Prevention and treatment of postoperative complications of procedure for prolapse and hemorrhoids

Objective To investigate the causes and prevention and therapeutic strategies of postoperative complications of procedure for prolapse and hemorrhoids(PPH) in the treatment of severe hemorrhoids.Methods From January 2002 to October 2008,90 cases with severe hemorrhoids received PPH were analyzed retrospectively.Results The postoperative complications of PPH were as follows:anastomotic bleeding in 6 cases,urinary retention in 43 cases,anal pain in 17 cases,hemorrhoidal mucosal dys-retraction in 2 cases,fine control defecation disturbance in 1 cases,and 1 cases of anal fistula.No anastomotic infection,anal stenosis,fecal incontinence,hemorrhoidal recurrence and rectovaginal fistula were found after operation.Conclusion PPH has good effectiveness,rapid recovery and less pain etc advantages,but still it has some complications.Strict controlled operation indication and enhancing perioperative management would reduce incidence of complication.