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

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 appr...

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Main Authors: Masoumeh Ebrahimi Tavani, Yegane Partovi, Tahmineh Poursaki, Farid Gharibi
Format: Article
Language:English
Published: Wiley 2025-05-01
Series:Health Science Reports
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Online Access:https://doi.org/10.1002/hsr2.70724
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author Masoumeh Ebrahimi Tavani
Yegane Partovi
Tahmineh Poursaki
Farid Gharibi
author_facet Masoumeh Ebrahimi Tavani
Yegane Partovi
Tahmineh Poursaki
Farid Gharibi
author_sort Masoumeh Ebrahimi Tavani
collection DOAJ
description 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.
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spelling doaj-art-c82a822e7bca4c2d87005589f8eb5ceb2025-08-20T03:41:00ZengWileyHealth Science Reports2398-88352025-05-0185n/an/a10.1002/hsr2.70724The Complications of Hemorrhoidectomy From Patients' Perspective: A Qualitative StudyMasoumeh Ebrahimi Tavani0Yegane Partovi1Tahmineh Poursaki2Farid Gharibi3Academic Research Staff, Quality Improvement, Monitoring and Evaluation Department, Center of Health Network Management, Deputy of Public Health Ministry of Health & Medical Education Tehran IranHealth Services Management, Department of Public Health, School of Public Health Ardabil University of Medical Sciences Ardabil IranDepartment of Health Management, Policy and Economics, School of Public Health Tehran University of Medical Sciences Tehran IranHealth Services Management, Social Determinants of Health Research Center Semnan University of Medical Sciences Semnan IranABSTRACT 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.https://doi.org/10.1002/hsr2.70724complicationhemorrhoidectomypatient's perspectivequalitative research
spellingShingle Masoumeh Ebrahimi Tavani
Yegane Partovi
Tahmineh Poursaki
Farid Gharibi
The Complications of Hemorrhoidectomy From Patients' Perspective: A Qualitative Study
Health Science Reports
complication
hemorrhoidectomy
patient's perspective
qualitative research
title The Complications of Hemorrhoidectomy From Patients' Perspective: A Qualitative Study
title_full The Complications of Hemorrhoidectomy From Patients' Perspective: A Qualitative Study
title_fullStr The Complications of Hemorrhoidectomy From Patients' Perspective: A Qualitative Study
title_full_unstemmed The Complications of Hemorrhoidectomy From Patients' Perspective: A Qualitative Study
title_short The Complications of Hemorrhoidectomy From Patients' Perspective: A Qualitative Study
title_sort complications of hemorrhoidectomy from patients perspective a qualitative study
topic complication
hemorrhoidectomy
patient's perspective
qualitative research
url https://doi.org/10.1002/hsr2.70724
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