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
Published In/Presented At
Rosen, L., Sipe, P., Stasik, J. J., Riether, R. D., & Trimpi, H. D. (1993). Outcome of delayed hemorrhage following surgical hemorrhoidectomy. Diseases Of The Colon And Rectum, 36(8), 743-746.
Disciplines
Medicine and Health Sciences | Other Medical Specialties | Surgery
PubMedID
8348863
Department(s)
Department of Surgery, Department of Surgery Faculty
Document Type
Article