title: [Surgical treatment outcome of hemorrhoidal in 475 patients].
abstract: Despite feared by patients and reserved for the minority of patients suffering from hemorrohoids, hemorrhoidectomy remains as the most effective approach to this condition. To analyse results from 475 hemorrhoidectomies performed at University of São Paulo Hospital das Clínicas between 1984 and 1995, a retrospective chart review regarding gender, age, associated anorectal conditions, surgical technique, complications and their management and follow-up was addressed. Two hundred and seven (43.6%) were male. Age between fourth and sixth decades were observed for 70.8%. Associated anorectal conditions were diagnosed in 18.9%. Chronic anal fissure was the commonest one. Milligan-Morgan operation was performed in the majority of patients (91.2%) and Ferguson technique in 6.7%. There were no intraoperative complications postoperative complications occurred in 38 (8%) patients regardless of employed surgical technique. Urinary retention was the commonest postoperative complication. Mean follow-up was 5.8 years for 70% of patients. Surgical hemorrhoidectomy remains as a treatment with excellent results in the management of hemorrhoid disease for selected patients. Produces erradications of the disease in all cases in spite of low morbidity.
authors.affiliation: Departamento de Gastroenterologia da Faculdade de Medicina da Universidade de São Paulo.
authors.forename: S C
authors.initials: SC
authors.lastname: Nahas
authors.forename: C W
authors.initials: CW
authors.lastname: Sobrado Júnior
authors.forename: S E
authors.initials: SE
authors.lastname: Araujo
authors.forename: A R
authors.initials: AR
authors.lastname: Imperiale
authors.forename: A
authors.initials: A
authors.lastname: Habr-Gama
authors.forename: H W
authors.initials: HW
authors.lastname: Pinotti
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006484:Hemorrhoids / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012189:Retrospective Studies; D016896:Treatment Outcome