Reoperative surgery for complications of hemorrhoidectomy

Hemorrhoids remain among the most common disorders treated by colorectal surgeons. A wide variety of medical, office-based, and surgical treatment options are currently available. The primary surgical procedures from which patients and surgeons may choose include excisional hemorrhoidectomy, stapled hemorrhoidopexy, and transanal hemorrhoidal dearterialization. Each of these operations is safe, however, like all operations, carry certain risks of complications. Some of these complications may require surgical management. Pain is the most common complication of hemorrhoid procedures. This is most often management non-operatively; however, pain can be secondary to an abscess, thrombosis, or retained staples, which may require surgical management. Postoperative bleeding can occur due to uncontrolled vascular inflow, dehiscence of closed hemorrhoidectomy wounds, or bleeding at the staple line. Stricture is a complication of excisional hemorrhoidectomy that may require anoplasty with flap reconstruction.