SHORT-TERM POSTOPERATIVE MORBIDITY AFTER MILLIGAN AND MORGANS HEMORRHOIDECTOMY - A RETROSPECTIVE STUDY OF 1134 CASES

Milligan and Morgan's procedure is commonly used for the surgical mana gement of haemorrhoids. The aim of our study was to evoluate short ter m postoperative morbidity. Between 1975 and 1990, 1 134 patients were operated on. Two patients died after operation. The most frequent comp lications were pain (71%) and urinary retention (16.4%). Hemorrhages ( 7.6%) resulting in a re-operation occured in 1% of cases. Other compli cations were rare and always cured by a specific treatment (stenosis : 2.9%, anal fissure : 0.5%, abscess : 0.6%, fistula in ano : 1.2%). Tw o patients had anal incontinence partially improved by biofeedback. He morrhoidal was 2%. Short term postoperative morbidity is generally low after Milligan and Morgan hemorrhoidectomy, with carefull supervision in a surgical department and repeated postoperative care.