Can hemorrhoids and colon polyps be removed in the same surgical procedure?

Nov 28, 2024 Source: Cainiu Health
Disease description:

I was about to undergo surgery for hemorrhoids when a colon polyp was detected. I don't want to come to the hospital again. Can the hemorrhoids and colon polyp be removed in the same surgical procedure?

Doctor's answer (1)
Dr. Li Jingxiang

Whether hemorrhoids and colon polyps can be operated on together usually depends on the patient's specific condition and the risks involved:

1. From a professional perspective, both conditions are gastrointestinal tract diseases and are located in close proximity, with hemorrhoids at the end of the rectum and polyps within the colon. For patients suffering from both hemorrhoids and colon polyps, if the medical condition permits, doctors may recommend addressing both issues simultaneously to reduce patient discomfort and surgical risk, while also avoiding the additional physical burden of multiple surgeries.

2. Hemorrhoid surgery mainly involves ligation and excision of localized hemorrhoidal masses and skin tags at the anal opening, which typically falls within the scope of minimally invasive surgery. Colon polyp surgery, on the other hand, involves radiofrequency treatment via electronic colonoscopy, requiring specialized probes to enter the intestinal cavity for simultaneous radiofrequency ablation and resection. The surgical approaches for the two conditions differ significantly.

3. After colon polyp surgery, there may be gas accumulation, bleeding, or pain within the intestinal cavity, which could affect the outcome of the hemorrhoid surgery and the patient's recovery.

The specific treatment plan must be developed by a qualified surgeon based on detailed examination results and the patient's overall health status. During the preoperative preparation phase, the doctor will communicate fully with the patient, explaining the risks and benefits of the surgery to ensure the patient has a comprehensive understanding and is adequately prepared.