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Submucosal adrenaline injection for posthemorrhoidectomy hemorrhage
D C Nyam1, F Seow-Choen, Y H Ho
1Department of Colorectal Surgery, Singapore General Hospital.
Diseases of the Colon and Rectum
|July 1, 1995
Summary
Posthemorrhoidectomy bleeding can be effectively managed with submucosal adrenaline injections. This simple technique, performed outside the operating room, achieved 100% success in all patients treated for bleeding after hemorrhoid surgery.
Area of Science:
- Colorectal Surgery
- Gastroenterology
Background:
- Posthemorrhoidectomy bleeding is a common complication.
- Effective management strategies outside the operating room are needed.
Purpose of the Study:
- To describe a technique for managing active posthemorrhoidectomy bleeding.
- To evaluate the efficacy of submucosal adrenaline injection for this indication.
Main Methods:
- Patients received resuscitation and sedation.
- A proctoscope was used to locate the bleeding source.
- 1-2 ml of 1/10,000 adrenaline was injected submucosally.
Main Results:
- The submucosal adrenaline injection technique was completely successful.
- All 12 patients treated with this method experienced cessation of bleeding.
Conclusions:
- Submucosal adrenaline injection is a simple and accessible method.
- This technique offers an effective solution for posthemorrhoidectomy bleeding management.