title: Retroperitoneal sepsis complicating stapled hemorrhoidectomy: report of a case and review of the literature.
abstract: Stapled hemorrhoidectomy (mucosectomy) is a new technique that has recently been introduced for the treatment of third-degree and fourth-degree hemorrhoids and rectal mucosal prolapse. We present a case of severe retroperitoneal sepsis complicating stapled hemorrhoidectomy that was successfully treated by conservative means, further surgery therefore being avoided. The literature on the more serious complications associated with stapled hemorrhoidectomy is reviewed.
authors.affiliation: Department of Colorectal Surgery, Singapore General Hospital, Singapore.
authors.forename: Andrew
authors.initials: A
authors.lastname: Maw
authors.forename: Kong-Weng
authors.initials: KW
authors.lastname: Eu
authors.forename: Francis
authors.initials: F
authors.lastname: Seow-Choen
mesh_terms: D000328:Adult; D000890:Anti-Infective Agents / Q000627:therapeutic use; D002444:Cefuroxime / Q000627:therapeutic use; D002511:Cephalosporins / Q000627:therapeutic use; D006484:Hemorrhoids / Q000601:surgery*; D006801:Humans; D008297:Male; D008795:Metronidazole / Q000627:therapeutic use; D011183:Postoperative Complications; D012187:Retroperitoneal Space / Q000382:microbiology* / Q000473:pathology; D018805:Sepsis / Q000188:drug therapy / Q000209:etiology*; D013537:Sutures
chemical_list: D000890:Anti-Infective Agents; D002511:Cephalosporins; D008795:Metronidazole; D002444:Cefuroxime