Volume 83, Issue 8 (November 2025)
Tehran Univ Med J 2025, 83(8): 591-599 |
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Shirbandi K, Azhough R, Shiri H. Comparison of hemorrhoidectomy complications in elderly and non-elderly patients: a retrospective longitudinal study. Tehran Univ Med J 2025; 83 (8) :591-599
URL: http://tumj.tums.ac.ir/article-1-13801-en.html
URL: http://tumj.tums.ac.ir/article-1-13801-en.html
1- Department of General Surgery, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
2- Department of General Surgery, Taleghani Medical Research & Training Hospital, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
3- Department of Cardio Thoracic Surgery, Imam Reza Medical Research, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
2- Department of General Surgery, Taleghani Medical Research & Training Hospital, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
3- Department of Cardio Thoracic Surgery, Imam Reza Medical Research, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Abstract: (35 Views)
Background: Since multiple factors contribute to the occurrence of postoperative complications and these risk factors are generally more prevalent among elderly individuals compared to younger patients this study was conducted to compare the complications of hemorrhoidectomy between elderly and non-elderly patients.
Methods: For each patient, a data collection form was completed, including demographic characteristics (age, sex, body mass index, ASA class, and comorbidities), as well as laboratory and disease-related information. Postoperative complications assessed were bleeding, anal fissure, rectal stenosis, anal pain, hemorrhoid recurrence, reoperation, postoperative infection, pruritus, and urinary tract infection.
Results: The findings indicated that the lymphocyte-to-monocyte ratio LMR Lymphocite to Monocye Ratio) was associated with a reduced incidence of complications, whereas both the neutrophil-to-lymphocyte ratio (NLR) and C-reactive protein CRP (c_reactive protein) levels were associated with an increased incidence of complications. Furthermore, hemorrhoid grade, disease duration, number of hemorrhoidal nodules, preoperative pain severity, and chronic preoperative pain were all significantly associated with a higher likelihood of postoperative complications in elderly patients.
Conclusion: This study demonstrates that several factors including hematologic ratios (LMR, NLR), CRP (c_reactive protein) levels, hemorrhoid grade, disease duration, number of hemorrhoidal nodules, preoperative pain severity, and chronic preoperative pain are significantly associated with the occurrence of postoperative complications following hemorrhoidectomy in elderly patients.
Methods: For each patient, a data collection form was completed, including demographic characteristics (age, sex, body mass index, ASA class, and comorbidities), as well as laboratory and disease-related information. Postoperative complications assessed were bleeding, anal fissure, rectal stenosis, anal pain, hemorrhoid recurrence, reoperation, postoperative infection, pruritus, and urinary tract infection.
Results: The findings indicated that the lymphocyte-to-monocyte ratio LMR Lymphocite to Monocye Ratio) was associated with a reduced incidence of complications, whereas both the neutrophil-to-lymphocyte ratio (NLR) and C-reactive protein CRP (c_reactive protein) levels were associated with an increased incidence of complications. Furthermore, hemorrhoid grade, disease duration, number of hemorrhoidal nodules, preoperative pain severity, and chronic preoperative pain were all significantly associated with a higher likelihood of postoperative complications in elderly patients.
Conclusion: This study demonstrates that several factors including hematologic ratios (LMR, NLR), CRP (c_reactive protein) levels, hemorrhoid grade, disease duration, number of hemorrhoidal nodules, preoperative pain severity, and chronic preoperative pain are significantly associated with the occurrence of postoperative complications following hemorrhoidectomy in elderly patients.
Type of Study: Original Article |
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