"Transanal haemorrhoidal dearterialisation with..."

About: Pilgrim Hospital

I saw a consultant in December 2015 and was put on the waiting list for the above mentioned operation.

I received a phone call in late May and was offered the operation in early June but was told it would be performed by a colleague of my consultant.

On the day of my operation I received excellent care from the the nurses that looked after me in the Day care unit, it was clean, tidy, organised and the nurses performed their duties in a very professional manner.

I'd done plenty of research on the THD procedure and felt very positive on the outcome of the operation but felt a bit dismayed when prior to the operation the surgeon told me that among the list of complication on the consent form, the fact that I could end up wearing a bag had not been included and I had to resign the document before the operation could take place.

In light of the situation i was put in i was tempted to ask whether this would be Gucci, Chanel or a nice Valentino bag but surely not a colostomy bag as they are so passe.........but decided against that thought and just signed as requested.

I felt fine after the operation but a bit light headed from the general anaesthetic and after having something to eat and drink was looking forward to going home.

Unfortunately this was not the case and I didn't leave until approx 11 pm.

Looking back, I regret than when the surgeon came to check on me after the operation I didn't ask them whether everything went as planned but surely the consultant would have told me if it hadn't or pre warned me on any surprises that I might have on inspecting myself.

After getting home and while cleaning myself before i got into bed I was shocked at what I discovered.

It's been been 12 days since I had my operation, I've seen 2 Doctors about my post op issues and made numerous calls to Boston Hospital and have now discovered that my discharge papers have no mention of a follow up appointment with a consultant at an outpatients clinic.

The NICE (National institute for health and care) in their latest September 2012 revised update state.

Haemorrhoidal artery ligation:

Selective ligation of the arteries supplying blood to the haemorrhoids using a specially designed proctoscope with a Doppler-guided facility to identify the appropriate vessels.

A review concluded that there is insufficient evidence to judge the effectiveness of this technique, although the mean hospital stay was shorter than after closed haemorrhoidectomy, and there were fewer post-operative complications.

The United Lincolnshire Hospital website states

The colorectal surgery department at Boston offers the most up to date treatments for proctology conditions like haemorrhoids and fistulas and are dealt with using the latest technology including doppler guided surgery.

As I don't have a follow up appointment I can only gather that Boston Hospital assumes a 100% success rate with the THD procedure and that patient feed back is obviously not required.

Back to my Doctors to get another referral.

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Response from Sharon Kidd, Patient Experience and Engagement Manager, Patient Experience, United Lincolnshire Hospitals NHS Trust

picture of Sharon Kidd

Dear Anonymous,

Thank you very much for your feedback following your recent operation at the Pilgrim Hospital.

Firstly, I am pleased that you felt that the care given by the nursing staff on the day care unit was of a standard you would expect, I will ensure this positive feedback is shared with them.

It is such a shame that we appear to have let you down following your operation and your frustration at this is evident from your comments.

As a Trust we recognise that good communication is essential in ensuring a positive patient experience. We are seeing more and more patients who, such as yourself, have done their own research before attending hospital, and therefore have an expectation of what will happen both before, during and after the operation. It is essential that patients are given the opportunity to discuss these expectations with the people responsible for their care and I am very sorry that this clearly has not happened on this occasion.

We are committed to learn from patient experience, which is why we use both NHS Choices and Patient Opinion to encourage it. Your feedback would be especially useful if we could share it directly with the team members who were involved in the latter part of your episode of care.

I would be extremely grateful if you would agree to contact our PALS team at Boston on 01205 446243 with your name and date of birth. They can then ensure your feedback is directed to the staff members involved. The PALS team will also be able to assist with regard to any requirement to arrange a follow-up appointment for you at Outpatients.

Once again, thank you for your feedback, and please accept my sincere apologies that your overall experience has not been, to date, a positive one.


Sharon Kidd, Patient Experience Manager

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