Secondary Hemorrhage after Hemorrhoidectomy.

, Kye, Kishik

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Original Article

Journal of the Korean Society of Coloproctology 1997;13(3):461-466.

Secondary Hemorrhage after Hemorrhoidectomy.

Kye, Kishik

Seoul Surgical Clinic, Wonju, Kangwondo, Korea.

Abstract

Delayed, or secondary hemorrhage after hemorrhoidectomy is a troublesome complication and it occurs in 0.2 to 4% of the hemorrhoidectomies. The nature of the bleeding is a diarrhea consisted of blood clots and dark blood. It usually occurs at the patients home between 7 to 14 days after the operation. Emergency treatment may include bed rest, suture ligation, and various forms of tamponade. At the Seoul Surgical Clinic in Wonju, 7 patients(11%) were seen with the complication of secondary hemorrhage among 642 hemorhoidectomies. The prevalent interval from the operation to hemorrhage was 10-13 days. Treatment modalities included Foley catheter tamponade in one patient, and observation and bed rest alone in 6 patients.

Key Words: Hemorrhoids; Hemorrhage

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