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Description:Hemorrhoidectomy is associated with significant postoperative pain, and multimodality management is routinely employed to help alleviate discomfort. If patients remain symptomatic with these measures, it is important to ensure that the symptoms are not due other causes, such as an anal fissure. In general, these complications are more severe and more difficult to treat than those that occur in the acute postoperative period. Prompt identification of postoperative complications is necessary to avoid significant patient morbidity. However, major bleeding can also occur, albeit rarely, and may require further intervention. This may involve intermittent straight catheterization or a temporary indwelling catheter, which can typically be removed after a few days without further testing. Although well-designed, the previous studies on this topic suffered from small numbers and the use of older medications.
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