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Persistent Bleeding Following a Stapled Hemorrhoidopexy.

Seong Dae Lee1, Sung Taek Jung1, Jae-Bum Lee1

  • 1Department of Surgery, Daehang Hospital, Seoul, Korea.

Annals of Coloproctology
|July 21, 2016
PubMed
Summary
This summary is machine-generated.

Persistent bleeding after stapled hemorrhoidopexy (SH) in patients with advanced hemorrhoids can occur. This case report details successful treatment of post-SH bleeding caused by granulation tissue using transanal excision (TAE).

Keywords:
HemorrhoidectomyInflammatory polypRectal bleedingStapled hemorrhoidopexy

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Area of Science:

  • Colorectal Surgery
  • Gastroenterology
  • Surgical Complications

Background:

  • Stapled hemorrhoidopexy (SH) is a common procedure for grades III and IV hemorrhoids.
  • SH offers benefits like reduced pain and faster recovery.
  • However, SH can lead to complications, including persistent bleeding.

Purpose of the Study:

  • To report a case of persistent bleeding following SH.
  • To describe the diagnosis and successful treatment of this complication.

Main Methods:

  • A female patient experienced persistent bleeding after SH.
  • Diagnosis was confirmed via sigmoidoscopy, identifying granulation tissue at the stapler line.
  • Treatment involved transanal excision (TAE) under spinal anesthesia.

Main Results:

  • Sigmoidoscopy revealed granulation tissue formation at the stapler line.
  • Biopsy confirmed inflammatory granulation tissue.
  • Transanal excision effectively resolved the bleeding symptom.

Conclusions:

  • Persistent bleeding after SH can be caused by granulation tissue.
  • Transanal excision is an effective treatment for this complication.
  • Early diagnosis and intervention are crucial for managing post-SH bleeding.