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The Complications of Hemorrhoidectomy From Patients' Perspective: A Qualitative Study Publisher



Tavani ME1 ; Partovi Y2 ; Poursaki T3 ; Gharibi F4
Authors
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Authors Affiliations
  1. 1. Academic Research Staff, Quality Improvement, Monitoring and Evaluation Department, Center of Health Network Management, Deputy of Public Health, Ministry of Health & Medical Education, Tehran, Iran
  2. 2. Health Services Management, Department of Public Health, School of Public Health, Ardabil University of Medical Sciences, Ardabil, Iran
  3. 3. Department of Health Management, Policy and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Health Services Management, Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran

Source: Health Science Reports Published:2025


Abstract

Background: Hemorrhoidectomy is a common general surgical procedure with numerous and intensive complications. Objective: This study sought to investigate the complications of hemorrhoidectomy from the patients' perspective. Methods: This qualitative study employed a phenomenological approach to explore the experiences of 27 patients with a history of hemorrhoidectomy. Convenience sampling was utilized initially, but purposive sampling was used as the investigation continued. All participants' statements were documented after obtaining informed consent and permission to record their experiences. Interviews were conducted until data saturation was achieved. The interview data was analyzed using content analysis, which involved the systematic extraction, interpretation, and reporting of the concepts and themes in the data. Results: The study identified three main categories of complications: physical, psychological, and social. Additionally, 26 themes and 56 sub-themes were identified and defined under the main categories. Physical complications (PhCs) included nutritional problems, pain, sleep disturbances, physical weakness, bleeding, fecal incontinence, excretion problems, infection, fissures, anal prolapse, urinary retention, and disease recurrence. Psychological complications (PsCs) included fear, aversion, denial, isolation, depression, boredom, embarrassment, feeling defective, and dependency; Social complications (SCs) included secrecy, irritability, social withdrawal, and inability to perform social roles. Conclusions: In addition to common PhCs such as pain and bleeding, patients with a history of hemorrhoidectomy face numerous PsCs and SCs that need to be communicated to the patient before deciding on this surgery. Furthermore, doctors should also consider special measures to manage these complications properly. © 2025 The Author(s). Health Science Reports published by Wiley Periodicals LLC.
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