[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.
Meyer
P
P
Chirurgische Klinik, Spital Wetzikon, Schweiz. philippmeyer@mac.com
Stieger
R
R
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