Safety of surgical treatment of hemorrhoids in elderly patients

Abstract

Introduction: The aim of this study was to compare the outcomes following surgical treatment of hemorrhoids between elderly (≥60 years old) and young patients (<60 years old).Methods: A total of 365 patients who underwent surgical procedures for the treatment of third or fourth degree hemorrhoids between January 01, 2009 and January 31, 2014 were retrospectively screened.Results: Among the 365 participants, 316 and 49 patients were younger and older than 60 years of age, respectively. No statistically significant differences with regard to the gender, operative duration, hospitalization time, incapacity to work, hemoglobin levels at admission or discharge, number of hemorrhoid packages, presence of thrombosis prior to the surgery, reoperation requirement, or the number of patients complaining of long-term pain were observed between the groups. Moreover, there was no statistically significant difference in the rate of early or late postoperative complications between the groups.Conclusions: In conclusion, we found that the surgical treatment of hemorrhoids is equally safe in the younger and elderly patients. Therefore, surgeons can be confident in performing surgical treatment of hemorrhoids in elderly patients.

Excisional Hemorrhoidectomy Versus Dearterialization With Mucopexy for the Treatment of Grade III Hemorrhoidal Disease: The EMODART3 Multicenter Study

“…Other authors reported that age was not a risk factor for complications after hemorrhoidal surgery. 36,37 In a study by Yamamoto et al, 38 the total number of adverse events after hemorrhoidectomy was higher in the nonelderly group (21% vs 6%), but the difference was not statistically significant.…”

New Topical Treatment of Symptomatic Internal Haemorrhoids in a General Practice Setting

“…Mixed hemorrhoids can indicate lesions that arise at the dentate line, or the term can be used to describe the presence of both internal and external hemorrhoids (8). Internal hemorrhoids are divided into four categories depending on the grade of prolapse: Grade 1 -protrudes into the anal canal but does not prolapse, Grade 2 -prolapses but reduces spontaneously, Grade 3 -prolapses and requires manual reduction, and Grade 4 -irreducible prolapse (2,3,(8)(9)(10).…”