A few patients may develop sepsis or other serious infections following hemorrhoidectomy. Guy and Seow-Choen identified risk factors for infection and early findings in potentially serious infections. The authors are from Petersborough District Hospital in the United Kingdom.


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



• Delayed symptoms occur 2-10 days after the procedure.


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