Following hemorrhoidectomy the most common complication is:
Ans: b (Urinary retention) Ref: Bailey, p. 1256Degrees of hemorrhoidectomy (Ref: Bailey 1256)Ist - Bleed only; no prolapseIInd - Prolapse, but can be reduced digitally and will remain reduced.IIIrd - Continously remain prolapsedTreatment: Injection therapy -Ist degreeIInd degreeBanding -IInd degree too large for injection treatmentPhoto coagulation -Ist degreeIInd degreeHemorrhoidectomy -IIIrd degreeIInd degree not curable with other methodsFibrosed hemorrhoidsIntero-extemal hemorrhoid when external is well defined.Now the complications of hemorrhoidectomy:Eady:PainUrinary retentionReactionary haemorrhageLate:2o haemorrhage-usually 7-8 post op dayAnal strictureAnal fissure, sub mucosal abscessBridge:An arterial pile is a hemangiomatous condition of superior rectal artery
Bleeding
Urinary retention
Infection
Fecal impaction
Disorders of the Anal Canal