Intractable Anal Diseases; Chapter on Hemorrhoids

Abstract

For about 9 years and 5 months, 1567 inpatients of hemorrhoids including cases complicated with anal fistula or anal fissure were operated on in my clinic. Among them, only 3 cases were hard to be cured after the operation because of the specific situations. Two of these were complicated with inflammatory bowel diseases and moreover, the main lesions were low intersphincteric fistulae and hemorrhoids of grades 1-2. Inflammatory bowel diseases were not predictable before the operation and were suspected because of the intraoperative feeling and the postoperative incurable wounds and hence became clear.
Careless operations on patients with specific situations will easily lead to a serious condition. It is said that in some cases complicated with inflammatory bowel diseases, rectal excision was required because of complications apparently dating from the treatment of hemorrhoids. Although very rare when considering the total number of hemorrhoids, cau-tions can not be neglected in these cases. Referring to the literature, 2 cases I experienced are reported herein.