[Early postoperative morbidity after hemorrhoidectomy using the Milligan-Morgan technic. A retrospective studies of 1,134 cases].
Milligan and Morgan's procedure is commonly used for the surgical management of haemorrhoids. The aim of our study was to evaluate short term postoperative morbidity. Between 1975 and 1990, 1,134 patients were operated on. Two patients died after operation. The most frequent complications were pain (71%) and urinary retention (16.4%). Hemorrhages (7.6%) resulting in a re-operation occurred in 1% of cases. Other complications were rare and always cured by a specific treatment (stenosis: 2.9%, anal fissure: 0.5%, abscess: 0.6%, fistula in ano: 1.2%). Two patients had anal incontinence partially improved by biofeedback. Hemorrhoidal was 2%. Short term postoperative morbidity is generally low after Milligan and Morgan hemorrhoidectomy, with careful supervision in a surgical department and repeated postoperative care.
Service de Chirurgie Digestive, Hôpital Sainte-Marguerite, Marseille.
I
I
Sielezneff
E
E
Salle
J
J
Lécuyer
C
C
Brunet
J C
JC
Sarles
B
B
Sastre
D000038:Abscess / Q000209:etiology; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001004:Anus Diseases / Q000209:etiology; D001676:Biofeedback, Psychology; D002423:Cause of Death; D003251:Constriction, Pathologic / Q000209:etiology; D005069:Evaluation Studies as Topic; D005242:Fecal Incontinence / Q000209:etiology / Q000628:therapy; D005260:Female; D005401:Fissure in Ano / Q000209:etiology; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006484:Hemorrhoids / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain / Q000209:etiology; D011183:Postoperative Complications; D019106:Postoperative Hemorrhage / Q000209:etiology; D012003:Rectal Fistula / Q000209:etiology; D012008:Recurrence; D012086:Reoperation; D012189:Retrospective Studies; D016055:Urinary Retention / Q000209:etiology
Morbidité post-opératoire précoce après hémorroïdectomie selon la technique de Milligan et Morgan. Une étude rétrospective de 1,134 cas.