Copyright
©2008 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Oct 14, 2008; 14(38): 5924-5926
Published online Oct 14, 2008. doi: 10.3748/wjg.14.5924
Published online Oct 14, 2008. doi: 10.3748/wjg.14.5924
Pelvic sepsis after stapled hemorrhoidopexy
Remco JA van Wensen, Koop Bosscha, Department of Surgery, Jeroen Bosch Hospital, Nieuwstraat 34, ’s-Hertogenbosch 5211 NL, Netherlands
Maarten H van Leuken, Department of Radiology; Jeroen Bosch Hospital, Nieuwstraat 34, ’s-Hertogenbosch 5211 NL, Netherlands
Author contributions: van Wensen RJA, van Leuken MH and Bosscha K contributed equally to this work; van Wensen RJA did the literature research and wrote the manuscript under the supervision of van Leuken MH and Bosscha K.
Correspondence to: Dr. Koop Bosscha, MD, PhD, Department of Surgery, Jeroen Bosch Hospital, location Groot Ziekengasthuis, Nieuwstraat 34, ’s-Hertogenbosch 5211 NL, Netherlands. k.bosscha@jbz.nl
Telephone: +31-73-6992708 Fax: +31-73-6992163
Received: June 24, 2008
Revised: August 26, 2008
Accepted: September 3, 2008
Published online: October 14, 2008
Revised: August 26, 2008
Accepted: September 3, 2008
Published online: October 14, 2008
Abstract
Stapled hemorrhoidopexy is a surgical procedure used worldwide for the treatment of grade III and IV hemorrhoids in all age groups. However, life-threatening complications occur occasionally. The following case report describes the development of pelvic sepsis after stapled hemorrhoidopexy. A literature review of techniques used to manage major septic complications after stapled hemorrhoidopexy was performed. There is no standardized treatment currently available. Stapled hemorrhoidopexy is a safe, effective and time-efficient procedure in the hands of experienced colorectal surgeons.