Journal
EUROPEAN JOURNAL OF SURGERY
Volume 166, Issue 10, Pages 808-812Publisher
TAYLOR & FRANCIS AS
DOI: 10.1080/110241500447452
Keywords
haemorrhoidectomy; haemorrhoidal thrombosis; complications of haemorrhoids; haemorrhoidal prolapse; emergency haemorrhoidectomy
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Objective: To compare the outcome of emergency and elective haemorrhoidectomy. Design: Retrospective study. Setting: Teaching hospital, Belgium. Subject: 104 patients who had haemorrhoidectomy for acutely ulcerated or strangulated haemorrhoids, and 545 who had elective haemorrhoidectomy. Results: Early complications (26/104, 25%). reoperation (7/104, 7%) and late anal stenosis (7/104, 7%) were more common after emergency than elective haemorrhoidectomy, for which the corresponding figures were 74/545 (3.6%), 9 (1.7%) and 1/545 (0.2%). Late outcome was similar for the two groups. Conclusions: Emergency haemorrhoidectomy is indicated for the treatment of the acute complications of haemorrhoids.
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