대한대장항문학회

Delayed, or secondary hemorrhage after hemorrhoidectomy is a troublesome<br>complication and it occurs in 0.2 to 4% of the hemorrhoidectomies. The nature of the<br>bleeding is a diarrhea consisted of blood clots and dark blood. It usually occurs at the<br>patients home between 7 to 14 days after the operation. Emergency treatment may<br>include bed rest, suture ligation, and various forms of tamponade.<br>At the Seoul Surgical Clinic in Wonju, 7 patients(1 1%) were seen with the<br>complication of secondary hemorrhage among 642 hemorhoidectomies. The prevalent<br>interval from the operation to hemorrhage was 10-13 days. Treatment modalities<br>included Foley catheter tamponade in one patient, and observation and bed rest alone in<br>6 patients.<br>