One-year outcome of haemorrhoidectomy: a prospective multicentre French study

Aim An evaluation was performed of the 1‐year outcome of open haemorrhoidectomy (Milligan and Morgan alone or with posterior mucosal anoplasty [the Leopold Bellan procedure]). Method A prospective, multicentre, observational study included all patients having a planned haemorrhoidectomy from January...

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Bibliographic Details
Published in:Colorectal disease 2013-06, Vol.15 (6), p.719-726
Main Authors: Bouchard, D., Abramowitz, L., Castinel, A., Suduca, J. M., Staumont, G., Soudan, D., Devulder, F., Pigot, F., Varastet, M., Ganansia, R.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Anal Canal - surgery
anal incontinence
Cohort Studies
faecal incontinence
Female
Fissure in Ano - complications
Fissure in Ano - surgery
Haemorrhoidectomy
haemorrhoids
Hemorrhoidectomy
Hemorrhoids - complications
Hemorrhoids - surgery
Humans
Leopold Bellan procedure
Longitudinal Studies
Male
Middle Aged
Patient Satisfaction
Postoperative Complications
Prospective Studies
quality of life
Rectal Fistula - complications
Rectal Fistula - surgery
Recurrence
Reoperation - statistics & numerical data
Treatment Outcome
Young Adult
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Summary:Aim An evaluation was performed of the 1‐year outcome of open haemorrhoidectomy (Milligan and Morgan alone or with posterior mucosal anoplasty [the Leopold Bellan procedure]). Method A prospective, multicentre, observational study included all patients having a planned haemorrhoidectomy from January 2007 to June 2008. Data were collected before surgery, and at 3 months and 1 year after surgery. Patients assessed their anal symptoms and quality of life (SF‐36). Results Six‐hundred and thirty‐three patients (median age = 48 years, 56.5% women) underwent haemorrhoidectomy either by the Milligan and Morgan procedure alone (n = 231, 36.5%) or together with the Leopold Bellan procedure (posterior mucosal anoplasty) for resection of a fourth haemorrhoid (n = 345, 54.5%), anal fissure (n = 56, 8.9%) or low anal fistula (n = 1, 0.16%). The median healing time was 6 weeks. Early complications included urinary retention (n = 3), bleeding (n = 11), local infection (n = 7) and faecal impaction (n = 9). At 1 year, the main complications included skin tags (n = 2) and anal stenosis (n = 23). There were three recurrences requiring a second haemorrhoidectomy. On a visual analogue scale, anal pain at 1 year had fallen from a median of 5.5/10 before treatment to 0.1/10 (p 
ISSN:1462-8910
1463-1318
DOI:10.1111/codi.12090