Journal of Shandong University (Health Sciences) ›› 2023, Vol. 61 ›› Issue (5): 68-72.doi: 10.6040/j.issn.1671-7554.0.2022.1354

• 临床医学 • Previous Articles    

Immediate efficacy and long-term prognosis analysis of 3 cases interventional treatment of refractory bleeding after hemorrhoidal surgery

CUI Zhenhua1,2, LI Zhiwen2, WANG Xianren2, LIU Zhenji2, SHANG Qingxin1*, LYU Yanfeng2*   

  1. 1. College of Traditional Chinese Medicine, Shandong University of Traditional Chinese Medicine, Jinan 250355, Shandong, China;
    2. Department of Colorectal and Anal Surgery, The Second Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250033, Shandong, China
  • Published:2023-05-15

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Abstract: Objective To investigate the immediate efficacy and long-term prognosis of patients with repeated bleeding after interventional therapy. Methods The clinical data of three patients with repeated bleeding after hemorrhoidal surgery were retrospectively analyzed at the follow-up of 114, 110 and 78 months, respectively. The bleeding sites were the end of the left superior rectal artery, the end of the superior rectal artery branch and the end of the left internal iliac artery. Two cases had successful first-stage embolization, and one case had re-bleeding after first-stage embolization and successfully stopped bleeding after a second interventional treatment. No patients had bleeding after interventional treatment. Results All three patients had accurate hemostasis, and there were no serious complications such as intestinal necrosis and death. All patients had falling and painful symptoms; One patient developed scrotal edema and erectile dysfunction, and recovered after long-term follow-up. Conclusion Interventional embolization is effective in the treatment of persistent bleeding after refractory hemorrhoids, but the safety requires long-term follow-up and observation of multi-center and large samples.

Key words: Hemorrhoids, Postoperative, Hemorrhage, Intervention, Embolism

CLC Number: 

  • R657
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