Derrick, I did in December. It went well and I copied the report explaining the procedure below. I went off warafin and did lovinox shots and I had history of a dvt that broke apart several times and went into my lungs. I went back on warafin the day after surgery. I was kept overnight and that was good because oral Percocet didn't cut the pain so I got slight dysreflexia and they gave me morphine via iv. I was released the following day and my 1st night home was HELL. I got sick to my stomach on my way home and dry heaved for 8 hours. my mom decided it was the pain medicine so we tried cutting back - BIG mistake. I wanted to call the ambulance but suffered through the night. I sweat my ass off. it was horrible. I did sit on my shower chair with the insert in while I showered that morning. I stayed in bed that morning after shower. Nausea went away and so I ate toast, took pain medicine and slept all day. I was in my chair the 3rd day after surgery and I sat over 12 hours......used panty liner to catch blood. After 4th day I was only taking pain med every 6 to 8 hours. I could kick myself for not doing it 2 years earlier!
DATE: 12/08/2014 SURGEON: Glen R. Hanson, M.D. PREOPERATIVE DIAGNOSIS: Prolapsing grade 4 hemorrhoids with mucosal prolapse. POSTOPERATIVE DIAGNOSIS: Prolapsing grade 4 hemorrhoids with mucosal prolapse. PROCEDURE PERFORMED: Complex 3-column hemorrhoidectomy. ANESTHESIA: TIVO and local. COMPLICATIONS: None. ESTIMATED BLOOD LOSS: 200 mL. OPERATIVE TECHNIQUE: The patient is a quadriplegic with some minimal sensation in her perineum. I went ahead and prepped and draped the area in a sterile fashion with her in the lithotomy position. Infiltrated lidocaine and then 0.25% Marcaine. I placed Hill-Ferguson retractor in the canal, and ellipsed out the left lateral, right posterior, and right anterior columns in a similar fashion by placing 2-0 chromic sutures at the base of each column, incising the overlying mucosa with a scalpel, and then resected the underlying hemorrhoidal tissue with a LigaSure device, resecting the hemorrhoidal tissue down to the internal sphincter muscles, and then closing the mucosa with interrupted 2-0 chromics down to the dentate line and then reapproximating the anal skin with 3-0 chromics. The patient had all 3 hemorrhoids done in a simialr fashion, performing a complex hemorrhoidectomy. She also had some small external hemorrhoids and skin tags that were excised and closed with 3-0 chromic, completing the hemorrhoidectomy. The patient's wound was packed with lidocaine-soaked Gelfoam and fluffed out 4x4's. She was transferred back to her room in a stable condition. -----Original Message----- From: Derrick [mailto:[email protected]] Sent: Sunday, August 23, 2015 5:36 PM To: [email protected] Subject: quadlist sugery Nikki, Did you ever get this sugery? How did it go? I might need it and worry about blood clot. Thanks, Derrick c/5 in PA Back in my early days (about 8-years post injury--I'm a T10 complete para) I had several hemorrhoid "bandings"--the proctologist uses a special tool to put specially made, super-tight, rubber bands around the hemorrhoids, within a week they shrivel up and vanish. I never had any problems. HOWEVER, I had another friend that had a similar procedure and ended up with a blood clot that went to his heart--he recovered, but was fortunate he knew what his symptoms meant. A couple things I've learned--make sure your doctor knows about dealing with SCI and how we evacuate our bowels. I have spoken with a few proctologists that won't even consider dealing with SCI and hemorrhoids. Per blood thinners--the main thing is to be monitored. I am on blood thinners, and I have had to go off of them from time to time--for 3-5 days--due to various minor surgical procedures. No problem, but again, it is vital to communicate all of this to the various medical professionals. Hope this helps. Bob V On Nov 1, 2014, at 1:22 PM,[email protected] wrote: > Has anyone had a hemorrhoidectomy and will you share your experience as far > as general anesthesia versus spinal block and sedation, recovery time, etc. > > I am scheduled for surgery Dec. 8 and while it is an outpatient procedure > we're doing it at the hospital just in case something goes wrong. I'm on > blood thinner and nervous about going off of it even though he said we'd do > lovinox shots the 3 days before surgery and after. > > Ready for relief! > Nicki >
