Life threatening pelvic sepsis after stapled haemorrhoidectomy

Molloy, R. G.; Kingsmore, David

doi:10.1016/s0140-6736(00)02208-x

Cited by 246 publications

(158 citation statements)

References 4 publications

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“…A systemic review published in 2006 has reported seven cases of sepsis after stapled hemorrhoidectomy [16]. Another study reported that a case of sepsis was found following stapled hemorrhoidectomy and that study suggested routine preoperative antibiotics [17]. In our study, all patients received metronidazole or ciprofloxacin undergoing for procedure, so none of our patients developed sepsis or any other infection.…”

Section: Discussionmentioning

confidence: 52%

Is Stapled Hemorrhoidectomy a Safe Procedure for Third and Fourth Grade Hemorrhoids? An Experience at Civil Hospital Karachi

2014

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Section: Discussionmentioning

confidence: 52%

Is Stapled Hemorrhoidectomy a Safe Procedure for Third and Fourth Grade Hemorrhoids? An Experience at Civil Hospital Karachi

2014

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“…14 This was also encountered by us and was clinically manifest on the 5th postoperative day with features of generalized peritonitis. Other complications such as pneumoretroperitoneum, 15 pelvic sepsis 16 and rectal obstruction 17 have also been reported but are fortunately rare and were not encountered by us. SH is perhaps the most exciting new development in the definitive treatment for haemorrhoids.…”

Section: Discussionmentioning

confidence: 64%

Stapled hemorrhoidopexy – Initial experience from a general surgery center

Jaiswal

Gupta²,

Davera³

2013

Medical Journal Armed Forces India

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HemorrhoidsStapled hemorrhoidopexy a b s t r a c t Background: Stapled hemorrhoidopexy is gaining popularity as a relatively painless alternative to conventional excisional hemorrhoidectomy. The initial experience from a service hospital is presented along with review of literature.Methods: 40 cases were managed by stapled hemorrhoidopexy (SH) over a period of two and half years. The primary outcome measures assessed were the analgesic requirement in the post-operative period and the time taken to resume Activities of Daily Living (ADL).Additional outcome measures studied were; presence of bleeding per rectum, prolapse of mass per rectum, incontinence to flatus/stool, post-operative urinary retention, requirement of a repeat procedure, presence of post-operative anal stenosis, and residual external haemorrhoids at 1 week, 1, 3 and 6 months and 1 year after surgery.

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“…6,29 Molloy et al noted that the patients in whom rectal infection developed after stapled hemorrhoidopexy are the patients who do not receive antibiotic and emphasized that antibiotic prophylaxis is so important. 30 In our cases, we considered that antibiotic prophylaxis we applied and no presence of a serious accompanying disease are effective in not seeing infection In the literature, the rate of external hemorrhoidal thrombosis that may be seen in the early or late term after Longo's operation was reported to be around 0.9% and attributed to incompletelyresected hemorrhoidal sinusoids. 6,12,17 Only in one patient from our cases, external stenosis treated by thrombosectomy was seen.…”

Section: Discussionmentioning

confidence: 89%

Stapled hemorrhoidopexy: clinical results for 65 cases

Pergel

Yücel²,

Aydın³

et al. 2012

J Clin Exp Invest

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ÖZETAmaç: Hemoroidal hastalık sebebiyle stapler hemoroidopeksi uyguladığımız hastalarımızın sonuçlarını sunmak ve literatür eşliğinde tartışmak. Gereç ve yöntem:Ocak 2009-Nisan 2011 tarihleri arasında 3-4. derece hemoroidal hastalık tanısı konan ve Longo yöntemiyle hemoroidopeksi uygulanan hastalar çalışmaya dahil edildi. Tüm veriler prospektif toplanıp retrospektif olarak incelendi. Hastalar; demografik özellikler, başvuru sırasındaki şikayetler, ameliyat sonrası komplikasyonlar açısından değerlendirildi. Bulgular:Toplam 65 hastadan 43 (% 66)'ü erkek, 22 (% 34)'si kadındı. Ortalama yaş 38±11.9 (23-76) yıl idi. Olguların en sık başvuru şikayetleri sıklık sırasına göre kanama, şişlik, kaşıntı, ağrı, kabızlık şeklinde idi. Elli sekiz (% 89) hastada 3. derece, 7 (%11) hastada 4. derece hemoroid mevcuttu. Ortalama ameliyat süresi 37.6±8.1(24-55) dakika, ortalama yatış süresi 27±7.8 (20-76) saat idi. Toplam 17 (% 26) hastada bir ya da daha fazla komplikasyon gelişti. Komplikasyon olarak 13 (% 20) hastada kanama, 6 (%9)'sında ağrı, 2 (% 3)'sinde idrar retansiyonu, 3 (% 5)'ünde tenezm, 1 (% 2)'inde eksternal hemoroidal tromboz, 4 (%6)'ünde ise nüks saptandı. Sonuç:Stapler hemoroidopekside ağrının az ve iyileşme sürecinin hızlı olması nedeniyle hastalar günlük aktivitelerine erken dönebilmektedirler. Bu yöntemin başarısında uygun hasta seçimi ve tekniğin doğru uygulanmasının önemli olduğunu düşünmekteyiz. Özellikle 3.derece hemoroidal hastalıkta Longo tekniği klasik yöntemlere alternatif olarak önerilebilir.Anahtar kelimeler: Hemoroidal hastalık, stapler hemoroidopeksi, Longo yöntemi ABSTRACT Objectives: To present results of our patients underwent stapled hemorrhoidopexy due to hemorrhoidal disease and discuss in accompaniment with the literature. Material and methods:The patients, who diagnosed by 3 rd -4 th degree hemorrhoidal disease and underwent hemorrhoidopexy with Longo method between January, 2009 and April, 2011, were included. All data were prospectively collected and retrospectively examined. The patients were evaluated in terms of demographic properties, complaints on admission, and postoperative complications.Results: Forty-three (66%) of 65 patients were male, 22 (34%) were female. The mean age was 38±11.9 (range:23-76) years. The most frequent complaints were bleeding, swelling, itching, pain, constipation respectively. Third degree hemorrhoid was present in fifty-eight (89%) patients, 4 th degree hemorrhoid was in 7 (11%) patients. The mean operation duration was 37.6±8.1(range:24-55) minutes, the mean hospitalization duration was 27±7.8 (range:20-76) hours. One or more complication developed in total 17 (26%) patients. As complication, bleeding was determined in 13 (20%) patients, pain was in 6 (9%), urinary retention was in 2 (3%), tenesmus was in 3 (5%), external hemorrhoidal thrombosis was in 1 (2%), and recurrence was in 4 (6%). Conclusions:The patients can return their daily activities early with stapled hemorrhoidopexy because of less pain and quick recovery period. We consider that appropriate p...

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Life threatening pelvic sepsis after stapled haemorrhoidectomy

Cited by 246 publications

References 4 publications

Is Stapled Hemorrhoidectomy a Safe Procedure for Third and Fourth Grade Hemorrhoids? An Experience at Civil Hospital Karachi

Is Stapled Hemorrhoidectomy a Safe Procedure for Third and Fourth Grade Hemorrhoids? An Experience at Civil Hospital Karachi

Stapled hemorrhoidopexy – Initial experience from a general surgery center

Stapled hemorrhoidopexy: clinical results for 65 cases

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