Acute intestinal obstruction following stapled haemorrhoidopexy

Vasudevan, S; Mustafa, El. A.; Gadhvi, Vijay M.; Jhaldiyal, P.; Saharay, M.

doi:10.1111/j.1463-1318.2007.01228.x

Cited by 11 publications

(14 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We may hypothesize that stitches placed too deep while making the purse-string suture could cause a tear in an intramural rectal artery, and as a result, a continuous leak inside the bowel wall. Progression of an intramural hematoma may lead to ischemia, perforation, and intraabdominal bleeding, as described by us as well as other authors [3][4][5][6][7][8][9][10].…”

Section: Discussionmentioning

confidence: 77%

“…Different postoperative complications have been reported [1][2][3] and those that are potentially life threatening are rare, but not negligible such as systemic sepsis [3][4][5][6] or uncontrollable bleeding [7][8][9]. We found in the literature other 18 cases of uncontrollable bleeding from rectal hematoma after stapled hemorrhoidopexy [3,7,8,10].…”

Section: Discussionmentioning

confidence: 83%

“…In the paper by Naldini [3], laparotomy was performed in 3 out of 15 hematomas. Low anterior resection [7], Hartmann's procedure [8], or simple colostomy [3, 9,10] have been reported with good results. In our patient, we successfully performed simple suturing and loop colostomy.…”

Section: Discussionmentioning

confidence: 99%

“…Among early complications, minor rectal bleeding seems common, with an incidence rate around 25% [2]. However, severe complications such as sepsis, bleeding, and hemoperitoneum, which require aggressive management, have been reported [3][4][5][6][7][8][9][10][11][12][13]. These complications are a serious challenge and call into question the advantages of the technique.…”

Section: Introductionmentioning

confidence: 99%

“…In the present paper, we report a case of hemoperitoneum from an ascending rectum-sigmoid intramural hematoma, following stapled hemorrhoidopexy. Our aim is to improve the understanding of this complication that has already been described in the literature [3, [6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Sigmoid intramural hematoma and hemoperitoneum: an early severe complication after stapled hemorrhoidopexy

et al. 2011

View full text Add to dashboard Cite

Stapled hemorrhoidopexy is a widely used surgical technique for treating hemorrhoids, although severe complications have been reported. The authors report a rare case of extensive ascending intramural hematoma of the sigmoid colon complicating stapled hemorrhoidopexy, with perforation and hemoperitoneum. Diagnosis was established at CT scan and treatment consisted of drainage, suturing, and diverting colostomy. This reported case is the ninth described in the literature, but, so far, it is not known what preventive measures to use in order to avoid such a rare complication. Adoption of a correct surgical technique remains the step of utmost importance in order to prevent such a severe postoperative complication.

show abstract

Section: Discussionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Sigmoid intramural hematoma and hemoperitoneum: an early severe complication after stapled hemorrhoidopexy

et al. 2011

View full text Add to dashboard Cite

show abstract

Rectal perforation with life-threatening peritonitis following stapled haemorrhoidopexy

Faucheron

Voirin

Abba

2012

British Journal of Surgery

View full text Add to dashboard Cite

Background: Stapled haemorrhoidopexy is a well recognized alternative to haemorrhoidectomy, and is associated with reduced pain and earlier return to normal activity. This paper reports all published cases of life-threatening sepsis following stapled haemorrhoidopexy, identifies causative factors and makes recommendations.Methods: A systematic review of the literature was performed by searching the major electronic databases. All relevant references were reviewed for possible inclusion. All references of the relevant articles were screened for any further articles that were not identified in the initial search.Results: From 2000 to the present, 29 articles reporting complications in 40 patients were identified. Thirty-five patients underwent laparotomy with faecal diversion and a further patient was treated by low anterior resection. A specific complication was rectal perforation with peritonitis. Factors that led to life-threatening sepsis were identified in 30 patients. Despite surgical treatment and resuscitation, there were four deaths. Conclusion:Severe sepsis can complicate stapled haemorrhoidopexy. Rectal perforation and peritonitis are a particular risk of this technique and the associated mortality rate is high.

show abstract