Pre-operative Instructions
Prior to surgery, you will be Fasting, no food, no water 6 hours prior to your surgery.
You should not take any blood thinning medications at least 5 days prior to your operation.
Bowel preparation – an enema and / or laxative may be prescribed the night before surgery and the morning of surgery. This may vary depending on the procedure.
If you notice redness spreading onto the surrounding skin, develop fever, or have severe amount of bleeding or bleeding that lasts for more than a week, contact your surgeon.
Post-Operative Care for Haemorrhoids, Anal Fissure and Anal Fistula Surgery
Hospital stay
Most people will be able to go home same day or in a day after surgery.
Pain control
Pain medicines are given to control post-operative pain for few days after surgery. Hot sitz baths also helps in relieving pain.
Diet/Bowel function
Take lots of liquids, 8-10 glasses of water and remain active to avoid constipation. Fibre supplement, Mild laxatives or stool softener can be given to prevent constipation and have smooth regular bowel movement.
Activity
Depending on the type of your surgery, you may have limitation in sitting or walking for long periods of time. A soft pillow will help.
You should be able to return to work within 1-4 weeks after surgery, depending on what type of anal surgery is performed.
Wound Care
The most important precaution after anal fissure surgery is keeping the area clean and dry.
Hot Sitz baths (sitting in warm soapy water) should be done thrice a day and after any bowel movement to clean the area. Hand-held shower nozzles or showering after every bowel movement is also effective.
Excessive wiping with toilet paper may irritate the skin and should be avoided. Baby wipes can be used.
Bloody or mucous discharge and stool leakage (temporary incontinence may be there for 2-3 weeks after surgery that’s usually self-limiting. You can use gauze or sanitary napkins over the area to prevent soiling of cloths.
Follow up visit
visit the clinic for follow up 10 to 14 days following your surgery.
