Hemorrhoid surgery: general anesthesia or partial anesthesia?

Jul 02, 2025 Source: Cainiu Health
Dr. Li Jingxiang
Introduction
If conventional surgical procedures such as traditional hemorrhoidectomy or stapled hemorrhopexy are performed, and the patient is in good general condition without lumbar spine disease or contraindications to anesthesia, spinal anesthesia (half anesthesia) is often selected. Spinal anesthesia can numb the lower body, allowing the patient to remain conscious during the operation. It provides reliable anesthetic effects, faster postoperative recovery, and avoids the impacts of general anesthesia on the respiratory and circulatory systems.

The choice between general and regional anesthesia for hemorrhoid surgery depends on the surgical method and the patient's physical condition, as each type of anesthesia has its own indications. If there are concerns, it is recommended to seek medical advice in advance. Detailed explanation is as follows:

If undergoing traditional hemorrhoidectomy, stapled hemorrhoidopexy, or other routine procedures, and the patient is in good physical condition without lumbar spine disease or anesthesia contraindications, regional anesthesia is usually preferred. Regional anesthesia numbs the lower half of the body, allows the patient to remain conscious during surgery, provides reliable anesthetic effects, enables faster postoperative recovery, and avoids the impacts of general anesthesia on the respiratory and circulatory systems.

When patients have contraindications for regional anesthesia such as lumbar spine disease or abnormal coagulation function, or when undergoing complex hemorrhoid surgery, or if the patient has significant fear of surgery, general anesthesia may be selected. General anesthesia induces unconsciousness through intravenous or inhaled medications, ensuring the patient feels no sensation during the procedure, which facilitates complex surgical procedures, particularly those that are lengthy or involve significant trauma.

Regardless of the chosen anesthesia method, preoperative preparation involves cooperating with the physician to complete detailed examinations and informing the medical team of your physical condition and medical history. Postoperatively, follow medical advice for care, monitor for post-anesthesia reactions, and promptly inform healthcare providers if symptoms such as dizziness, nausea, or difficulty urinating occur, to ensure surgical safety and smooth recovery.

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