title: Severe rectal bleeding following PPH-stapler procedure for haemorroidal disease.
abstract: PPH-stapler procedure for treatment of haemorrhoidal prolapse classified P4E4 is an important improvement, but may be followed by severe postoperative complications of which haemorrhage is one of the most serious early events. We report a case of double severe rectal bleeding following PPH-stapler procedure for haemorrhoidal disease classified P4E4 according to PATE 2000 (circumferential prolapse). A 48 years old female patient was presented to our attention. She was affected by haemorrhoidal prolapse P4E4, constipation and rectal bleeding. PPH-procedure is a technique for management of the haemorrhoidal disease. Postoperative complications may be serious and haemorrhage is the most important early complication.
authors: M
authors: M
authors: Ammendola
authors: Giulio
authors: G
authors: Sammarco
authors: A
authors: A
authors: Carpino
authors: F
authors: F
authors: Ferrari
authors: G
authors: G
authors: Vescio
authors: R
authors: R
authors: Sacco
mesh_terms: D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006484:Hemorrhoids / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D012007:Rectum; D012720:Severity of Illness Index; D017792:Surgical Stapling / Q000009:adverse effects* / Q000295:instrumentation
references: Colorectal Dis. 2007 Jun;9(5):423-9
references: 17504339
references: Ann Ital Chir. 2013;84(ePub). pii: S2239253X13021300
references: 23841953
references: Int J Colorectal Dis. 2007 Sep;22(9):1083-9
references: 17334772
references: G Chir. 2005 Apr;26(4):157-61
references: 16035252
references: Zentralbl Chir. 1992;117(2):111-4
references: 1574937
references: Int J Colorectal Dis. 2006 Mar;21(2):166-71
references: 15951988
references: J Gastrointest Surg. 2006 Jul-Aug;10(7):1044-50
references: 16843876
references: Ann Ital Chir. 2004 Nov-Dec;75(6):655-9; discussion 659-60
references: 15960360
references: Chir Ital. 2006 Nov-Dec;58(6):753-60
references: 17190280
references: Dis Colon Rectum. 2004 Nov;47(11):1837-45
references: 15622575
references: Colorectal Dis. 2006 Feb;8(2):130-4
references: 16412073
references: Dis Colon Rectum. 2004 Nov;47(11):1846-51
references: 15622576
references: Ann Surg. 2005 Jul;242(1):29-35
references: 15973098
references: Colorectal Dis. 2006 Jul;8(6):525-6
references: 16784476
references: Colorectal Dis. 2001 May;3(3):175-8
references: 12790985
references: Br J Surg. 2006 Feb;93(2):226-30
references: 16323166