Article
Surgery
Kung-Chuan Cheng, Ling-Chiao Song, Kuen-Lin Wu, Hong-Hwa Chen, Ko-Chao Lee
Summary: This study found that male sex is an independent risk factor for delayed post-hemorrhoidectomy bleeding (DPHB) in patients undergoing hemorrhoidectomy with LigaSure devices. The incidence of DPHB decreases as the surgeon becomes more experienced in the procedure and postoperative care.
Article
Gastroenterology & Hepatology
Hong Yoon Jeong, Do-Yeon Hwang, Dong Ho Cho, Jong Kyun Lee
Summary: The study found that male sex, drinking history, having more than four hemorrhoid piles, and laxative usage are independent risk factors for delayed post-hemorrhoidectomy bleeding (DPHB) in patients undergoing semi-closed hemorrhoidectomy. Specifically, male sex, having more than four hemorrhoid piles, and laxative usage were risk factors for stump bleeding, while drinking history and having more than four hemorrhoid piles were risk factors for marginal bleeding.
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE
(2021)
Article
Gastroenterology & Hepatology
Jordan R. Wlodarczyk, Dong Yoon, Rachel Lai, Glenn Ault, Adrian Ortega, Sang W. Lee, Kyle G. Cologne, Sarah Koller
Summary: The study found that LigaSure and Ferguson hemorrhoidectomy have similar risks of postoperative bleeding, with male sex and hemorrhoid grades 1 or 2 possibly being associated with an increased risk of bleeding.
COLORECTAL DISEASE
(2021)
Article
Surgery
Mahir Gachabayov, George Angelos, Guy Orangio, Herand Abcarian, Roberto Bergamaschi, Hemorrhoids Study Group
Summary: This multicenter prospective study compared transanal hemorrhoidal dearterialization (THD) with mucopexy to Ferguson hemorrhoidectomy and found that THD patients had lower pain scores and medication use, as well as higher satisfaction rates, but there was no significant difference in recurrence rates between the two procedures.
Article
Surgery
Hiroto Furuhashi, Akira Dobashi, Naoto Tamai, Nana Shimamoto, Masakuni Kobayashi, Shingo Ono, Yuko Hara, Hiroaki Matsui, Shunsuke Kamba, Hideka Horiuchi, Akio Koizumi, Tomohiko R. Ohya, Masayuki Kato, Keiichi Ikeda, Hiroshi Arakawa, Kazuki Sumiyama
Summary: This study found that blood group O is associated with a higher risk of delayed bleeding in patients undergoing colorectal endoscopic resection. The results of multivariate logistic regression analysis showed that blood group O is an independent risk factor for delayed bleeding.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Surgery
Tolga Onder, Merih Altiok
Summary: This study compares ADHL and LH techniques for the treatment of hemorrhoidal disease. The results suggest that ADHL may be superior to LH in terms of post-defecation pain and hospital stay, but prospective randomized controlled studies are needed to determine which method is appropriate for which patients.
ASIAN JOURNAL OF SURGERY
(2023)
Article
Surgery
Ran Li, Shilun Cai, Di Sun, Qiang Shi, Zhong Ren, Zhipeng Qi, Bing Li, Liqing Yao, Meidong Xu, Pinghong Zhou, Yunshi Zhong
Summary: The study identified hypertension and the use of hot biopsy forceps for wound management as significant risk factors for delayed bleeding following endoscopic submucosal dissection for colorectal neoplasms. Therefore, additional perioperative treatment is recommended in patients with these risk factors to prevent delayed bleeding.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Gastroenterology & Hepatology
Zhen Yan, Feng Gao, Jiang Xie, Jie Zhang
Summary: In Chinese patients receiving antithrombotic treatment, heparin bridge therapy and clopidogrel therapy significantly increase the incidence of delayed post-polypectomy bleeding, while heparin bridge therapy, male sex, large polyp size, and polyps located in the rectum are significant risk factors for DPPB.
JOURNAL OF DIGESTIVE DISEASES
(2021)
Article
Surgery
H. E. Doran, S. M. Wiseman, F. F. Palazzo, D. Chadwick, S. Aspinall
Summary: This study reviewed UK data from 2004 to 2018 regarding post-thyroidectomy haemorrhage risk factors and incidents of reoperation for bleeding. The highest risk for post-thyroidectomy bleeding occurred following total thyroidectomy in men. Hemithyroidectomy performed by high-volume surgeons is associated with reduced bleeding risk. Additionally, male sex, increasing age, redo surgery, retrosternal goitre, and surgeon volume were identified as risk factors for reoperation for bleeding. Death rate following thyroidectomy was low at 0.1%.
BRITISH JOURNAL OF SURGERY
(2021)
Review
Gastroenterology & Hepatology
Bianca Aibuedefe, Sarah M. Kling, Matthew M. Philp, Howard M. Ross, Juan Lucas Poggio
Summary: The study compared clinical outcomes of various surgical treatments for grade 3/4 hemorrhoids and found that techniques such as laser, infrared photocoagulation, and stapling can reduce pain, while Starion and harmonic scalpel may decrease recurrence. Furthermore, infrared photocoagulation and LigaSure were associated with fewer postoperative clinical complications, and Doppler-guided and stapled techniques led to earlier return to work for patients.
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE
(2021)
Article
Gastroenterology & Hepatology
Chuang-Wei Chen, Tzung-Ju Lu, Koung-Hung Hsiao
Summary: The study found that age does not significantly impact surgical outcomes and complication rates in patients undergoing hemorrhoidectomy, and using the LigaSure technique for elderly patients is equally safe and effective compared to younger patients.
BMC GASTROENTEROLOGY
(2021)
Article
Gastroenterology & Hepatology
Ting-Ting Cui, Ning-Li Chai, Feng-Chun Cai, Ming-Yang Li, Xiang-Dong Wang, Nian-Jun Xiao, Zi-Kai Wang, Fang Liu, En-Qiang Ling-Hu, Wen Li
Summary: This study aimed to investigate the risk factors for bleeding after endoscopic papillectomy (EP) and establish preventive measures. The results showed that intraoperative bleeding and endoscopic closure were independent factors significantly associated with bleeding after EP. Lesion size may indirectly influence the risk of postoperative bleeding by increasing the risk of intraoperative bleeding.
SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY
(2022)
Review
Medicine, General & Internal
Domenico Alvaro, Nicola Caporaso, Edoardo Giovanni Giannini, Angelo Iacobellis, Mariacristina Morelli, Pierluigi Toniutto, Francesco Violi
Summary: Studies suggest that severe thrombocytopenia may predict bleeding risk following invasive procedures such as liver biopsy, dental extractions, percutaneous ablation of liver tumors, and endoscopic polypectomy. Current literature does not provide definitive conclusions on the appropriate target platelet counts to improve bleeding risk in cirrhotic patients undergoing invasive procedures, and there is huge variability in the use of prophylactic platelet transfusions.
EUROPEAN JOURNAL OF CLINICAL INVESTIGATION
(2021)
Article
Gastroenterology & Hepatology
Yoshikazu Inagaki, Naohisa Yoshida, Kohei Fukumoto, Kyoichi Kassai, Ken Inoue, Ryohei Hirose, Osamu Dohi, Takashi Okuda, Daisuke Hasegawa, Kotaro Okuda, Kiyoshi Ogiso, Takayuki Motoyoshi, Hiroyuki Yoriki, Takaaki Murakami, Yoshito Itoh
Summary: The incidence rate of delayed bleeding after cold snare polypectomy was very low at 0.14%, with antithrombotic drug use, polyp size, location, and morphology being significant risk factors for its occurrence.
DIGESTIVE DISEASES AND SCIENCES
(2022)
Article
Surgery
Georges Farvacque, Theophile Guilbaud, Anderson Dieudonne Loundou, Ugo Scemamma, Stephane Victor Berdah, Vincent Moutardier, Mircea Chirica, Olivier Risse, Edouard Girard, David Jeremie Birnbaum
Summary: Delayed post-pancreatectomy hemorrhage (PPH) is a serious complication after pancreatic surgery, and its management now focuses on percutaneous endovascular treatments (PETs). Predictive factors of delayed PPH include pancreatic fistula on postoperative day 3 and intra-abdominal abscesses. Factors associated with bleeding recurrence after PET include higher body mass index, occurrence of postoperative intra-abdominal abscess, and undrained abscess.
LANGENBECKS ARCHIVES OF SURGERY
(2021)