[Ambulatory hemorrhoidectomy: results of 500 surgical operations].
To evaluate the results of outcome hemorrhoidectomy, 500 Ferguson-Khubchandani's operations performed between January 1989 and December 1993, were reviewed. 272 of the patients (54.4%) were males (average age 37 years). In 76.6% of patients haemorrhoids were III degree. After outcome pre-operative study, the patients were operated using local anaesthesia and discharged two hours after the operation. Telephone contact was established with patients until the 6th day after surgery and they were reviewed 7 and 14 days after operation. 320 patients were followed up for 12 months. The results were evaluated on the basis of the following criteria: grading of post-operative pain; complications and late sequelae; grading of patients satisfaction with the surgical operation. 291 patients (39.2%) reported light post-operative pain; in 61 (12.2%) the pain was high and needed multiple analgesic (ketorolac) infusions. Post-operative complications were respectively: haemorrhage (7 cases); perianal abscess (2 cases); transitory gas incontinence (3 cases). Late sequela were: II degree stenosis (2 cases) and return of haemorrhoids (3 cases). In 89.9% of patients results were well satisfactory. 2% of patients were not satisfied with the operation. This study and the literature confirm the technical improvement in hemorrhoidectomy: with the introduction of new antalgic drugs, this procedure is now well established in an ambulatory setting with good results and low cost.
Clinica Chirurgica II, Università degli Studi di Messina, Italia.
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D000328:Adult; D000368:Aged; D000556:Ambulatory Surgical Procedures; D005260:Female; D006484:Hemorrhoids / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged
L'emorroidectomia ambulatoriale: risultati di 500 interventi chirurgici.