Urgent hemorrhoidectomy for hemorrhoidal crisis

Area of Science:

• Colorectal Surgery
• Surgical Techniques
• Hemorrhoid Treatment

Background:

• Hemorrhoidal crisis often necessitates urgent surgical intervention.
• Radical hemorrhoidectomy with anoderm-flap repair is a potential treatment option.
• Assessing the safety and efficacy of urgent procedures is crucial.

Purpose of the Study:

• To evaluate the outcomes of urgent radical hemorrhoidectomy with anoderm-flap repair.
• To compare complication rates with elective hemorrhoidectomy.
• To determine the benefit of anal packing in this setting.

Main Methods:

• Fifty-six patients with hemorrhoidal crisis underwent urgent radical hemorrhoidectomy.
• Anoderm-flap repair was utilized in all cases.
• Postoperative complications and flap healing were monitored. Anal packing with a central-tubed cotton plaque was employed in some cases.

Main Results:

• No significant increase in complications was observed compared to elective hemorrhoidectomy.
• One patient (1.8%) experienced flap separation.
• Anal packing was associated with successful flap take and reduced postoperative hemorrhage.

Conclusions:

• Urgent radical hemorrhoidectomy with anoderm-flap repair is a viable and safe option for hemorrhoidal crisis.
• The technique demonstrates comparable safety to elective procedures.
• Anal packing is beneficial for improving anoderm flap healing and minimizing bleeding post-surgery.