Inflammatory Polyps: A Cause of Late Bleeding in Stapled Hemorrhoidectomy

Fondran, John C.; Porter, Joel A.; Slezak, Frederick A.

doi:10.1007/s10350-006-0748-2

Cited by 18 publications

(20 citation statements)

References 14 publications

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“…3,[17][18][19][20] Early thrombosed external hemorrhoids (TEH) were also reported, with the overall early occurrence rate ranging from 0 to 13% and a median occurrence of 4.51%. 21 Overall rates of urinary retention ranged from 0 to 22%.…”

Section: -16 Documented Complications Of Hemorrhoidopexy Porrettmentioning

confidence: 99%

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Documented Complications of Staple Hemorrhoidopexy: A Systematic Review

Porrett

2015

International Surgery

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A systematic review addressing reported complications of stapled hemorrhoidopexy was conducted. Articles were identified via searching OVID and MEDLINE between July 2011 and October 2013. Limitations were placed on the search criteria with articles published from 1998 to 2013 being included in this review. No language restrictions were placed on the search, however foreign language articles were not translated. Two reviewers independently screened the abstracts for relevance and their suitability for inclusion. Data extraction was conducted by both reviewers and entered and analyzed in Microsoft Excel. The search identified 784 articles and 78 of these were suitable for inclusion in the review. A total of 14,232 patients underwent a stapled hemorrhoidopexy in this review. Overall complication rates of stapled hemorrhoidopexy ranged from 3.3%-81% with 5 mortalities documented. Early and late complications were defined individually with overall data suggesting that early complications ranged from 2.3%-58.9% and late complications ranged from 2.5%-80%. Complications unique to the procedure were identified and rates recorded. Both early and late complications unique to stapled hemorrhoidopexy were identified and assessed.

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Section: -16 Documented Complications Of Hemorrhoidopexy Porrettmentioning

confidence: 99%

“…23 Submucosal anastomotic cysts were reported. 17,25 Recurrence of hemorrhoids following the procedure occurred up to 58.9% of patients. 32 …”

Section: -16 Documented Complications Of Hemorrhoidopexy Porrettmentioning

confidence: 99%

Documented Complications of Staple Hemorrhoidopexy: A Systematic Review

Porrett

2015

International Surgery

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“…Published recurrence rates range up to 25.9% [28], and published reoperation rates for recurrence range up to 14.7% [39]. In general, performing minor concomitant procedures has no negative effect on postoperative reconvalescence, complication or reoperation rates and is generally not regarded as contraindicated [7,[40][41][42].…”

Section: Discussionmentioning

confidence: 97%

Complications, recurrences, early and late reoperations after stapled haemorrhoidopexy: lessons learned from 1,233 cases

Jongen¹,

Eberstein

Bock

et al. 2009

Langenbecks Arch Surg

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Reoperations after SH are necessary in about 10% of the patients. The majority of the reoperations are due to either complications arising from circular SH, recurrent/persistent haemorrhoidal symptoms or other anorectal issues not addressed by the circular SH procedure (3.8% early; 6.8% late). Circular SH appears to be an effective procedure for symptomatic haemorrhoidal disease; however, training and learning curve issues should be addressed to minimise treatment failures.

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“…Fondran et al recommended for late bleeding, which the patient may attribute to recurrence of hemorrhoids, prompt anoscopic examination for granulation polyps. The authors suggested that if these granulomas were found, they could be adequately treated with simple polypectomy [34].…”

Section: Hemorrhagementioning

confidence: 99%