Document Detail


The outcome of postoperative hemorrhaging following a hemorrhoidectomy.
MedLine Citation:
PMID:  19784725     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Postoperative hemorrhage (PH) is rare, but it is widely recognized as a postoperative complication of a hemorrhoidectomy. The assessment of this complication may provide information which can be used to improve the clinical outcome of a patient who has undergone a hemorrhoidectomy. METHODS: Between January 2006 and December 2007, a total of 1294 patients with symptomatic hemorrhoids underwent a hemorrhoidectomy at our hospital. The patient records were retrospectively analyzed. RESULTS: In this study, 23 patients had suffered from PH and had undergone a second operation (1.7%). The bleeding points were located as follows: 14 anterior,7 right laterally, 8 left laterally, and 2 posteriorly. Of these patients with early hemorrhage, 1 case was at the anterior, 1 was left lateral, and 2 were posterior. A significant correlation was observed between the period and the location of postoperative hemorrhage (P = 0.0023). From one to four piles were excised (1 in 264 patients, 2 in 240 patients, 3 in 702 patients, 4 in 88 patients). A significant correlation was also observed between the number of piles and the occurrence of PH (P = 0.032). CONCLUSIONS: At the posterior wall, a late period hemorrhage is less likely to be found than an early period hemorrhage. It was found that the more piles that were excised, the greater the occurrence of PH.
Authors:
Takaaki Yano; Yasuhide Matsuda; Michio Asano; Kazuhiko Kawakami; Katsuhiko Nakai; Masahiko Nonaka; Kouzou Kimura; Kazuhide Yoshihara
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Publication Detail:
Type:  Journal Article     Date:  2009-09-27
Journal Detail:
Title:  Surgery today     Volume:  39     ISSN:  1436-2813     ISO Abbreviation:  Surg. Today     Publication Date:  2009  
Date Detail:
Created Date:  2009-09-28     Completed Date:  2010-01-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  866-9     Citation Subset:  IM    
Affiliation:
Matsuda Hospital Colo-Proctological Institute, 753 Irino-cho, Nishi-ku, Hamamatsu, Shizuoka 432-8061, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Child
Female
Hemorrhoids / surgery*
Humans
Male
Middle Aged
Postoperative Hemorrhage / prevention & control,  surgery
Reoperation
Retrospective Studies
Treatment Outcome
Young Adult

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