Potentially serious infections that may occur following a hemorrhoidectomy:
(1) perineal cellulitis, including Fournier's gangrene
(2) pelvic abscess
(3) liver abscess
(4) sepsis
Risk factors for serious infection following hemorrhoidectomy:
(1) immunocompromised or immunosuppressed patient, including steroid therapy
(2) unnecessary treatment
(3) incomplete familiarity with the operative technique used
(4) malnutrition and general debility
(5) diabetes mellitus
Early signs of a potentially serious infection:
(1) delayed urinary retention
(2) delayed bleeding
(3) unexplained fever
(4) delayed perineal pain
(5) unexplained leukocytosis following the procedure
where:
• Delayed symptoms occur 2-10 days after the procedure.
