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Risk of delayed bleeding after hemorrhoidectomy.

Ko-Chao Lee1, Chia-Cheng Liu2, Wan-Hsiang Hu1

  • 1Division of Colorectal Surgery, Department of Surgery, Chang Gung Memorial Hospital - Kaohsiung Medical Center, Chang Gung University College of Medicine, No. 123, DAPI Rd. Niaosng Dist, Kaohsiung City, 83301, Taiwan.

International Journal of Colorectal Disease
|October 26, 2018
PubMed
Summary

Delayed post-hemorrhoidectomy bleeding (DPHB) is a serious complication. The LigaSure device and constipation independently increase DPHB risk, highlighting them as key predictors for patient outcomes.

Keywords:
Delayed post-hemorrhoidectomy bleedingFerguson procedureHemorrhoidectomyLigaSure procedureRisk factors

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Area of Science:

  • Colorectal Surgery
  • Surgical Complications
  • Hemorrhoid Treatment

Background:

  • Delayed post-hemorrhoidectomy bleeding (DPHB) is a rare but significant complication following surgical treatment for hemorrhoids.
  • Understanding the risk factors associated with DPHB is crucial for improving patient safety and outcomes.

Purpose of the Study:

  • To investigate the incidence and identify risk factors for DPHB in patients undergoing hemorrhoidectomy.
  • To compare the rates of DPHB between the LigaSure device and the Ferguson procedure.

Main Methods:

  • A retrospective study of 382 patients with symptomatic grades II to IV hemorrhoids.
  • Patients underwent either LigaSure (184) or Ferguson (198) hemorrhoidectomy.
  • Follow-up was conducted on 32 patients who experienced DPHB post-discharge.

Main Results:

  • The LigaSure group had a significantly higher incidence of DPHB (11.9%) compared to the Ferguson group (5.1%).
  • Overall risk factors for DPHB included male gender, the LigaSure procedure, and constipation.
  • In males, DPHB risk was associated with constipation and the LigaSure procedure; in females, constipation was a significant risk factor.

Conclusions:

  • The LigaSure procedure and constipation are identified as independent risk factors for DPHB.
  • These factors can serve as valuable predictors for patient outcomes after hemorrhoidectomy.