented for the above procedures. Risks, benefits, and alternatives were discussed with patient, which includes, but are not limited to, postoperative or chronic pain, bleeding, wound infection, hematoma, post-operative abscess, anal fissure or stricture, or need for further procedures or workup. Other Complications may include deep vein thrombosis (blood clots), as well as other side effects affecting other organ systems such as the heart or lungs, and in rare circumstances, death as a result of the above complications. The patient understands and agrees to proceed with the proposed procedure.
The patient was given preoperative antibiotics.
The patient was placed in lithotomy position after general anesthesia was given.
A digital examination was performed. There were hemorrhoids. No other
suspicious lesion was identified.
A Scalpel used to make an incision around the thrombosed hemorrhoid. The
Electrocautery was used perform the excision hemorrhoid.
Hemostasis was obtained using electrocautery. Once the hemorrhoid tissue was removed, the anoderm was reapproximated.
The anoderm was reapproximated using interrupted 2.0 chromic suture
Local anesthetic was used to provide a field block in anoderm to help with postoperative pain
At the end of the case, counts were carried out. The instrument, sponge, and needle
counts were completed and reported to me as correct.
Patient tolerated procedure well and was transferred to recovery room in stable condition.