| Abstract [eng] |
Objective Retrospective analysis of the experience and long-term results after Milligan–Morgan hemorrhoidectomy. Patients and methods During the period 1985–1999, 270 patients underwent hemorrhoidectomy in our hospital, of them 252 by using the Milligan–Morgan technique. We registered the age and sex of patients, time of illness and of hospitalization, degree of hemorrhoids: 20 (7.9%) had IIo, 185 (73.4%) – IIIo, 47 (18.7%) – IVo. General anesthesia was used in 144 (57.1%), regional (spinal or epidural) in 64 (25.4%), local in 44 (17.5%) patients. To evaluate long-term results, all patients were interviewed by telephone or mail under a special questionnaire; 150 (59,5%) patients replied. Results Of 252 patients, 16 (6.3%) developed postoperative complications: nine (3.6%) troubles of urination, six (2.4%) bleeding, one (0.4%) early recurrence; three patients were reoperated on. The anal region healed over 2–16 (average 4.6) weeks. Three patients (2.0%) of the 150 interviewed were operated on repeatedly because of recurrence. They evaluated our surgical treatment: very good 69 (46.0%), good 68 (45.3%), satisfactory 12 (8.0%), bad one (0.7%) patient. Faecal incontinence was mentioned by 25 (16.7%) patients. We ranked it using Cleveland’s feacal incontinence classification: 1 point – one (0.7%) patient, 2b. – three (2%), 3b. – six (4%), 4b. – six (4%), 5b. – zero, 6b. – three (2.0%), 7b. – zero, 8b. – two (1.3%), 9b. – zero, 10b. – one (0.7%) patient. Conclusions Milligan–Morgan hemorrhoidectomy in our experience is a rather safe and effective method of treatment of hemorrhoides. The majority of the patients were satisfied with our treatment. However, we should have in mind that for a small part of patients mild faecal incontinence is possible. |
