Complications after procedure for prolapse and hemorrhoids for circular hemorrhoids / 中华胃肠外科杂志
Chinese Journal of Gastrointestinal Surgery
; (12): 1252-1255, 2012.
Article
em Zh
| WPRIM
| ID: wpr-312313
Biblioteca responsável:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the perioperative and postoperative long-term complications of procedure for prolapse and hemorrhoids(PPH) for the treatment of circular internal hemorrhoids and circular mixed hemorrhoids.</p><p><b>METHODS</b>A retrospective study was performed in 2152 patients with circular internal hemorrhoids and circular mixed hemorrhoids eligible for PPH from January 2002 to December 2011. The perioperative and postoperative long-term complications were recorded and assessed.</p><p><b>RESULTS</b>The median length of follow-up was 73 months. Perioperative complications and adverse events were reported including acute urinary retention(n=360, 16.7%) which was managed by temporary cathether indwelling, anastomotic bleeding(n=45, 2.1%) managed by surgical or endoscopic procedures, chronic anoperineal sustained pain(n=30, 1.4%) managed by local treatment or stapler removal, and thrombosed external hemorrhoid(n=28, 1.2%) managed by conservative treatment or resection. Long-term postoperative complications were reported including mild fecal incontinence(n=112, 6.3%), postoperative recurrence(n=82, 4.6%), anal distention and defecatory urgency(n=50, 2.8%), anastomotic stenosis(n=4, 0.2%). Postoperative recurrence developed in 82 patients(4.6%), 28 of whom were managed by repeat PPH and 54 by conservative treatment.</p><p><b>CONCLUSION</b>PPH appears to be a safe technique for patients with circular internal hemorrhoids and circular mixed hemorrhoids.</p>
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Complicações Pós-Operatórias
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Período Pós-Operatório
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Prolapso
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Recidiva
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Cirurgia Geral
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Procedimentos Cirúrgicos do Sistema Digestório
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Trombose
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Estudos Retrospectivos
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Diagnóstico
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Hemorroidas
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
Limite:
Humans
Idioma:
Zh
Revista:
Chinese Journal of Gastrointestinal Surgery
Ano de publicação:
2012
Tipo de documento:
Article