Postoperative Complications in Hemorrhoidal Disease and Special Conditions

Romaguera, Vicent Primo; Sancho‐Muriel, Jorge; Alvarez-Sarrdo, Eduardo; Millán, Mónica; García-Granero, Álvaro; Frasson, Matteo

doi:10.2174/1574887115666200406114218

Cited by 15 publications

(21 citation statements)

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“…All three required reinterventions under SA for surgical drainage and debridement, with a good overall clinical outcome. Severe infectious complications, such as Fournier`s gangrene or even sepsis, have never been recorded in our study, however some publications point out a worrisome percentage of 0.1%[ 12 , 18 ].…”

Section: Resultsmentioning

confidence: 53%

“…Surgical site infections: From the pool of postoperative surgical site infections, in HD treatment, perianal abscesses are amongst the most commonly met, either in conjunction with an inter-sphincter collection or as stand alone. Most of the studies will place them in the range of 1.0% to 8.24% of operated patients and they develop most likely as a result of local determinants, involving a higher bacterial virulence in rectum and anal canal, especially of Escherichia coli and gut-specific Bacteroides strains, a lack of proper mucosa defending factors such as Immunoglobulin A deficiency, abnormal integrity of the extracellular matrix and epithelial-to-mesenchymal transition or improper bowel preparation prior to surgery[ 12 , 15 - 17 ].…”

Section: Resultsmentioning

confidence: 99%

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Ten-year multicentric retrospective analysis regarding postoperative complications and impact of comorbidities in hemorrhoidal surgery with literature review

Moldovan¹,

Rusu²,

Cochior³

et al. 2023

World J Clin Cases

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BACKGROUND Hemorrhoidal disease (HD) is considered a low-severity pathology by both general population and physicians, but the lengthy conservative therapy and postoperative complications suggest otherwise. AIM To assess the effectiveness of different treatment options, both conservative and surgical, in contrast with some preexisting comorbidities. METHODS We conducted a retrospective, 10-yearlong study between January 2011 and December 2021 in two surgical centers, a private and a state-owned hospital. We compared the efficacy and safety of several treatment options, such as open hemorrhoidectomy, stapled hemorrhoidopexy, rubber band ligation and infrared coagulation in terms of complication rates and types and their correlation with different preexisting comorbidities such as inflammatory bowel disease (IBD), use of anticoagulant medication (AM) and liver cirrhosis. We also conducted a 20-years long PubMed research (1.263 articles) for relevant comparisons. RESULTS Our study recorded 10940 patients with HD, 10241 with conservative and 699 with surgical treatment. Out of these, the male-to-female ratio of 1.3, and a peak in age distribution between 59 and 68 years old (32% of patients). For the entire study, we recorded a 90% incidence of immediate pain, immediate bleeding in 1.5% (11 cases), delayed bleeding in 1.0% (7 cases), and 0.6% surgical site infections. Urinary retention was also present, with 0.2% of patients, anal stricture in 1% and fecal incontinence for 0.5% of patients (4 cases). We recorded no severe complications such as Fournier`s gangrene or rectovaginal perforations. IBD accounted for 6% of the patients, with ulcerative colitis in 12% and Chron`s disease in 10.5%. 6.6% of the patients had AM, determining 4% immediate and 2% delayed bleeding, in surgically treated patients. CONCLUSION Our study determined that most common complications (pain, urinary retention, bleeding, and stricture) are correlated with each surgical technique and pre-existing comorbidities.

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Section: Resultsmentioning

confidence: 53%

Section: Resultsmentioning

confidence: 99%

Ten-year multicentric retrospective analysis regarding postoperative complications and impact of comorbidities in hemorrhoidal surgery with literature review

Moldovan¹,

Rusu²,

Cochior³

et al. 2023

World J Clin Cases

View full text Add to dashboard Cite

show abstract

“…These muscles and the external anal sphincter receive nerve fibers from the inferior rectal branch of the internal pudendal nerve. The anal canal receives sensory innervation from a lower branch of the pudendal nerve [4]. Ano's fistulae can be divided into two broad classes: Minor nasopharyngeal fistula: If a hole is drilled internally into the anal canal below the anorectal ring, the patient is less likely to experience long-term incontinence.…”

Section: Introductionmentioning

confidence: 99%

“…An extra sphincteric opening is located supra levator and has a tract that travels through the complete sphincter mechanism before emerging from the skin [4]. Clinical presentation: An acute abscess is just one of the many ways a fistula can manifest itself.…”

mentioning

confidence: 99%

Surgery for Simple Anal Fistula under Local Anesthesia

Iqbal¹,

Jamil²,

Saleem³

et al. 2022

PJMHS

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Background: Infections of the anal glands, which drain into the anal crypts, account for more than 95% of all cases of anorectal abscess. Although fistula-in-ano is usually harmless, it can nonetheless cause severe pain and significantly impact patients' day-to-day lives. Even though most anorectal procedures are performed when the patient is under general or regional anesthesia, there is mounting proof that these procedures can be done safely and effectively in an outpatient setting using only local anesthesia. All procedures in the current investigation were performed with local anesthesia, specifically, 2% lidocaine and 0.5 % bupivacaine. Place and Duration of study: Departments of General Surgery, HMC Peshawar and Nishtar Hospital, Multan for the duration of six months from June 2021 to November 2021. Method: Including the time needed to inject the anesthetic, the typical surgical procedure lasted around 26 minutes. No patient reported more than a 7 on a visual analogue scale for pain on the day of surgery, or the first postoperative day. In most cases, patients spend around two days in the hospital. Results: Including the time needed to inject the anesthetic, the typical surgical procedure lasted around 26 minutes. No patient reported more than a 7 on a visual analogue scale for pain on the day of surgery, the day of surgery, or the first postoperative day. In most cases, patients spend around two days in the hospital. Conclusion: With early ambulation, good tolerability, and fewer anaesthetic problems, local fistula in- ano repair anesthesia is a safe and effective option. In-Ano Fistula, VAS, and Local Anesthetics are some of the terms that will be discussed.

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“…[17][18][19][20] Post-operative complications in early stages like severe pain, wound infection, bleeding, edema of the skin bridge, major short-term incontinence, difficult urination or urinary retention and anal stenosis, formation of skin tags, recurrence late stage complications limits the use of operative approaches for management and treatment of HD. [21][22][23][24][25]…”

Section: Introductionmentioning

confidence: 99%

Study of efficacy of band ligation and suture ligation in the treatment of second degree hemorrhoids

2021

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Background: Rubber band ligation (RBL) and suture ligation are treatment strategies adapted for management of second degree hemorrhoids, an anorectal condition leading to distal displacement of anal cushions. Aim of current study was to investigate efficacy of suture ligation and band ligation techniques used in management of grade two internal hemorrhoids in terms of intraoperative n post-operative complications.Methods: An observational prospective study was conducted on 108 patients presented with grade 2 internal heamorrhoids at JNM medical college, Raipur between 2018 to 2019. Patients were divided in two equal groups receiving rubber band and suture ligation as treatment approaches. Efficacy of both treatment approaches was studied in terms of post-operative complications observed at immediate, one week and one month follow-ups and on the basis of hospital stay time required.Results: Majority of patients in both the groups were males with most number of cases in age group of 31-40 years. There was no significant difference in dietary habits of patients in both group as well as efficacy of both treatment techniques. Post-operative pain, discomfort, prolapse were common complains in band ligation group with pain persisting even during one month follow-up. Pain, bleeding per rectum, discomfort and irritation per rectum were the most common post-operative complaints of suture ligation group during follow-up.Conclusions: Although efficacy of both treatment strategies were equivalent, RBL would be recommended over suture ligation treatment strategy due to requirement of regional anesthesia to reduce operative difficulty and more hospital stay time in suture ligation treatment strategy.

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Postoperative Complications in Hemorrhoidal Disease and Special Conditions

Cited by 15 publications

References 0 publications

Ten-year multicentric retrospective analysis regarding postoperative complications and impact of comorbidities in hemorrhoidal surgery with literature review

Ten-year multicentric retrospective analysis regarding postoperative complications and impact of comorbidities in hemorrhoidal surgery with literature review

Surgery for Simple Anal Fistula under Local Anesthesia

Study of efficacy of band ligation and suture ligation in the treatment of second degree hemorrhoids

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