| Prospective survey of secondary bleeding following anorectal surgery in a consecutive series of 1,269 patients. | |
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MedLine Citation:
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PMID: 21055891 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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INTRODUCTION: As little data is available about secondary bleeding after proctological surgery, we conducted a specific survey. PATIENTS AND METHODS: Patients operated between November 2008 and April 2009 were prospectively included. Patients were followed until last visit (day 21-28). Severity of bleeding was low (at home stay), moderate (hospitalisation for observation), or severe (transfusion, and/or homeostasis in operating room). RESULTS: Included were 1269 patients: haemorrhoidectomy/pexy 527 (41%), fistula treatment 273 (21%), fissurectomy 197 (15%), perianal and pilonidal abscesses 124 (10%), others 148 (12%). Before surgery 78 patients were under long-term treatment with antiplatelet or anticoagulant therapy. Seventy-eight patients (6%) demonstrated 85 bleeding events. Severity rate was: low 22%, moderate 51%, and severe 27%. Ninety-five percent of events occurred before day 15. Univariate study showed increased risk after haemorrhoidopexy (P<10-3) and anticoagulant treatment (P = 0.002), decreased risk after fissurectomy and fistulotomy (P<10-3), and no relation with age, sex or operator. After multivariate study only relationship with anticoagulant treatment remained significant. CONCLUSION: Secondary bleeding occurred in 6% of patients after proctological surgery, requiring a readmission and/or an active treatment in about 75%. Treatment with anticoagulant exposed to increased bleeding frequency. |
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Authors:
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F Pigot; F Juguet; D Bouchard; A Castinel; J-P Vove |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Clinics and research in hepatology and gastroenterology Volume: 35 ISSN: 2210-741X ISO Abbreviation: Clin Res Hepatol Gastroenterol Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2011-06-01 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101553659 Medline TA: Clin Res Hepatol Gastroenterol Country: France |
Other Details:
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Languages: eng Pagination: 41-7 Citation Subset: IM |
Affiliation:
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Hôpital Bagatelle, 201, rue Robespierre, 33401 Talence cedex, France. proctobagatelle@mspb.com |
Export Citation:
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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