[Retroperitoneal hematoma due to seam insufficiency after stapled hemorrhoidectomy].
Stapled hemorrhoidectomy (circumferential mucosectomy) is a technique for the surgical management of third- to fourth-degree hemorrhoids. It is a quick, simple, and painless technique. Complications are endoluminal bleeding, anal stenoses, fistulas, and incontinence. This case report deals with a severe complication which has not been described yet. Our patient had anemic, retroperitoneal bleeding with consecutive evacuation of the hematoma through the stapler anastomosis and following several operations. Nevertheless, a temporary colostomy was not necessary. As mentioned in other publications describing complications after stapled hemorrhoidectomy, this new technique should be used carefully and by surgeons with experience.
Chirurgische Klinik, Spital Wetzikon, Schweiz. philippmeyer@mac.com
P
P
Meyer
R
R
Stieger
D000714:Anastomosis, Surgical / Q000009:adverse effects*; D005260:Female; D005500:Follow-Up Studies; D006406:Hematoma / Q000209:etiology*; D006484:Hemorrhoids / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D012187:Retroperitoneal Space; D013528:Surgical Staplers; D013997:Time Factors; D014057:Tomography, X-Ray Computed