Title

Outcome of Delayed Hemorrhage Following Surgical Hemorrhoidectomy.

Publication/Presentation Date

8-1-1993

Abstract

Delayed hemorrhage following surgical hemorrhoidectomy is a well-recognized complication. Emergency treatment may include suture ligation, anal packing, or other means of tamponade. At the Lehigh Valley Hospital, 27 patients were seen with the complication of delayed hemorrhage over an eight-year period from 1983 to 1990, for an incidence of 0.8 percent. Twenty-five patients (93 percent) underwent surgery primarily for hemorrhoidal disease; one patient had hemorrhoids removed in addition to a sphincterotomy for anal tissue, and the remaining patient had hemorrhoidectomy with fistulotomy. The mean interval from the operation to hemorrhage was six days. Treatment modalities included bedside anal packing in 20 patients (74 percent), observation alone in five patients (18 percent), and suture ligation in the operating room in two patients. Anal packing was successful in controlling postoperative hemorrhage in 20/20 patients, but late complications requiring reoperation developed in 15 percent.

Volume

36

Issue

8

First Page

743

Last Page

746

ISSN

0012-3706

Disciplines

Medicine and Health Sciences | Other Medical Specialties | Surgery

PubMedID

8348863

Department(s)

Department of Surgery, Department of Surgery Faculty

Document Type

Article