[Complications of the surgical treatment of hemorrhoids and its therapy].
Hemorrhoidal disease is a common problem in a proctological ambulatory. Surgery is the best therapy for fourth degree hemorrhoids and the complication rate is 10-20%: postoperative urinary retention etiology is unknown but it may be caused by dysfunction of bladder muscles in response to pain and by an excessive perioperative somministration of fluids; delayed hemorrhage (i.e., 7-10 days postoperative) needs an inpatient care and the treatment ranges from bedside and packing to hemorrhoid pedicle suture ligation in the operating room. Anal stenosis is most commonly a result of a prior improper hemorrhoidectomy: it may be mild, moderate or severe; V-Y and C-anoplasty are the best therapy, also for ectropion. Rubber band Ligation and Sclerotherapy are the most common treatment of internal hemorrhoids: external hemorrhoid trombosis and delayed hemorrage are frequent complications.
Corno
F
F
Istituto di Clinica Chirurgica Generale e Terapia Chirurgica, Torino.
Muratore
A
A
Mistrangelo
M
M
Nigra
I
I
Capuzzi
P
P
D001003:Anal Canal / Q000473:pathology*; D003251:Constriction, Pathologic / Q000209:etiology; D005242:Fecal Incontinence / Q000209:etiology; D006484:Hemorrhoids / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications / Q000628:therapy; D019106:Postoperative Hemorrhage / Q000209:etiology; D012003:Rectal Fistula / Q000209:etiology; D016055:Urinary Retention / Q000209:etiology
Le complicanze della terapia chirurgica delle emorroidi ed il loro trattamento.