Risk Factors of Hemorrhage After Hemorrhoidectomy

• Published in: Nippon Daicho Komonbyo Gakkai Zasshi Vol. 57; no. 3; pp. 165 - 168
• Main Authors: Kunimoto, M., Iwashige, H., Hata, H., Okita, K., Murakami, K., Sato, M., Hirata, K.
• Format: Journal Article
• Language: English
• Published: The Japan Society of Coloproctology 2004
• ISSN: 0047-1801; 1882-9619; 1882-9619
• DOI: 10.3862/jcoloproctology.57.165

We studied the causes of hemorrhage after hemorrhoidectomy by evaluating factors related to both the patient and the surgeon. Among 2, 045 cases of hemorrhoidectomy, there were 30 cases with hemorrhage after the operation, of which 20 cases were with primary hemorrhage, 8 with delayed hemorrhage and 2 with several hemorrhages. In the cases of primary hemorrhage, the lack of experience of the surgeon tended to be the only risk factor. The risk with an inexperienced surgeon, who had fewer than 300 cases of hemorrhoidectomy, was about twice that with an experienced surgeon. In cases of delayed hemorrhage, dyschezia and dysuria were identified as significant risk factors. In cases of repeated hemorrhages, we found no risk factor because there were only two cases in this study. These results indicate that to avoid primary hemorrhage, an inexperienced surgeon, who has performed fewer than 300 hemorrhoidectomies, should not operate without the guidance of an experienced doctor. Furthermore, to avoid delayed hemorrhage, we should carefully observe and improve the defecation and urination of the patient.