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痔病及特殊情况下的术后并发症。

Postoperative Complications in Hemorrhoidal Disease and Special Conditions.

机构信息

General Surgery, Colorectal Unit, Hospital Universitari i Politecnic La Fe deValencia, Valencia, Spain.

出版信息

Rev Recent Clin Trials. 2021;16(1):67-74. doi: 10.2174/1574887115666200406114218.

DOI:10.2174/1574887115666200406114218
PMID:32250228
Abstract

BACKGROUND

Hemorrhoidal disease is still one of the most prevalent proctological diseases. Pain is the most common complication after surgery but bleeding, urinary retention and perianal infection are also frequent. There is also an important group of patients, such as those with inflammatory bowel disease, pregnancy or immunosuppression, who can present an increased rate or more severe complications.

OBJECTIVE

To describe the complications following different surgical and instrumental techniques for hemorrhoids in a literature review. Special situations were reviewed to determine how they affect the management of the disease.

METHODS

During August 2019, a narrative review of hemorrhoid surgery complications and special situations was performed using the Pubmed MESH DATABASE.

CONCLUSION

Pain, urinary retention and bleeding remain the most frequent complications after surgery for hemorrhoids; however, special situations must be taken into account in order to choose the best technique to prevent more severe complications.

摘要

背景

痔疮仍然是最常见的肛肠疾病之一。疼痛是手术后最常见的并发症,但出血、尿潴留和肛周感染也很常见。还有一类重要的患者,如炎症性肠病、妊娠或免疫抑制患者,他们可能会出现更高的发生率或更严重的并发症。

目的

通过文献回顾描述不同手术和器械治疗痔疮的并发症。还回顾了特殊情况,以确定它们如何影响疾病的治疗。

方法

2019 年 8 月,使用 Pubmed MESH 数据库对痔疮手术并发症和特殊情况进行了叙述性综述。

结论

疼痛、尿潴留和出血仍然是痔疮手术后最常见的并发症;然而,必须考虑特殊情况,以便选择最佳技术来预防更严重的并发症。

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Rev Recent Clin Trials. 2021;16(1):67-74. doi: 10.2174/1574887115666200406114218.
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