Work

Comparative Outcomes of Hemorrhoidectomy under Spinal Anesthesia between Older and Super-old Patients

Year: 2026

Type: article

Abstract: Objectives: With increasing life expectancy, the number of older and very old patients undergoing anorectal surgery is rising. However, concerns remain regarding the safety of hemorrhoidectomy among those aged ≥80 years. In this study, we compared postoperative outcomes between older (age 65-79 years) and very old (age ≥80 years) patients undergoing open hemorrhoidectomy under spinal anesthesia. Methods: This single-center retrospective cohort study included consecutive adult patients who underwent excisional hemorrhoidectomy between April 2024 and May 2025. Patients were stratified into older (65-79 years) and very old (≥80 years) groups. Baseline characteristics, perioperative factors, and postoperative outcomes, including 6-month complications, and predictors of Foley catheter insertion or additional analgesic injections were assessed. Results: = 0.021). No Clavien-Dindo grade III or higher complications occurred in the very old group. In the multivariable analysis, intravenous patient-controlled analgesia was associated with a reduced likelihood of needing additional analgesic injections (odds ratio, 0.39; 95% confidence interval, 0.22-0.69). Conclusions: Hemorrhoidectomy under spinal anesthesia led to comparable short-term postoperative outcomes in older and very old patients without severe systemic disease.

Source: Journal of the Anus Rectum and Colon

DOI: 10.23922/jarc.2025-126