Abstract
Background: Hemorrhoidal disease is still one of the most prevalent proctological diseases.
Pain is the most common complication after surgery but bleeding, urinary retention and perianal
infection are also frequent. There is also an important group of patients, such as those with inflammatory
bowel disease, pregnancy or immunosuppression, who can present an increased rate or
more severe complications.
Objective: To describe the complications following different surgical and instrumental techniques
for hemorrhoids in a literature review. Special situations were reviewed to determine how they affect
the management of the disease.
Methods: During August 2019, a narrative review of hemorrhoid surgery complications and special
situations was performed using the Pubmed MESH DATABASE.
Conclusion: Pain, urinary retention and bleeding remain the most frequent complications after
surgery for hemorrhoids; however, special situations must be taken into account in order to choose
the best technique to prevent more severe complications.
Keywords:
Hemorrhoids surgery, hemostatic techniques, post-operative, complications, risk factors, proctology, colorectal.
Graphical Abstract
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,
Jorge Sancho-Muriel
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