title: [Local and late complications in anorectal surgery].
abstract: OBJECTIVE
  Our experience in colon-proctology showed the need to update the post-surgical complications score we published (1), adding others that may have an impact on outcome of treatment. The aim of this study was to assess the efficacy of a score obtained from the analysis of the quality of life and severity of complications after proctologic surgery.
  
  
  METHODS
  Between January and December 2013, we studied 150 patients undergoing several ano-rectal surgeries for the presence of hemorrhoids of grade III and IV (63 patients), anal fissures (42 patients), anal fistulas (19 patients), rectocele (15 patients) and mucosal prolapse of the rectum (11 patients). After surgery, patients were evaluated through outpatient visits at 3, 6 and 12 months, by a questionnaire concerning the surgery complications and quality of life, the latter expressed with a score from 0 (poor) to 10 (excellent).
  
  
  RESULTS
  Only 134 patients [mean age: 49 years (range 35-61 years), 62 M] completed the entire follow-up. The score of complications has been gradually decreasing from 11.3 (baseline) to 9.6 to 3 months, 3.6 to 6 months and 2.3 at 12 months, while the score of the quality of life progressively increased from 4.5 to 6, 8 and 8.5 respectively (p<0.05), with a correlation between the two score (r=-0.6, p= 0.03).
  
  
  CONCLUSIONS
  The quantification by scores of quality of life and postoperative complications in colon-proctology is an important prognostic predictor.
authors.affiliation: Dipartimenti di Chirurgia Generale e Trapianti d'Organo, Istituto "Paride Stefanini"; Ospedale Israelitico, Roma, Italia.
authors.forename: F
authors.initials: F
authors.lastname: Gaj
authors.affiliation: Dipartimenti di Medicina Interna e Specialità Mediche, "Sapienza" Università di Roma, Italia.
authors.forename: L
authors.initials: L
authors.lastname: Candeloro
authors.affiliation: Dipartimenti di Medicina Interna e Specialità Mediche, "Sapienza" Università di Roma, Italia.
authors.forename: I
authors.initials: I
authors.lastname: Biviano
mesh_terms: D000328:Adult; D000368:Aged; D001003:Anal Canal / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000009:adverse effects*; D005260:Female; D005401:Fissure in Ano / Q000601:surgery; D006484:Hemorrhoids / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis* / Q000453:epidemiology*; D011788:Quality of Life; D012002:Rectal Diseases / Q000601:surgery*; D020047:Rectocele / Q000601:surgery; D012007:Rectum / Q000601:surgery*; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
keywords: Complications scoring; Proctological disease; Quality of life