{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T02:44:03Z","timestamp":1790477043321,"version":"4.1.0"},"reference-count":32,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T00:00:00Z","timestamp":1745798400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Hemorrhoidectomy is a common general surgical procedure with numerous and intensive complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study sought to investigate the complications of hemorrhoidectomy from the patients' perspective.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The study identified three main categories of complications: physical, psychological, and social. Additionally, 26 themes and 56 sub\u2010themes 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.70724","type":"journal-article","created":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T01:40:03Z","timestamp":1745890803000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["The Complications of Hemorrhoidectomy From Patients' Perspective: A Qualitative Study"],"prefix":"10.1002","volume":"8","author":[{"given":"Masoumeh Ebrahimi","family":"Tavani","sequence":"first","affiliation":[{"name":"Academic Research Staff, Quality Improvement, Monitoring and Evaluation Department, Center of Health Network Management, Deputy of Public Health Ministry of Health &amp; Medical Education Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yegane","family":"Partovi","sequence":"additional","affiliation":[{"name":"Health Services Management, Department of Public Health, School of Public Health Ardabil University of Medical Sciences Ardabil Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tahmineh","family":"Poursaki","sequence":"additional","affiliation":[{"name":"Department of Health Management, Policy and Economics, School of Public Health Tehran University of Medical Sciences Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9504-4660","authenticated-orcid":false,"given":"Farid","family":"Gharibi","sequence":"additional","affiliation":[{"name":"Health Services Management, Social Determinants of Health Research Center Semnan University of Medical Sciences Semnan Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,28]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/codi.14975"},{"issue":"1","key":"e_1_2_11_3_1","first-page":"93","article-title":"Hemorrhoids","volume":"4","author":"Rogozina V. 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