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Acute rectal obstruction after PPH stapled haemorrhoidectomy.
1Department of Surgery, Albano Laziale Hospital, Rome, Italy Coloproctology Unit, Villa Claudia and Villa Flaminia Hospital, Rome, Italy.
Summary
A rare complication of stapled hemorrhoidectomy can cause acute intestinal obstruction due to rectal lumen narrowing. Prompt dilation and suture release via a transanal approach successfully restored intestinal continuity.
Area of Science:
- Colorectal Surgery
- Surgical Complications
Background:
- Post-hemorrhoidectomy complications can significantly impact patient recovery.
- Stapled hemorrhoidectomy (PPH) is a common procedure with its own set of potential risks.
- Acute intestinal obstruction is a rare but serious adverse event following PPH.
Purpose of the Study:
- To report an unusual case of acute intestinal obstruction after PPH.
- To describe the successful transanal management of this complication.
- To raise awareness among surgeons regarding this potential issue.
Main Methods:
- A case of acute intestinal obstruction post-PPH was identified.
- The obstruction was attributed to rectal lumen narrowing from a purse-string suture and staples.
- A transanal approach was employed to dilate the stricture and release the suture.
Main Results:
- The transanal intervention successfully dilated the rectal stricture.
- Intestinal continuity was restored, resolving the obstruction.
- The patient experienced a successful recovery after the intervention.
Conclusions:
- Acute intestinal obstruction is a rare but treatable complication of PPH.
- A transanal approach is an effective method for managing this specific complication.
- Surgeons should maintain awareness of this potential adverse outcome and its management options.