Skip to main content
Log in

The outcome of postoperative hemorrhaging following a hemorrhoidectomy

  • Original Article
  • Published:
Surgery Today Aims and scope Submit manuscript



Postoperative hemorrhage (PH) is rare, but it is widely recognized as a postoperative complication of a hemorrhoidectomy. The assessment of this complication may provide information which can be used to improve the clinical outcome of a patient who has undergone a hemorrhoidectomy.


Between January 2006 and December 2007, a total of 1294 patients with symptomatic hemorrhoids underwent a hemorrhoidectomy at our hospital. The patient records were retrospectively analyzed.


In this study, 23 patients had suffered from PH and had undergone a second operation (1.7%). The bleeding points were located as follows: 14 anterior,7 right laterally, 8 left laterally, and 2 posteriorly. Of these patients with early hemorrhage, 1 case was at the anterior, 1 was left lateral, and 2 were posterior. A significant correlation was observed between the period and the location of postoperative hemorrhage (P = 0.0023). From one to four piles were excised (1 in 264 patients, 2 in 240 patients, 3 in 702 patients, 4 in 88 patients). A significant correlation was also observed between the number of piles and the occurrence of PH (P = 0.032).


At the posterior wall, a late period hemorrhage is less likely to be found than an early period hemorrhage. It was found that the more piles that were excised, the greater the occurrence of PH.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others


  1. Bleday R, Pena JP, Rothenberger DA, Goldberg SM, JG. Symptomatic hemorrhoids: current incidence and complications of operative therapy. Dis Colon Rectum 1992;35:477–481.

    Article  PubMed  CAS  Google Scholar 

  2. Guenin M-O, Rosenthal R, Kern B, Peterli R, Flue M, Ackermann C. Ferguson hemorrhoidectomy: long-term results and patient satisfaction after Ferguson’s hemorrhoidectomy. Dis Colon Rectum 2005;48:1523–1527.

    Article  PubMed  Google Scholar 

  3. Inuzuka K, Unno N, Yamamoto H, Sagara D, Suzuki M, et al. Hemorrhagic shock with delayed retroperitoneal hemorrhage after deployment of an inferior vena cava filter: report of a case. Surg Today 2007;37:618–621.

    Article  PubMed  Google Scholar 

  4. Rosen L, Sipe P, Stasik JJ, Riether RD, Trimpi HD. Outcome of delayed hemorrhage following surgical hemorrhoidectomy. Dis Colon Rectum 1993;36:743–746.

    Article  PubMed  CAS  Google Scholar 

  5. Chen H-H, Wang J-Y, Chang Chien C-R, Yeh CY, Tsai WS, Tang R. Effective manegement of posthemorrhoidectomy secondary hemorrhage using rectal irrigation. Dis Colon Rectum 2002;45:234–238.

    Article  PubMed  Google Scholar 

  6. Gabriel WB. Haemorrhage following the operative treatment of internal hemorrhoids, with particular reference to severe secondary hemorrhage. Lancet 1920;2:121–122.

    Article  Google Scholar 

  7. Wilkins BD. Gastrointestinal bleeding as seen by the proctologist. J Am Med Assoc 1957;14:1214–1216.

    Google Scholar 

  8. Farrer FE. Delayed postoperative anorectal hemorrhage. Dis Colon Rectum 1961;4:50–55.

    Article  PubMed  CAS  Google Scholar 

  9. R Chen HH, Wang J-Y, Changchien CR, Chen J-S, Hsu K-C, Chiang J-M, et al. Risk factors associated with posthemorrhoidectomy secondary hemorrhage. Dis Colon Rectum 2002;45:1096–1099.

    Article  Google Scholar 

  10. Arbman G, Krook H, Haapaniemi S. Closed vs. open hemorrhoidectomy—is there any difference? Dis Colon Rectum 2000;43:31–34.

    Article  PubMed  CAS  Google Scholar 

  11. Hayssen TK, Luchtefeld MA, Senagore AJ. Limited hemorrhoidectomy: results and long-term follow-up. Dis Colon Rectum 1999;42:909–914.

    Article  PubMed  CAS  Google Scholar 

  12. Sayfan J. Complications of Milligan-Morgan hemorrhoidectomy. Dig Surg 2001;18:131–133.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations


Rights and permissions

Reprints and permissions

About this article

Cite this article

Yano, T., Matsuda, Y., Asano, M. et al. The outcome of postoperative hemorrhaging following a hemorrhoidectomy. Surg Today 39, 866–869 (2009).

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI:

Key words