Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Stapled haemorrhoidectomy: bothersome staple line bleeding.

Dean C S Koh1, Denis M O Cheong, Kutt Sing Wong

  • 1Department of General Surgery, Tan Tock Seng Hospital, Singapore. Dean_Koh@ttsh.com.sg

Asian Journal of Surgery
|July 19, 2005
PubMed
Summary

Staple line bleeding is a common complication of stapled hemorrhoidectomy, affecting nearly half of patients. Meticulous surgical technique is crucial to prevent postoperative bleeding and reduce patient morbidity.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Screening based on risk for colorectal cancer is the most cost-effective approach.

Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association·2011
Same author

Necrotizing fasciitis after laparoscopic colonic surgery: case report and review of the literature.

Surgical laparoscopy, endoscopy & percutaneous techniques·2007
Same author

Colorectal clinical pathways: a method of improving clinical outcome?

Asian journal of surgery·2005
Same author

Treatment of acute malignant colorectal obstruction with self-expandable metallic stents.

ANZ journal of surgery·2002

Area of Science:

  • Colorectal Surgery
  • Surgical Complications
  • Hemorrhoidal Disease Treatment

Background:

  • Stapled hemorrhoidectomy is a popular treatment for prolapsing hemorrhoidal disease.
  • Staple line bleeding is a recognized contributor to postoperative morbidity.

Purpose of the Study:

  • To assess the incidence of intraoperative staple line bleeding during stapled hemorrhoidectomy.
  • To evaluate the management and early postoperative outcomes related to staple line bleeding.

Main Methods:

  • Retrospective analysis of 39 consecutive stapled hemorrhoidectomy procedures over one year.
  • Review of outpatient, operative, and inpatient records.
  • Assessment of intraoperative bleeding, management, and postoperative outcomes.

Related Experiment Videos

Main Results:

  • Intraoperative staple line bleeding occurred in 44% of patients, requiring suture reinforcement in 31%.
  • Postoperative bleeding led to admission for 23% of patients, with 10% requiring surgical hemostasis.
  • Patients with intraoperative bleeding had a higher incidence of postoperative bleeding (35% vs. 14%).

Conclusions:

  • Staple line bleeding is a technical challenge in stapled hemorrhoidectomy.
  • Meticulous hemostatic suture placement is essential to minimize postoperative bleeding and re-operation rates.