title: [Complication management following hemorrhoid operations].
abstract: BACKGROUND
  Hemorrhoid operations are performed frequently in Germany. After the operation severe complications can occur that require appropriate management.
  
  
  OBJECTIVE
  Presentation of current complications and suitable therapeutic options.
  
  
  METHODS
  Data including operative procedures and complications that have been collected in an electronic online-based survey of all resident, affiliated and private practice German surgeons during the period from 1 December 2009 to 31 January 2010 are presented. A review of the current literature in a PubMed search is given.
  
  
  RESULTS
  Stapled hemorrhoidopexy has several benefits during the early postoperative phase in comparison to conventional hemorrhoidectomy; however, patients should be informed about the possibility of postoperative defecation disorders, elevated recurrence and reoperation rates and rare life-threatening complications.
  
  
  CONCLUSIONS
  The aim should be to keep risks at a low level by means of prevention, patient selection, careful analysis of indications and relevant expertise. In cases of complications early recognition and direct initiation of adequate treatment are crucial.
authors.affiliation: Abteilung für Koloproktologie, Prosper-Hospital, Mühlenstraße 27, 45659, Recklinghausen, Deutschland, sabine@drkersting.de.
authors.forename: S
authors.initials: S
authors.lastname: Kersting
authors.forename: A
authors.initials: A
authors.lastname: Herold
authors.forename: K-P
authors.initials: KP
authors.lastname: Jung
authors.forename: E
authors.initials: E
authors.lastname: Berg
mesh_terms: D005858:Germany; D061865:Hemorrhoidectomy / Q000009:adverse effects*; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control / Q000628:therapy*; D012307:Risk Factors