Post-Surgery Complications After Ultrasound Knife Hemorrhoid Treatment

Q: Post-Surgery Complications After Ultrasound Knife Hemorrhoid Treatment

Hello： If there is significant bleeding after surgery, it is safer to return to the operating room for hemostasis. <br>Of course, waiting is also an option, but both the medical team and the patient would be on edge, so why take that risk?

Ultrasound knife surgery for internal hemorrhoids?

Hello, doctor! My sister recently underwent ultrasound knife surgery to remove internal hemorrhoids.
For the first four days, there were no significant issues, but on the fifth day, she started experiencing heavy bleeding in the morning.
She was taken to the emergency room, where she received a hemostatic agent and an enema.
After that, there was no further bleeding, and she returned home to rest.
However, she then began passing large blood clots, and even after a night, she continued to pass a considerable amount of clots.
When we consulted the treating physician, they indicated that as long as there was no further bleeding, there was no need to worry.
However, our family is quite concerned and has suggested that she seek a second opinion from another doctor.
Is this situation really not a cause for concern? Additionally, some of the sutures have already been expelled within less than seven days; should she be concerned about needing to have them removed? Thank you!

Bing ren de jie jie, 30~39 year old female. Ask Date: 2008/12/24

Dr. Ke Fangxu reply Surgery

Hello: If there is significant bleeding after surgery, it is safer to return to the operating room for hemostasis.
Of course, waiting is also an option, but both the medical team and the patient would be on edge, so why take that risk?

Reply Date: 2008/12/24

More Info

Post-surgery complications, especially after procedures like ultrasound knife hemorrhoid treatment, can be concerning for both patients and their families. In your sister's case, it appears that she experienced significant bleeding and the expulsion of blood clots following her surgery. While it is common for patients to have some bleeding after such procedures, the amount and duration of bleeding can vary significantly from person to person.

Firstly, it's important to understand that the initial bleeding your sister experienced on the fifth day post-surgery could be attributed to several factors, including the surgical technique used, the healing process, and individual variations in anatomy and physiology. The fact that she was treated with a hemostatic agent and underwent an enema suggests that the medical team was actively managing her condition, which is a positive sign.
The subsequent passage of blood clots can also be a part of the healing process. After surgery, especially in procedures involving the rectal area, it is not uncommon for patients to experience some degree of bleeding as the tissues heal. Blood clots may form as part of this process, and their expulsion can occur as the body clears out old blood and tissue. However, the presence of large clots and ongoing bleeding can be alarming and warrants close monitoring.

The advice given by the treating physician—that if there is no further bleeding, there is no need for concern—is generally sound. However, it is crucial for your sister to be vigilant about her symptoms. If she experiences a return of heavy bleeding, increased pain, or any other concerning symptoms, she should seek medical attention immediately.
Regarding the stitches or sutures that have expelled within a week, this can also be a normal occurrence. In many cases, absorbable sutures are used in such surgeries, and they may dissolve or be expelled as the body heals. If the surgical site appears to be healing well and there are no signs of infection (such as increased redness, swelling, or discharge), then there may be no need for further intervention. However, it is always best to follow up with the surgeon or a healthcare provider to ensure that everything is healing as expected.

In summary, while your sister's situation may be concerning, it is essential to monitor her symptoms closely and maintain open communication with her healthcare providers. If there are any doubts or if her condition changes, seeking a second opinion or further evaluation is always a prudent choice. Healing after surgery can be a complex process, and each patient's experience can differ significantly. Therefore, staying informed and proactive about her health is key to ensuring a smooth recovery.

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