ArticleInternational journal of colorectal disease2019
Risk of delayed bleeding after hemorrhoidectomy.
Article in International journal of colorectal disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.
- The Italian Unitary Society of Colon-Proctology (Società Italiana Unitaria di Colonproctologia) guidelines for the management of acute and chronic hemorrhoidal disease.Annals of coloproctology · 2024Guideline
- Tamponade dressing versus no dressing after haemorrhoidectomy: multicentre, randomized clinical trial.BJS open · 2022Trial
- Comparative Outcomes of Hemorrhoidectomy under Spinal Anesthesia between Older and Super-old Patients.Journal of the anus, rectum and colon · 2026Article
- The comparison of doppler-guided haemorrhoidal artery ligation and the tissue selecting technique for patients with grade III/IV haemorrhoids: a retrospective cohort study.Updates in surgery · 2025Article
- Milligan-Morgan hemorrhoidectomy combined with rubber band ligation and polidocanol foam sclerotherapy for the management of grade III/IV hemorrhoids: a retrospective study.BMC gastroenterology · 2025Article
- Efficacy of Endoscopic Evaluation and Hemostatic Intervention for Post-hemorrhoidectomy Bleeding.Journal of the anus, rectum and colon · 2025Article
- Comparative Outcomes of Milligan-Morgan (Open) Versus Ferguson (Closed) Hemorrhoidectomy: A Retrospective Study.Cureus · 2024Article
- Article
- Endovascular rectal artery embolisation (RAE) for symptomatic haemorrhoids.The Cochrane database of systematic reviews · 2024Review
- Accelerated wound healing after topical application of hyaluronic acid cotton to hemorrhoidectomy wounds in a rat model.Annals of surgical treatment and research · 2024Article
- Evaluation of Clinical Manifestations of Hemorrhoidal Disease, Carried Out Surgeries and Prolapsed Anorectal Tissues: Associations with ABO Blood Groups of Patients.Journal of clinical medicine · 2023Article
- Risk factors of delayed hemorrhage after LigaSure hemorrhoidectomy.BMC surgery · 2022Article
- Frequency and risk factors of severe postoperative bleeding after proctological surgery: a retrospective case-control study.Annals of coloproctology · 2022Article
- Recurrent bleeding after rubber band ligation diagnosed as mild hemophilia B: a case report and literature review.BMC surgery · 2022Review
- Surgical Outcomes of LigaSure Hemorrhoidectomy in the Elderly Population: A retrospective cohort study.BMC gastroenterology · 2021Article
- Analysis of risk factors for delayed bleeding after semi-closed hemorrhoidectomy.International journal of colorectal disease · 2021Article
- Observational
- Still a Case of "No Pain, No Gain"? An Updated and Critical Review of the Pathogenesis, Diagnosis, and Management Options for Hemorrhoids in 2020.Annals of coloproctology · 2020Review
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeDelayed post-hemorrhoidectomy bleeding (DPHB) is a rare but serious complication. We investigated the incidence and risk factors of DPHB in patients undergoing hemorrhoidectomy using the LigaSure device or the Ferguson procedure.
methodsThis retrospective study included 382 consecutive patients with symptomatic grades II to IV hemorrhoids who received either LigaSure (184 patients) or Ferguson (198 patients) hemorrhoidectomy procedures. Thirty-two patients who experienced DPHB after discharge were followed up.
resultsSignificantly fewer Ferguson group patients had DPHB compared to the LigaSure group (5.1% vs. 11.9%; P = 0.015). In the overall population, the risk of DPHB was higher in (1) males compared to that of females (OR = 3.39; 95% CI 1.50-7.69, P = 0.003); (2) in the LigaSure group compared to the Ferguson group (OR = 2.77; 95% CI 1.23-6.24, P = 0.01); and (3) in patients with constipation (OR = 6.59; 95% CI 2.73-15.89, P < 0.0001). Males in the LigaSure group had a significantly higher rate of delayed bleeding than those in the Ferguson group (20% vs. 5.8%, P = 0.004); no significant differences were found in females (4.9% vs. 4.5%, P = 0.878). Subgroup analysis showed that in males, risk of DPHB increased significantly with postoperative constipation (OR = 4.73, 95% CI 1.45-15.43, P = 0.010) and the LigaSure procedure (OR = 3.99, 95% CI 1.37-11.62, P = 0.011). In females, the risk of DPHB was significantly associated with postoperative constipation (OR = 8.80, 95% CI 2.24-34.54, P = 0.002).
conclusionsThe LigaSure procedure and constipation are independent risk factors for DPHB in patients undergoing hemorrhoidectomy and can be used as predictors of outcome.
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