Preoperative Bleeding Requiring Transfusion: An Under-Reported Indication for Hemorrhoidectomy

Summary: Preoperative bleeding requiring transfusion from hemorrhoids is believed to be rare. However, 7.3% of patients undergoing surgical hemorrhoidectomy were found to require transfusion preoperatively. Anticoagulant and non-aspirin antiplatelet agent were independently associate with preoperative transfusion. These patients had extensive, potentially unnecessary preoperative diagnostic workups.

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