The author had the opportunity in a 38-year period of practice in Coloproctology, to attend 34,000 patients. Diagnose of hemorrhoid as the main cause of the symptoms presented was achieved in 9,289 patients (27.3%). 2,417 of the 9,289 patients (26.0%) underwent hemorroidectomy. The aim of this report is to analyse these 76 patients as far as epidemiologic aspects are concerned (age and gender), surgical techniques for hemorrhoidectomy as well as surgical approach for each kind of complications. Results are correlated to the literature. Most of the patients were submitted to open hemorrhoidectomy (2,014 patients, 83.3%), and only 232 patients (9.6%) to close and 171 patients (7.1%). There were 76 cases of surgical complications (3.1%) being anal stricture (44 cases, 1.8%) and postoperative bleeding (21 cases, 0,9%) the two most common complications, followed by worsenning of the fecal incontinence and anal sepsis (5 cases each, 0.2%) besides 3 cases of systemic complications (0.1%) and no mortality. Anal stricture was more common in four decade patients (18 cases, 2.6%), being far more common associated to sphyncteric hipertony (21 cases, 70.0%), anular in shape (31 cases, 70.4%) developed between 11 and 30 postoperative day (27 cases, 61.5%) being 14 patients (31.8%) submitted to single anotomy and fissurectomy or fibrosectomy and 7 patients being approached with anoplasty with "V" skingraft. Posoperative anal hemorrage was more common in fourth decade patients (6 cases, 1.2%) and all of them underwent transfixation of the pedicle. Two out of 5 patients (40.0%) with worsenning of fecal incontinence were submitted to sphynteroplasty; all patients with anal sepsis (3 patients) underwent drainage and debridation; and three patients with systemic complications were approached clinically.
Hemorrhoidectomia; Hemorrhoidectomia Complications; Anal Surgery
