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Related Experiment Video

Updated: Apr 7, 2026

Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications
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A surgeon's nightmare: Complications.

Kazım Gemici1, Ahmet Okuş1, Melda Yıldız2

  • 1Department of General Surgery, Mevlana University Faculty of Medicine, Konya, Turkey.

Ulusal Cerrahi Dergisi
|July 15, 2015
PubMed
Summary

Pain and hemorrhage after hemorrhoidectomy are the most challenging postoperative complications for surgeons. Despite difficulties, most surgeons remain willing to perform these procedures again.

Keywords:
Surgerycomplicationspostoperative hemorrhagesurveys

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Area of Science:

  • Surgical outcomes
  • Patient well-being
  • Surgical management

Background:

  • Frequent surgical procedures carry risks of postoperative complications.
  • Some complications cause chronic discomfort without being life-threatening.
  • Understanding surgeon perception of difficult complications is crucial for improving care.

Purpose of the Study:

  • To identify the most difficult postoperative complications in terms of physical and psychological management.
  • To assess surgeon attitudes towards performing procedures associated with challenging complications.

Main Methods:

  • A survey was conducted among 360 general surgeons at the 19th National Surgery Congress.
  • Surgeons ranked the difficulty of managing specific, non-life-threatening postoperative complications.
  • Descriptive statistical analysis was used to evaluate the responses.

Main Results:

  • Pain and hemorrhage following hemorrhoidectomy were identified as the most difficult complications (25% of votes).
  • Persistent hypocalcemia after total thyroidectomy was the second most difficult complication (20% of votes).
  • A significant majority (80%) of surgeons reported that complications did not deter them from repeating the procedure.

Conclusions:

  • Post-hemorrhoidectomy pain and hemorrhage present the greatest management challenges for surgeons in daily practice.
  • Surgeon resilience is high, with most willing to proceed with challenging operations despite complications.
  • These findings highlight areas for improved postoperative care and surgeon support.