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

Bouchard, D.; Abramowitz, Laurent; Castinel, A.; Suduca, J.-M.; Staumont, G.; Soudan, D.; Devulder, Franck; Pigot, F.; Varastet, Marina; Ganansia, Roland

doi:10.1111/codi.12090

Cited by 36 publications

(26 citation statements)

References 27 publications

(32 reference statements)

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“…In this study QOL significantly improved following fistulotomy, and returned to that of the general population when continence deterioration was small; similar results have been found using SF-36 for other benign anorectal conditions such as haemorrhoid surgery [32] and anal fissure [33]. Using a GI disease-specific QOL questionnaire, the GIQLI [34], a similar result has been found with patients undergoing surgery for recurrent fistula [35], suggesting that the benefits of successful surgery may outweigh the risks of reduced continence.…”

Section: Discussionsupporting

confidence: 83%

Quality of life following fistulotomy – short term follow‐up

et al. 2017

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Section: Discussionsupporting

confidence: 83%

Quality of life following fistulotomy – short term follow‐up

et al. 2017

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“…Bouchard et al [17] found anal stenosis in 23 patients out of 633 patients in the one-year outcome of open haemorrhoidectomy. F. Greca et al [18] found that, repeated treatment was necessary in 13 patients after phenol injection compared with only 4 following rubber band ligation (P<0·05).…”

Section: Discussionmentioning

confidence: 99%

A Comparative Study of Different Treatment Modalities of Haemorrhoids

Gireboinwad¹,

Shinde²,

Pote³

et al. 2014

jemds

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BACKGROUND:This study was carried out to evaluate possible differences of pre and post treatment parameters between patients undergoing injection Sclerotherapy, rubber band ligation and hemorrhoidectomy. METHODS: The prospective study was carried out in 150 patients of haemorrhoids during August 2010 to November 2012. Each group of 50 patients treated with injection sclerotherapy, band ligation and haemorrhoidectomy and followed up for 1 year for complications. RESULTS: In the present study pain, bleeding and urinary retention were common following haemorrhoidectomy. One patient had anal incontinence post sclerotherapy. Anal incontinence was found to be a major problem in post haemorrhoidectomy period. Two patients had anal stenosis after haemorrhoidectomy. Second setting required in 6 patients of sclerotherapy and 4 patients of rubber band ligation. No recurrence noted in haemorrhoidectomy patients. Following sclerotherapy, 35 (70%) patients resolved, 9 (18%) improved and 3 (6%) remained unchanged. Following rubber band ligation, 32 (64%) resolved, 12 (24%) improved and 3 (6%) unchanged, while after haemorrhoidectomy, 37 (74%) resolved and 10 (20%) improved. DISCUSSION: Injection sclerotherapy remains the choice in first degree haemorrhoids. Rubber band ligation can be considered as first line of treatment for second degree haemorrhoids and few cases of third degree haemorrhoid. Conservative methods are acceptable to patients in outcome and in patient compliance, but repetitions of treatment may be needed. Haemorrhoidectomy remains the only form of therapy with lasting results. Thus it should be considered for all cases of third and fourth degree haemorrhoids and for uncontrollable symptomatic recurrences following conservative procedures.

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“…Different techniques exist, however most are associated with the same complications [10]. A recent study evaluated the 1-year outcome of open haemorrhoidectomy in 633 patients, 36% involving the Milligan and Morgan procedure and 64% the Leopold Bellan procedure [15]. Immediate complications were reported in 6.9% of patients, including urinary retention, faecal impaction, secondary haemorrhage requiring haemostasis and local infection.…”

Section: Discussionmentioning

confidence: 99%