[Complication management following hemorrhoid operations].

BACKGROUND: Hemorrhoid operations are performed frequently in Germany. After the operation severe complications can occur that require appropriate management.

OBJECTIVE: Presentation of current complications and suitable therapeutic options.

MATERIAL AND METHODS: Data including operative procedures and complications that have been collected in an electronic online-based survey of all resident, affiliated and private practice German surgeons during the period from 1 December 2009 to 31 January 2010 are presented. A review of the current literature in a PubMed search is given.

RESULTS: Stapled hemorrhoidopexy has several benefits during the early postoperative phase in comparison to conventional hemorrhoidectomy; however, patients should be informed about the possibility of postoperative defecation disorders, elevated recurrence and reoperation rates and rare life-threatening complications.

CONCLUSION: The aim should be to keep risks at a low level by means of prevention, patient selection, careful analysis of indications and relevant expertise. In cases of complications early recognition and direct initiation of adequate treatment are crucial.