One-year outcome of haemorrhoidectomy: aprospective, multicentre French study: LTP84

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Aim:Reports of haemorrhoidectomy often emphasise complications. We assessed the 1-year outcome of haemorrhoidectomy.Method:Tenproctologists in France included all patients with planned haemorrhoidectomy and collected data before, at healing and 1 year post-surgery. Patients self-assessed symptoms and quality of life (SF-36).Results:Six hundred and thirty-one patients participated (median age 48 year, 52% female). Indications for haemorrhoidectomy included: 3rd (n = 313) or 4th (214) degree, repetitive thrombosis (196), invalidating bleeding (169) and associated anal fissure (130). Prior treatments were: medical treatment (n = 538), ligation (69), sclerotherapy (62), infrared photocoagulation (50), and haemorrhoid surgery (27). Six hundred and sixteen patients were evaluated post-surgery. Theprocedure was Milligan-Morgan (35.5%) or Bellan technique with anoplasty (64.5%). Median time to healing was 6 week, with full healing in 90% of patients at 10 week. Early complications occurred in 7.6% of patients: urinary retention (n = 13), haemorrhage (10), local infection (5) and fecaloma (9). Late complications occurred in 8% of patients: anal stenosis (n = 23), local infection (7), delayed healing (3) and marisca (2). Four hundred and eighty-eight patients had a 1-year follow-up. Anal continence was unaltered (median Vaisey 3/24 to 2/24). Quality of life was significantly improved at healing and 1 year.Conclusion:Haemorrhoidectomy complications were infrequent and de novo anal incontinence was rare.

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