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Updated: Mar 24, 2026

Vessel-sparing Excision and Primary Anastomosis
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Complications Following Anorectal Surgery.

Hiroko Kunitake1, Vitaliy Poylin2

  • 1Boston Medical Center, Boston University School of Medicine, Boston, Massachusetts.

Clinics in Colon and Rectal Surgery
|March 2, 2016
PubMed
Summary

Anorectal surgery generally has good outcomes. While minor complications are common, serious issues are rare, emphasizing the need for prompt detection of any adverse events.

Keywords:
anorectal surgerycomplicationshemorrhagepelvic sepsisurinary retention

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Area of Science:

  • Colorectal Surgery
  • Surgical Outcomes
  • Patient Safety

Background:

  • Anorectal surgery is a common procedure.
  • Understanding postoperative complications is crucial for patient management.
  • Minimizing morbidity requires early detection and intervention.

Purpose of the Study:

  • To summarize the common complications following anorectal surgery.
  • To highlight the importance of prompt identification of adverse events.
  • To discuss both acute and long-term sequelae.

Main Methods:

  • Review of existing literature on anorectal surgery outcomes.
  • Analysis of complication rates and types.
  • Synthesis of data on acute and chronic complications.

Main Results:

  • Anorectal surgery is well-tolerated overall.
  • Minor complications are frequent, but major complications are infrequent.
  • Common acute issues include bleeding, infection, and urinary retention; pelvic sepsis is rare.
  • Long-term concerns involve fecal incontinence, anal stenosis, and chronic pelvic pain.

Conclusions:

  • Prompt identification of postoperative complications is essential to prevent significant patient morbidity.
  • While major complications are uncommon, vigilance for both acute and long-term issues is necessary.
  • Effective management strategies should address common complications like bleeding, infection, and urinary retention.