Buchmann P
Klinik für Viszeralchirurgie, Universitätsspital, Zürich.
Schweiz Rundsch Med Prax. 1990 Jun 26;79(26):819-22.
Bleeding and pain are frequent complications, following proctological procedures. Their intensity however, can be influenced by the therapist. Through careful hemostasis and wound closure the risk of bleeding is greatly reduced so that most procedures can be done on an outpatient basis. The intensity of pain experienced by the patient is very much personality dependent and is in general unpredictable. Pain can be reduced by using an improved technique (high position of rubber-band ligation, manual anal dilation). This paper deals mainly with bleeding and pain following treatment of external hemorrhoids, inner piles, fissure-in-ano, abscesses and fistulae.
出血和疼痛是直肠科手术后常见的并发症。然而，其严重程度可受治疗师的影响。通过仔细止血和伤口闭合，出血风险可大大降低，因此大多数手术可在门诊进行。患者所经历的疼痛程度在很大程度上取决于个体差异，通常难以预测。采用改良技术（高位橡皮筋结扎、手法扩肛）可减轻疼痛。本文主要探讨外痔、内痔、肛裂、脓肿和肛瘘治疗后的出血和疼痛问题。
