Complications of Surgery of the Anal Canal

Amanjeet Singh, Savio George Barreto, Adarsh Chaudhary

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


Diseases of the anorectum such as hemorrhoids, fissure-in-ano, fistula-inano, perianal abscess, and rectal prolapse are common presentations to general as well as gastrointestinal surgeons. The primary treatment often is conservative, with the exception of an abscess; however, a number of these patients need surgical intervention. Although surgery on the anorectum is often considered ‘minor’, the development of complications is not uncommon and can result in a considerable impact on the patient, surgeon, and healthcare system.
The anorectum is inherently exposed to shearing stress and strain during physical activity; it is rich in apocrine and sweat glands and is in direct contact with the fecal stream. In addition, the inherent difficulty of maintaining hygiene together with its visual inaccessibility hinders self-care. Temporary diversion stomas can overcome some issues if used selectively. Miller et al report the absence of a structured curriculum in the management of anal diseases which may contribute to the lack of a clear understanding of the anatomy, physiology, and pathology of the region contributing to the development of surgical complications.
Original languageEnglish
Title of host publicationSurgery of the Anal Canal
EditorsSharad Karandikar
Place of PublicationNew Delhi
Number of pages9
ISBN (Print)9788131237847
Publication statusPublished - 2014
Externally publishedYes

Publication series

NameECAB Clinical Update: Surgical Gastroenterology and Liver Transplantation


  • Anorectum
  • Anorectal pathology
  • Anal canal
  • Surgery
  • Complications


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